Winncare

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 assessment for this service. This key question has been rated good. This meant people’s outcomes were usually 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.

People’s assessments had not always fully considered their health or care needs to enable them to receive care or support that had the best possible outcomes. A person using the service had a degenerative disease. However, information in their care plan lacked detail about how it affected them, associated health and care needs and signs of deterioration staff should be aware of. However, people were involved in the assessment of their needs and confirmed they were asked to contribute their views at 3 monthly reviews. Carers of people using the service also had their needs assessed and met, to support their health and well-being in their carer roles. The service had made a referral to social services and requested more support, on behalf of a relative who had been struggling to meet their loved ones increasing care needs. Following feedback, the registered manager has updated records to include more information.

The service’s systems ensured staff were up to date with national legislation, evidence-based good practice and required standards. They worked with healthcare partners to seek additional training and guidance, to enable staff to provide relevant support with specialised medical equipment. People’s nutrition and hydration needs were generally met in line with current guidance. People were supported to eat and drink in line with their needs and preferences, and those who struggled with their appetite were offered prompts, encouragement and monitoring. We saw evidence concerns were escalated in relation to people’s low food or fluid intake.

Staff had access to the information they needed to appropriately assess, plan and deliver people’s care and support. Staff could access the electronic care planning system to review notes or changes to people’s health or care needs; and use these to work collaboratively with relatives and healthcare partners. When people received care from different staff, it was co-ordinated effectively. When asked if staff worked well together, a person using the service said, “There is good communication sharing [amongst staff].”

The service focused on identifying risks to people’s health and well-being early, and on how to support people to prevent deterioration. The registered manager explained some senior staff had undertaken ‘RESTORE2’ training to enable them to identify and respond to physical deterioration. We saw evidence in care notes concerns about people’s health had been shared with managers, relatives or healthcare partners, such as general practitioners or the district nursing team. People were encouraged and supported to make healthier choices to help promote and maintain their health and wellbeing. A person was supported to enjoy walks in nice weather, to improve their health and mobility; and another was offered encouragement to eat more when their appetite was poor. A relative said, “I have noted staff offering [person] prompts and encouragement with eating.”

People who used the service experienced positive outcomes to their health and quality of life. When asked for an example of how the service helped improve people’s outcomes, a relative told us, “When [person] was first discharged from hospital they needed support with showering. But they are now showering themselves, mostly independently.”

People’s views and wishes were taken into account when their care and support was planned, and they understood their rights around consent to care offered. Mental capacity assessments were carried out with input from healthcare partners, and the registered manager explained if people lacked capacity, they were still involved in decision making wherever possible. Consent to care and treatment forms were in place and signed by those receiving care (where able to do so), and we observed staff seeking consent prior to care interventions.