Forget Me Not Caring Limited

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

People were involved in planning and reviewing their care. The service worked with people to provide care which promoted their health, wellbeing, and independence. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests. However, the provider's processes for monitoring and reviewing people's outcomes were not always effective.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider involved relevant healthcare professionals in assessing and reviewing people's changing needs as required.

People's care plans contained an initial assessment of their needs which considered their protected characteristics and an overview of their support needs and preferences.

The provider told us they completed an assessment of people’s needs before they came to live in any of the supported living services. Where people had lived in a service for a number of years, the provider reviewed their needs regularly to identify any changes or additional support required.

People and those important to them were involved in the planning of their care and support needs. People had named keyworkers, who reviewed their care with them on a regular basis to ensure it continued to meet their needs and preferences.

The provider had systems in place to share up-to-date information about legislation, standards, and good practice guidance with staff. The provider had processes in place to monitor people’s nutritional and hydration needs. However, we found these processes were not always robust in identifying concerns. For example, where one person's daily records indicated they were choosing not to eat regularly and were not eating a balanced and nutritious diet, this had not been identified in the monthly audit and this meant it was unclear whether any increased monitoring or referrals were needed. Following our feedback, the registered manager met with the service support managers to review these audits and identify areas of improvement.

The provider told us they shared examples of good practice and any policy and legislation updates during their staff meetings. They included a policy of the month at meetings with senior staff and ensured new staff signed to confirm they had read the provider's policies and procedures prior to completing their induction.

People were supported to access information and advice about their health, care and support needs.

Information about people’s support needs was in place; however, this was not always easily accessed within the care plan file. At the time of our assessment, the provider was in the process of streamlining the information held in people's care plans to ensure consistent, relevant and up to date documentation was in place and easy to find.

The provider understood the importance of information sharing and ensuring an accurate overview of people's current needs was documented. The provider evidenced how they had shared information between health and social care professionals appropriately when required.

People had information about their support needs in their care plans for staff to follow. People told us staff understood what support they required.

Staff knew how to access information about people's health and wellbeing and told us about the importance of getting to know people well in order to understand their needs and how to best support them.

The provider made referrals to healthcare professionals when necessary and shared updates and feedback to support people's healthcare needs.

People's care plans contained information about their healthcare needs and the health professionals involved in their care. The provider has processes in place to ensure health appointments were attended with feedback and recommendations documented.

People were involved in regularly reviewing their health and wellbeing needs where appropriate. People told us about their health conditions and how staff supported them to manage these. People were supported to attend regular health appointments and reviews.

People were not always supported to plan and document the outcomes they would like to achieve. People were involved in monthly keyworker meetings; however, these lacked detail and did not always demonstrate how people's care was being continuously monitored in order to make improvements.

The provider told us they were changing the format of the keyworker meetings and introducing an additional review for the service support managers overseeing each supported living service, so they were able to see what people wanted to achieve more easily and monitor progress.

The provider's processes for monitoring and improving people's outcomes were not always robust. Information lacked detail and did not always evidence how people were being supported to plan or achieve goals which were important to them. The provider was in the process of implementing changes to their processes at the time of the assessment and told us how this would enable more regular monitoring and clearer oversight.

Staff told us they had received training in understanding the Mental Capacity Act (MCA) and understood people's right to make their own choices and how to escalate any concerns.

People told us staff asked their consent before providing support. People told us they were offered choices and could make their own decisions about their care. People's care plans contained information about how to support their decision making.

At the time of the assessment, the provider was in the process of updating people's individual mental capacity assessments. However, these were not yet completed and some of the documentation lacked personalisation and detail. The registered manager told us they were seeking additional training and support to develop their understanding and share learning with the management team to improve the quality of the capacity assessments completed.