Kando Care Ltd

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

Staff knew the people they supported well. This included people’s individual preferences and wishes on how they wanted staff to support them. Staff sought consent from people before carrying out care tasks. People’s communication needs were documented clearly within their records to help guide staff on how to communicate effectively with them. This promoted people’s right to make informed choices. Staff adapted their communication and how information was presented to people to help aid people’s understanding.

This service scored 25 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People told us they had been involved in planning their care. One person described how staff got to know them and their needs. They said, “They literally sat down and chatted (with me).” Another person told us how staff encouraged them to be fully informed and agree their care. They said, “When they come to review (care record), they read it and sometimes I cannot read it, so they read it to me and ask my opinion and so far, that's good.”

Staff understood the importance of supporting people in line with their plan of care. The registered manager explained, “We make an appointment and invite the family, try to time it so the person can be involved, we support 1 person with [named health condition] but we involve them and involve family. Any changes, likes, dislikes, care needed, tasks are all discussed.”

People’s care records, in the main gave clear and detailed guidance for staff to follow. This included people’s communication needs and preferences. Staff were trained to support people living with these identified needs.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

People told us how staff sought their consent before carrying out any person-centred care and support tasks for them. A person told us, “Everything they do they ask me…Yes, (staff) will ask…what one I want to wear and what to eat.”

Staff understood the importance of supporting people in line with their wishes and promoting their right to make choices and have those choices respected. A staff member explained, “The care we are providing is according to the wills and wishes of [the person], promoting and encouraging them to make a decision and if any care (needed) we take the consent from the [person].” The registered manager told us about how they expected their staff to gain consent from the people they looked after. They said, “By including people in care planning, encouraging (staff) to have conversations in English, gaining consent, not just directing loads of questions at (people) but helping them to feel at ease. Same time getting consent.”

There were policies and procedures in place that guided staff on the importance of gaining consent. People’s care records also reminded staff and prompted staff to gain people’s consent. This included people’s right to refuse care and support, and what staff were to do in these circumstances. However, records throughout the service were not always to the standard required.