Temp Exchange 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

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. At our last inspection we rated this key question good. At this inspection the rating remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

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 service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. People had initial assessments when they first started receiving care, which were reviewed after the first week to see if any changes needed to be made. A person said, “A manager came and did a care plan with me, then came again as there were some changes for what I can now do for myself. The staff were also updated with changes to my medication and eye drops.”

The service planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. The registered manager met with people, their relatives and the relevant health and social care professionals to gather important information about health conditions and care needs. We saw staff had joint visits arranged with occupational therapists and physiotherapists to ensure they were aware of best practice around safe and appropriate moving and handling guidelines, with guidance in place for staff to follow.

The service worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. People told us how staff liaised with other professionals, such as district nurses, to help reduce the risk of skin breakdown. A person told us how staff followed instructions from district nurses to help manage their pressure sore by keeping it clean and applying the relevant creams.

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support. People’s records included important information about their health conditions and how staff could support their health and wellbeing. People told us staff had been responsive in the event of emergencies and contacted duty teams, rapid response services or an ambulance if needed. A person told us their care worker would go direct to the health centre on their behalf if there was a slow response contacting them by telephone.

The service routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. Where it was required, staff recorded key information related to people’s health conditions to ensure they could respond if concerns were identified. This included regular repositioning and skin monitoring, records of seizures and nutrition and hydration intakes. People told us this resulted in positive outcomes for their health and wellbeing.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff completed relevant training and had a good understanding of the importance of involving people in decisions about their care. A staff member said, “We always need their consent and cannot force them. This is reminded to us in the training. They also observe this when they carry out spot checks.” A person said, “The carer always asks me first before doing anything.” A relative told us although their family member was unable to make decisions due to their health condition, staff still asked for their consent and treated them with dignity and respect.