Capital Homecare (UK) 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

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 assessment we rated this key question requires improvement. At this assessment the rating has changed to 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.

People had comprehensive assessments covering health, communication, preferences and risks. Care plans included information about people’s likes and dislikes, background and health related needs. People and their relatives were involved in determining their support needs.

A relative told us, “The manager has personally selected carers to meet [my relative’s] care needs as to address an issue we identified. Because of their excellent dementia care skills, that is no longer so challenging.”

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.

Staff had access to specialist training relevant to people’s needs, including dementia, end of life care, epilepsy, and peg feeding. One person told us, “I am bed bound and the carers operate the hoist well.”

Risk assessments reflected established evidence-based tools and were reviewed when needs changed. Staff understood how to apply professional guidance and worked effectively with professionals to deliver coordinated care. There were systems to monitor practice included audits, competency checks and review meetings, which supported quality assurance and continuous learning.

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.

Managers and staff worked together to meet people’s needs. The provider had systems in place for effective communication to ensure everyone was up to date with any changes and to ensure essential updates were handed over between the staff team.

Managers and staff engaged with relevant healthcare professionals, and other organisations within the community. This provided joined up, linked care and support for people.

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.

Staff were aware what action they should take if they had concerns regarding an individual’s health or wellbeing. For example, staff knew to escalate the concerns, seeking medical advice as required and informing management which ensured people’s health and wellbeing needs were supported.

Care records contained information about people’s dietary support and guidance on how staff should support them. A staff member told us, “One of my clients has dementia. I check the fridge for something nutritious for [person] to eat and I encourage [person] to eat it. I talk to her and monitor her as well. People with dementia can get confused and need help making healthy choices, so I help her to live well.”

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 were engaged to ensure they were able to make some choices about their lives. Staff monitored people’s health and wellbeing during care calls and reported any concerns to the management team.

Care plans were outcome focused and identified where people needed encouragement or prompting to maintain their independence. For example, 1 person who was at risk of poor nutritional intake and weight loss, preferred to maintain their independence and feed themself. The person’s care plan guided staff to support the person at mealtimes by placing food onto a fork and/or spoon and handing it to them.

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

The providers systems and processes ensured that people and their representatives understood the care and treatment being offered or recommended. Consent to care and treatment was recorded in people’s care plans by themselves if they had been assessed as having capacity to do so or by people appointed to make decisions on their behalf.

A staff member told us, “It takes time to get [person] out of bed. I explain what I am going to do and how. I wait for [person] to say it’s okay.”