Nefid Personnel

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• 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

We assessed 6 quality statements in the effective. During this assessment, we found people's care was regularly reviewed. Staff worked well together to meet the needs of people. The registered manager had robust knowledge about the application of the Mental Capacity Act principles.

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 receive feedback from people or relatives about this quality statement.

The registered manager explained us the steps they took to ensure the appropriate people were involved in assessing people's needs.

The registered manager explained us information gathered during initial assessment, informed the risk assessments and care plans. This was conducted with the person receiving care and relatives, if appropriate. Other healthcare professionals were still involved, if required.

We did not receive feedback from people or relatives about this quality statement.

The registered manager aware of best practice guidance linked to caring and supporting people with physical needs, learning disabilities and who required end of life care.

The processes in place were effective to ensure people's needs were assessed and planned for.

We did not receive feedback from people or relatives about this quality statement.

Staff told us they worked well together as a team. Their comments included, "I think it is OK, if there is anything, I would raise a concern, if I feel something is not good."

We did not receive any feedback from partners about this quality statement for this assessment.

Communication worked well within the service. There was a small staff team who communicated with each other and the registered manager.

We did not receive feedback from people or relatives about this quality statement.

The registered manager gave us examples of when they had worked with external health professionals to achieve better outcomes for people, such as working with an occupational therapist to promote a person's independence.

Records showed people's health was monitored and appropriate support offered with nutrition and hydration.

We did not receive feedback from people or relatives about this quality statement.

Staff responded to people's changing needs. A staff member told us of an occasion when a person explained their preference to change carers and how this was actioned by staff and the registered manager.

Care Plans detailed people's goals and outcomes. The care plans were individual and centred around people's needs.

We did not receive feedback from people or relatives about this quality statement.

The registered manager showed in deep knowledge about how to apply the principles of the MCA when planning and delivering care to people. Their comments included, "MCA states that everyone has capacity until deemed otherwise; we always have to check if there are no other illness that could impact capacity; ensure they [people] have enough information to make a decision and consider unwise decisions, some people choose to take risks."

There were policies and procedures to ensure consent was sought from people, which included for people who lacked capacity to give consent so this could be planned and delivered in their best interests and in the least restrictive way.