Nurture Care Services

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 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 registered manager made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. People had an initial assessment before they started using the service. Assessments of people’s mental and physical health needs and conditions were carried out to determine if the service was suitable for them and they could be supported by staff. A person told us, “The staff know me and understand me.”

The staff 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. The person and their relatives were involved in planning the level of support they needed. Care plans included information that was relevant and important to them. These included objectives and outcomes that people wished to achieve both in the short term and in the long term. The staff aimed to enable people to be as independent as possible. The service offered tailored care packages, which included supporting people to go into the community, follow their interests, and maintain their daily living skills. This promoted people’s independence and ability to achieve their goals.

The registered manager told us they knew who to contact for advice about people’s health and support needs. They knew the details of people’s healthcare practitioners such as their local GP, social worker and specialist practitioners such as mental health care coordinators. Feedback from people was positive. The person said, “They work well together, and I get support.”

Staff supported the person to manage their health and wellbeing to maximise their independence, choice and control. They aimed to assist individuals to live healthier lives, for example with food, drink and exercise. The person said, “The staff help me with things when I need help. I have nice food that I enjoy.”

The registered manager routinely monitored how the care and treatment was delivered and used the information to continuously improve the service. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. The registered manager ensured that outcomes for the person were positive and consistent. The person and their relatives felt the service benefitted them and helped them get on with their lives. A person said, “I am happy with the service. I can go out when I want and do what I enjoy.”

The registered manager told people about their rights around consent and respected these when delivering person-centred care and treatment. The person confirmed and records showed they had signed their care plans and consented to the support they would receive. They told us they had choice and control of their support. Staff told us they always asked for consent before providing the person with support. The provider had policies to ensure the principles of the Mental Capacity Act (2005) were followed. However, we noted that mental capacity assessments were not completed correctly. For example, for decisions around a person's care and support, the assessments did not confirm if they had capacity, lacked capacity or had variable capacity. We were not fully assured the registered manager had an overall understanding of how to complete the assessment and what it meant for the person. We pointed this out to the registered manager and nominated individual and they told us these were errors that would be corrected. They also assured us they would review processes and make sure they understood how to carry out the assessment correctly so that people's capacity to make decisions was respected.