Stokely Healthcare 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

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. At our last inspection we rated this key question requires improvement. At this inspection the rating has changed to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

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.

The service 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 assessment before starting to be supported by the service. The provider told us once consent is sought people are asked questions regarding their care and how they like to be cared for considering any person-centred tasks. The questions addressed both current needs and future goals and include questions regarding health, cognitive abilities, the person’s social environment, their cultural, religious, or spiritual beliefs and any risks. Care plans were then developed that detail the specific interventions, services, and support the individual requires.

The service 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 manager met with people and relevant professionals to gather important information about health conditions and care needs. One professional told us, “In my experience, the manager is approachable and easy to contact. My client values the carers in her package. Once there was a difference of opinion and the manager tried hard to support the carer to increase her skills and to modify her approach, convening a meeting and ensuring all the carers could attend”.

The service worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. People had hospital passports in place to ensure needs relevant information is passed over if admitted to hospital. Professionals gave examples of when the service has worked in partnership with them. One professional told us, “I have no concerns of working with this agency, the level of support they offered to the clients I was working with was exceptional. All staff members I met were fully committed to their clients and treated them with the respect and dignity at all times”.

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support. People were encouraged to manage their own health and wellbeing. One staff member told us, “I also encourage clients to be active, engaging in physical exercise when possible, following their interests and having hobbies, and encouraging them to continue learning on subjects that interest them.” A professional told us, “The carers would encourage clients that are able to undertake physical activities to do so. Some of the clients may have no understanding due to their diagnosis or some may be physically unable, but the staff work with each client as individuals and encourage them within their limitations.”

The service routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. People experienced positive outcomes whilst being supported by the service. We were given examples of how people’s lives had been improved. This had included a reduction in incidents. People were actively supported and empowered to develop new skills. We were given an example of support provided to 1 person, who was active and independent but following a fall became reliant on staff for support. With encouragement and support they rebuilt their confidence, and the support required reduced. A professional told us, “They inform us when needs have changed and if the current care is not meeting a person’s identified outcomes.”

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. Systems were in place for people to consent to the provision of care. This was recorded in people’s care plans. Comments from people included, “Very respectful towards us both, permission asked before any personal care” and “Always treat me respectively and ask consent before personal care.” Staff received training in the Mental Capacity Act. One staff member told us, “Always assume capacity and if a decision has to be made on behalf of an individual it ought to be in that individual 's best interest.” When people lacked capacity, mental capacity assessments and best interest decisions were in place.