Charlesworth 247 Limited

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

People were supported to maintain good quality health. They had access to external health care agencies. People were not discriminated against. They received an equal opportunity to receive the care and support they needed both from the provider’s staff and accessing external health and social care services.

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.

We did not look at Person-centred Care during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Care provision, Integration and continuity during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Providing Information during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Listening to and involving people during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Equity in access during this assessment. The score for this quality statement is based on the previous rating for Responsive.

People were provided with an equal opportunity to receive high quality care and positive outcomes. People did not face discrimination. The provider worked with people and those close to them to understand their individual needs, ensuring appropriate care was provided. This helped people to achieve positive outcomes. A relative told us that due to their family member’s health condition they were unable to leave their bed. Staff have tailored the person’s care to ensure they continued to receive high quality personal care. This has resulted in the person never experiencing a pressure sore, which can occur if people remain in the same position for too long. Another relative told us their family member had a learning disability; however, this did not affect their ability to make their own decisions. They did; however, on occasions, make decisions that may not be in their own best interest. They told us staff ensured that when these decisions were made, they discussed the implications of the decision with the person, and their relative where appropriate, to determine if the person fully understood the implications of their decision. The relative praised this approach; staff responded to the person’s wishes, but also managed their expectations in a responsive and respectful way.

Staff understood how to ensure that the care they provided met people’s needs and also overcame any health and/or safety barriers to help them to lead fulfilling lives. Staff told us they assisted people with attending health and social care appointments. They also monitored people’s on-going health, noted any changes, and, with their consent booked medical appointments for people. The registered manager spoke about the positive approach of their care staff and the positive impact on had people’s health and day-to-day experiences. They explained how staff were trained to identify any characteristics that could be a barrier to people receiving the care and support they needed. For example, the registered manager told us they had helped a visually impaired person switch on audio description on their television. Audio description (AD) is additional commentary that explains what is happening on screen. AD describes body language, expressions, and movements, making the programme clear through sound. This has a positive impact on this person’s life.

The provider had the processes in place that enabled them to identify any potential barriers to care. They then adapted people’s care to reduce the risk of discrimination. The provider had a good understanding and complied with the requirements of the Accessible Information Standard. The standard aims to make sure that people who have a disability, impairment or sensory loss are provided with information that they can easily read or understand, and with support, so they can communicate easily with health and social care services. For example, the provider was preparing to provide end of life care for a person who was unable to communicate in English. They had sourced ‘flash’ cards in their first language that would help them to communicate to staff their wishes. Similar flash cards were used for a person whose hearing aid was broken. With the person’s input and agreement the person was able to engage with staff until their hearing aid was fixed. The provider’s electronic care planning system enabled reminders to be made available for staff to charge people’s hearing aids. The provider had engaged with other health and social care agencies to ensure people were given opportunities to receive an equal opportunity to access external services. For example, advice was sought from a tissue viability nurse on the most appropriate equipment for a person to use to enable them to reduce the risk of developing pressure sores, delaying the possibility of them needing to move to care home and enabling them to remain in their own home for longer.

We did not look at Planning for the future during this assessment. The score for this quality statement is based on the previous rating for Responsive.