Goodwood Homecare

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.

This is the first assessment for this newly registered service. This key question has been rated 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 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 involved people and relatives and took a person-centred approach to assessing people’s needs. People’s needs assessments were holistic and included an assessment of their health, care and communication needs ensuring people’s home situation was fully understood.

People's communication needs were assessed and care plans guided staff how to communicate most effectively with people to ensure they were able to understand.

The provider ensured people received ongoing assessment through both regular scheduled reviews and responsive reviews when people’s needs had changed. This ensured people’s assessments and care plans were up to date and care was delivered in a way that continued to meet people’s needs effectively.

The provider 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.

People were involved in care planning and deciding how they wanted their care to be delivered to them. One person told us, “They involve me in any change of care plans.”

People’s care files included NHS guidance for staff on their specific medical conditions such as multiple sclerosis or diabetes. Care plans followed NHS guidance to ensure people received support aligned to good practice standards.

The provider was proactive in keeping staff up to date regarding current clinical guidance and staff were provided with ongoing learning opportunities to continue to improve outcomes for people.

The provider worked closely with health and social care professionals to ensure they delivered evidence-based care to people that met their needs.

The provider 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.

Staff worked collaboratively with other professionals such as district nurses, GPs, social workers and therapy teams to ensure people received well co-ordinated care which met their needs.

The provider shared people’s care documentation with other professionals when needed and ensured any changes were communicated to staff. This meant people did not have to repeat their history each time a new professional became involved in their care.

Where people moved between services, the provider took a person-centred approach and liaised with relevant professionals and health commissioners to ensure changes were documented and transitions were as smooth as possible.

Staff communicated via an instantaneous messaging service and digital notes were shared to ensure all staff were aware of how to respond to any changing needs.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

Care staff encouraged people to make healthy lifestyle choices such as increasing their physical activity or maintaining a balanced diet to promote their wellbeing. Some people had identified their own health goals such as improving their mobility which staff supported them to achieve.

People were supported to access health professionals when needed. Staff knew to look for and escalate any concerns regarding people’s health so medical attention could be sought in a timely manner. One relative told us, “They do tell me if my relative doesn’t seem themselves. If they have a bad cold or chest infection coming, they flag it early so we know to get in touch with the doctor.” Another relative told us, “They are completely responsive if my relative needs to see a health professional.” They told us about an example where the provider had liaised with an oral health professional on their behalf in order to get the care their relative needed.

Staff supported people to attend medical appointments if needed. For example, during the inspection, staff took someone to attend a hospital appointment.

The provider 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.

People’s outcomes were consistently positive and met people’s expectations. People were positive about the impact the support they received had on their lives.

People’s care was routinely monitored by staff, and regular reviews were undertaken to ensure the focus was always on meeting people’s changing needs.

The provider took a holistic approach to outcomes and focused on supporting people to meet their communication and social goals. This gave people the opportunity to engage with the local community if they wished as well as meeting physical outcomes.

The provider acted on feedback they received to improve service delivery and promote positive outcomes for people.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

People were supported by staff who made them feel respected and involved to make informed decisions.

People's care plans guided staff to ask for consent before providing support. People told us staff asked for consent consistently. Staff understood the importance of asking for consent and recorded people’s consent clearly in their daily notes.

Staff respected people’s wishes and delivered care in a person-centred way. Staff advocated for people where needed to ensure they knew and fully understood their rights.

People's wishes in relation to resuscitation were recorded on ReSPECT documents which were stored in their care folders and staff were aware of where to find them. A ReSPECT form is a personalised plan which records a person’s preferences and clinical recommendations for emergency care when they may be unable to make decisions themselves.