APT Care Nottingham

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 prior to admission. Care plans were formulated involving people and their relatives which were reviewed regularly . We saw detailed holistic assessments for people, which included input from people, thier families and healthcare professionals. This meant staff had detailed information to support people, which meant people’s care and treatment were effective in line with best practice standards. Assessments were reviewed regularly, and care plans were kept up to date. The provider regularly sought feedback from people and their relatives to continually improve the care they delivered. Quality monitoring processes were in place to achieve this, for example, quality monitoring calls to people and effective handovers.

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 registered manager spoke to us about carrying out assessments of people’s needs and reviewing this information. They also described the staff team carrying out ongoing assessment of people’s needs and was able to give several examples of this. In one example they described a change in a person’s care needs which staff had observed, “The carers identified the person was struggling with using the stand aid. I contacted the occupational therapist (OT) to review the person and then we updated the persons care plan to reflect what the OT had told us on how best to support the person.”

We reviewed evidence of people receiving an initial assessment of their care needs, this included people’s health, care, wellbeing, and communication needs. We saw that the assessments were completed with people, their relative and appropriate professionals, for example: a person’s social worker. People’s care needs were regularly reviewed, and we observed documentation in place which demonstrated people’s care was reviewed with them to ensure they were receiving care that met their current needs.

People told us that a member of the management team had carried out an assessment with them before they started receiving care and that their care plan was regularly reviewed to ensure it was meeting their current care needs. One relative told us, “From the outset both myself and my [relative] have been involved in the care. We received a visit from the supervisor where we discussed my [Relative] care needs and how they would support us.”

People’s care was planned with them and included what was important to them. One relative told us, “I feel fully included, they allow my loved one to have some independence by not making decisions for them and they always ask first before they do anything which is important.” Another person said, “They [Care staff] make my meals, they always ask me what I want to eat and they make sure I have drinks on my table that I can reach.”

The management team and staff understood the importance of people’s care being planned and delivered in line with what mattered to the person. All staff understood the importance of providing care that was important for people, for example: support with nutrition and ensuring people had enough to drink. Staff provided examples of how they ensured people received the correct support with nutrition and hydration. One staff member told us, “I always ask if someone would like something to eat or a drink, I ask how they are and encourage them, everything is about them.”

We observed that the provider ensured staff were trained to meet people’s individual needs, people’s care plans reflected what was important to the person and what mattered by including people’s wishes and preferences as well as care needs. The provider had up to date policy and procedure in place to support staff to meet people’s needs.

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.

The registered manager and coordinator told us about carrying out quality monitoring calls to get feedback from people to help them to understand what was working and what wasn’t working and using this information to improve people’s care. Any changes or improvements were communicated with the wider team to ensure people received good outcomes form their care. The coordinator told us, “We are a good team together, we hand over information and we work together for client satisfaction.”

The provider had implemented quality monitoring processes to monitor people’s care and get feedback on their experience of their care. We saw that the management team made regular calls to people to obtain feedback and we saw that changes had been made to people’s care to improve it in response to feedback.

People told us their care was monitored and reviewed and they were asked for feedback on their care which helped the provider to improve outcomes for people. One person explained they have an issue with their skin and how staff support them to maintain their health, “The carers always ask if they can check my skin and tell me if they have any concerns and what to do about it.”

We did not look at Consent to care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.