Eniro Care 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

People received care that was based on their assessed individual needs. Records showed people and their relatives were involved in planning and regular reviewing of care. Staff sought people's consent and records people had signed documents consenting to their care and treatment.

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 spoke with people about being assessed and being involved in their care plans. People’s comments included, “We did the original plan together which we have talked over” and “I have a copy of the care plan somewhere.” Some people could not recall being assessed.

People were assessed prior to care being provided. The registered manager told us all people were involved in the initial assessment process and subsequent, regular reviews. The registered manager said, “Clients [people] are encouraged to be involved in their care.”

Records and the registered manager confirmed, assessment processes were in place. The assessments were detailed and covered all aspects of people’s care needs and wellbeing.

People told us they were happy with the care they received. Their comments included, “They [staff] are a big help, I couldn’t do without them”, “One time they [staff] came out, I was unwell and they were very caring” and “Everything with my care is ok,” One relative said, “They do provide good care. I think the service is excellent.”

Staff told us they followed care plans and would report changes in people’s conditions to the registered manager.

People received planned care in line with their wishes. Staff followed care plans and were monitored by senior staff. People’s dietary needs were recorded and included their likes, dislikes and preferences. Systems were in place to monitor people’s nutritional needs and where appropriate, changes to people’s diets were implemented to support those needs. Where people became unwell staff responded appropriately. For example, records confirmed staff had called GPs or the emergency services and had also reported concerns to the office to allow appointments to be book and healthcare professionals to be referred to.

People did not directly comment on staff working with other services. However, people said staff were good at noticing changes in them and were quick to call the GP or refer them to the registered manager for further investigation. One person said, “They [staff] are very responsive to changes.” Another person said, “They notice small things about me with my health.” A relative commented, “They [staff] always call if there are any changes.”

We saw the registered manager worked with GPs, district nurses and other healthcare professionals to assess people before they came home from hospital. The registered manager said, “We conduct a full assessment before they leave hospital.” Staff told us they worked with healthcare professionals and followed any guidance provided.

A social worker praised the registered manager and her care staff as being very helpful and caring. In this case they recommended that the person "Stayed at home with the support of Eniro care rather than having to go into hospital as the care and support was that good."

Records confirmed staff worked with GPs and district nurses, following advice and guidance to ensure people’s health, welfare and safety were maintained.

People's Experience- People and their relatives told us staff supported them to improve their health. Their comments included, “One time they came out I was unwell and they were very caring, didn't rush me”, “What they do suits my needs at the moment” and “They check my mum has taken her medication.”

The registered manager told us, “We have an assessment process in place, and we work in partnership with healthcare professionals, GPs and DNs. We follow their guidance. For example, one client [person] is at risk of pressure damage, so we are trying to discourage them from drinking too much alcohol as it raises the risk.”

People’s care plans detailed what support they required to maintain and improve their health. For example, where people were at risk of pressure damage staff applied prescribed creams to prevent damage. On going assessment was conducted to identify any changes to people’s conditions. Staff communicated changes to the registered manager who implemented reviews of people’s care. Where changes occurred, they were communicated to staff, records confirmed staff implemented the revised support.

People told us staff checked and monitored their health and wellbeing. Their comments included, “They [staff] always check I'm ok before we do anything, that feel well enough”, “They [staff] do notice things about me, they pick up if I have a cold or cough” and “They [staff] notice small things about me with my health.” A relative told us, “I get calls from the office, just to check everything is ok.”

Records evidenced regular reviews of people’s care were conducted and where appropriate updates were made to the care plan. Daily notes evidenced staff continually monitored people’s status during visits, recorded their findings and where necessary reported concerns. This allowed the registered manager and staff to intervene and make improvements to people’s support.

Reviews of care were regularly conducted and where required; updates made to people’s care plans. For example, following a fall, measures were put in place to manage the risk of recurrence. One person was assessed as being ‘very underweight’ and was not expected to live for very long. Staff worked with the person over several months and monitored their progress. The registered manager said, this person has slowly gained weight and their long-term prospects have really improved.”

People and their relatives told us staff routinely sought consent. Their comments included, “They [staff] always check I'm ok before we do anything”, “They [staff] always ask my permission as I am very independent” and “The carers [staff] make sure I am happy to proceed with any help they are giving me.”

Staff we spoke with were aware of the Mental Capacity Act (MCA), and they told they always sought people’s consent. One staff member said, “I ask permission and always offer choices.” The registered manager said, “I have worked with the MCA for years and impress on my staff how important it is.”

The registered manager was knowledgeable regarding the MCA and care was provided in line with its principals. Consent was routinely sought. Care plans contained consent documents signed by the person or their legal representative. Training records confirmed staff had received training in the Mental Capacity Act. Records confirmed 'do not attempt cardiopulmonary resuscitation' documents were in place and completed appropriately.