Exclusive Care Services

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

People were asked for consent before any care was delivered. Where people lacked capacity to make decisions, the Provider ensured decision specific capacity assessments took place. Where relatives had ‘Power of Attorney’ the Provider ensured they had evidence of this.

This service scored 17 (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 Assessing needs during this assessment. The score for this quality statement is based on the previous rating for Effective.

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 they were asked consent during the care call. We saw that where appropriate relatives were involved in decisions around the care being delivered.

Staff now understood the principles of the Mental Capacity Act (MCA) with one telling us, “The Mental Capacity Act is around understanding the best interests of the clients. We have to make sure they consent and check whether they have capacity, although we should always assume they have.”

There were incidences where people had restrictions that had clearly documented capacity assessments and best interest meetings recorded. This included who those discussions had taken place with for example family and health care professionals. This related to the use of bed rails and consent to care. All staff had now received training around MCA. Where relatives had said they had ‘Lasting Power of Attorney’ the manager ensured they received evidence of this from them.