Signet Healthcare Limited

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's needs and choices were assessed, planned for and met. People were asked to consent to their care. Relatives and people's representatives were involved in making best interest decisions when needed. People's healthcare needs were monitored by staff who took appropriate action when they had concerns. The staff liaised with other professionals and people's families to help deliver suitable care.

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.

People's needs and choices were assessed by the provider before they started using the service. Relatives told us they were able to contribute to this process. One relative explained, ''Signet came to the house and we discussed [person's] care package together.''

Staff told us they were able to view assessments and care plans. This helped them to understand about people's needs and how to care for them.

The provider's assessments considered people's different needs and how they wished to be cared for. These were regularly reviewed and updated.

People were cared for by well trained staff who understood their different needs and best practice guidance. Comments from people's relatives included, ''I think [care workers] are well trained. They picked up on a continence issue, which is being looked into'', ''I think the carers are skilled. If [person] gets upset, they can calm [them] down'' and ''The carers know what they are doing and often go off on training days.''

Staff explained that the training and information they received helped them deliver care in line with best practice guidance. Staff told us they had undertaken training about learning disabilities and autism. One member of staff commented, ''I’ve had training about learning disabilities and autism. It gave me a better understanding on how to interact with people who have learning disabilities and autism. It gave me a higher level of awareness of problems they face.'' Another member of staff said, ''This training has helped me to better understand, respond to, and support individuals with these conditions by helping adapt the support.''

The provider had guidance for staff to keep them up to date with best practice. This included a range of training and up to date information, regular meetings with staff and liaising with other professionals.

People's relatives told us the staff worked with other care professionals to make sure people received the right care and support. One relative told us, ''The occupational therapist, physiotherapist and Signet organised the care [person] would need. I think it is personalised. The carers have a really nice bond with [person] and will go to the GP appointments if needed.''

The management team told us they liaised with other professionals to make sure people received holistic care and support.

We did not receive any feedback from partners about this aspect of the service. We did not have any concerns. One of the commissioning authorities had carried out their own assessment and were satisfied with the way the service was meeting people's needs.

The staff had liaised with healthcare professionals, social workers and pharmacies to report changes in people's needs and ask for additional support or information when needed. The local healthcare teams had provided bespoke training for staff to understand how to use people's equipment and how to recognise if anything went wrong with equipment.

People's relatives told us the staff monitored people's health and wellbeing and reported any concerns.

Staff explained they had the information they needed about people's individual health conditions.

Care plans included information about people's health needs, signs for staff to be aware of and how to respond to changes in people's health conditions.

People's relatives told us staff were good at monitoring their wellbeing.

Staff explained they maintained records of people's care and, when needed monitored a particular aspect of their care, such as food or fluid intake. The staff said they had systems for reporting any concerns and liaising with managers to ensure people received the right support.

The provider had systems for monitoring people's wellbeing and outcomes. When people had become unwell or following accidents, staff had closely monitored them, made clear records and shared information with other professionals.

The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The MCA requires that, as far as possible, people make their own decisions and are helped to do so when needed. When they lack mental capacity to take particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible. People can only be deprived of their liberty to receive care and treatment when this is in their best interests and legally authorised under the Mental Capacity Act (MCA). We found the service was working within the principles of the MCA.

Staff had undertaken training about the MCA and understood their responsibilities.

The provider had assessed people's capacity to make decisions about their care. They had worked with people's representatives to make sure decisions were made in their best interests.