Cathedral Care (Sale)

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’s needs were fully assessed, and each assessment recorded the support each individual required. Where people required support with nutrition and hydration, weight management and skin integrity, best practice guidance was followed to ensure people were safely supported. The management and staff team worked with health professionals in the best interests of people supported to ensure they remained healthy. Staff sought consent from people before they provided personal care and support.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People and relatives confirmed they were involved in the assessment process and told us, “They (the provider) were very helpful and if anything needed doing out of the ordinary, they will do it.” People confirmed they were able to access equipment and additional support from other agencies such as a befriending service as a result of the assessment completed by the provider.

Staff told us they were able to work with people and their families to get to know them and understand how best to support them. Staff confirmed all information was made available to them when a new person began using the service and assessments fed into care plans.

Trusted assessors working for the provider had the skills and expertise to ensure assessments captured a holistic view of the person. Assessments were person-centred and reflected people’s needs, risks, choices, skills, preferences and goals. The trusted assessors were able to identify equipment an individual could use in the home to promote independence and to keep them safe. We saw the provider had worked with several agencies to coordinate care and support to enable people to return to their own home.

People told us and we saw they were effectively supported with nutrition and hydration and were monitored by the provider for any deterioration in their health including weight management, skin integrity and where there was a falls risk.

Staff told us they were aware of people’s choices, preferences and needs to ensure they received the correct support with nutrition and hydration. Staff documented when they provided support with nutrition and hydration and when they noted any concerns, this was reported to the management team who arranged for the individual to be reviewed by a health professional. Staff were able to identify where people were at risk of their skin integrity deteriorating and took prompt action to provide intervention such as repositioning to reduce the risk of pressure sores. Any deterioration in people’s skin integrity was reported to health professionals.

The provider followed good practices to ensure care and support was provided in-line with local and national guidance and legislation. This included ensuring care was person-centred, safeguarding processes were followed and joint working practices within health and social care were adhered to. There were processes in place to ensure people received suitable support with nutrition and hydration. The management team were proactive in monitoring where people may require further support to maintain their food and fluid intake.

The staff team worked together with a variety of health and social care professionals to ensure care and support was received when required. We saw the staff had liaised with other agencies as well as colleagues to ensure each individual was provided with a holistic package of care and support.

Staff told us they worked in a “Really great team.” They told us they all had paid and lived experience of care which enabled them to bring their skills together to effectively support people. Staff were keen to express the autonomy they had in their role and had built relationships with health and social care professionals as they shared information in the best interests of the people they supported.

Partners and other agencies were positive about the providers approach to working together in the best interests of the people being supported by Cathedral Care (Sale).

The management team ensured people obtained information and advice about their care and support when required. Information was shared regarding seasonal flu vaccinations, befriending services as well as other services to support an individual’s holistic well-being. The provider had processes in place to ensure care and support was coordinated in the best interests of people using the service which including collaboration with professionals and information sharing.

People told us they were effectively supported to live a healthier life. People and their relatives confirmed the staff shared information with them on vaccinations and health related activities.

Staff supported people to manage their health and wellbeing. Staff reported any changes in a person’s wellbeing promptly. Staff were aware to look for signs of any deterioration in people’s health including signs of skin breakdown, urine infection and delirium.

Care records captured the support people required with their health needs and what action staff should take when there was any deterioration to an individual’s health. People had been involved in developing their care plan to ensure it reflected their needs and wishes. The provider continually provided information to people and their families about how they could keep themselves well, access vaccinations or promote their health.

People’s support was coordinated, and they confirmed everyone worked well together.

Staff told us they were empowered by the management team to ensure care and support was unique to the individual. Staff told us they agreed the care and support to be provided with each individual and recorded outcomes following each visit. Staff told us they worked well with health professionals such as district nurses to ensure care iwas coordinated.

The provider had achieved certification for their quality management system standard and compliance with health and safety and risk management. The management team were in the process of reviewing care records with people being supported by the service and staff to ensure they were meeting the goals set out in the plan. Where it was identified, goals were not being met, an action was put into place to review and improve the plan.

People and relatives confirmed, staff always gained their consent. A relative told us, their relation would be confident to ask the care staff to not do something if they wished to.

Staff understood the importance of asking for consent prior to providing care and support. Staff told us they always sought consent from people and explained what they needed to do to support the individual safely.

The provider had processes in place to ensure people’s capacity and ability to consent was sought during the assessment process and throughout the period of care and support provided.