Kinetic Nursing Services

The service supported people with a learning disability and autistic people. We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed autistic people and people with a learning disability respect, equality, dignity, choices, independence and good access to local communities most people take for granted. We were assured the service provided safe and effective care and support for people with a learning disability and autistic people.

The provider had a positive culture of safety, based on openness and honesty. Staff listened to concerns about safety and investigated and reported safety events. The provider shared concerns quickly and appropriately and there were appropriate policies, systems and processes in place to keep people safe. Members of staff provided care to meet people’s needs which was safe, supportive and enabled people to do the things which mattered to them. Care plans were person-centred and risk assessments were completed appropriately which ensured care was delivered in line with care plans. The provider made sure there were always enough qualified, skilled and experienced staff, who received support, supervision and strong development opportunities. They worked together well to provide safe care which met people’s individual needs. The provider made sure medicines and treatments were safe and met people’s needs, capacities and preferences.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. The provider had developed good working relationships with local health and care professionals which supported joined up work and improved outcomes for people. Members of staff supported people to live healthier lives and where possible, reduce their future needs for care and support. The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People were supported to give consent about their care and support and members of staff kept people informed about care and choice options.

The provider treated people with kindness, empathy and compassion and respected their privacy and dignity. The provider treated people as individuals and made sure people’s care, support and treatment met people’s needs and preferences. People were supported to live independent lives and make decisions about their care and support. The provider cared about and promoted the wellbeing of their staff and supported and enabled staff to deliver person-centred care.

The provider made sure people were at the centre of their care and treatment choices and they decided, in partnership with people, how to respond to any relevant changes in people’s needs. The provider had a good understanding of the diverse health and care needs of people and their local communities, so care was joined-up, flexible and supported choice and continuity. The provider enabled people to share feedback and ideas, or raise complaints about their care, treatment and support. Members of staff involved people in decisions about their care and told them what had changed as a result. Members of staff and leaders listened to information about people who are most likely to experience inequality in experience or outcomes. People were supported to plan for important life changes, so they could have enough time to make informed decisions about their future, including at the end of their life.

The provider had a clear shared vision, strategy and culture. This was based on transparency, equity, equality and human rights, diversity and inclusion, engagement, and an understanding of the challenges and the needs of people and their communities. The provider had inclusive leaders at all levels who understood the context in which they delivered care, treatment and support and embodied the culture and values of their workforce and organisation. The provider valued diversity in their workforce. They had an inclusive and fair culture which had improved equality and equity for people who worked for them. The provider had clear responsibilities, roles, systems of accountability and good governance. They used these to manage and deliver good quality, sustainable care, treatment and support. The provider focussed on continuous learning, innovation and improvement across the organisation and local system. They always encouraged creative ways of delivering equality of experience, outcome and quality of life for people.