Kulera Care

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. This is the first inspection for this newly registered service. This key question has been rated good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 79 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The service always made sure people’s care and treatment was effective by thoroughly assessing and reviewing their health, care, wellbeing and communication needs with them. Everyone who wished to use the service had their needs thoroughly assessed before their care began. Assessments were very comprehensive and included information about people’s needs, likes, dislikes and what made them comfortable. One relative told us, “We were totally and fully involved in the assessment and then we made up a care plan all together. What they like what makes them feel comfortable.” The assessments included people’s lifestyle choices and hobbies to enable the provider to match staff to the person. Relatives commented how well-matched staff were to their loved ones. One relative said, “After the assessment they suggested the match. It worked; they are just so comfortable together.”

The service planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. Staff received regular training which helped to make sure their practice was in accordance with up-to-date best practice guidance and legislation. One member of staff told us, “I feel very well trained. Had a good induction and refresher training to keep up to date.”

The service worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. The provider worked with other professionals to make sure people’s needs were met. This included occupational therapists and specialist nurses. All staff spoken with said they had good handovers with other staff when they handed over the care of a person.

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support. Staff supported people and their families to access healthcare services to meet their individual needs. One member of staff said they supported the person they cared for to make and attend appointments to monitor their health. One relative told us how much they appreciated the member of staff who supported their loved one with emotional needs and said, “It’s incredible the change in their wellbeing.”

The service routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. Relatives said the service was flexible to meet people’s changing needs and ensure good outcomes for people. One relative said, “As things come along, they [staff] just adapt. [Person’s] quality of life is so much better because of them.”

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. Everyone who used the service was asked for written consent and these records were retained. The provider had a good knowledge of the Mental Capacity Act and had evidence to confirm when representatives had legal authority to act on behalf of a person.