Mayfair Homecare - Barnet

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 good. At this assessment the rating has 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 provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. People's care plans identified their needs and described how care should be delivered to meet identified needs.

People had an initial assessment before they started using the service. Assessments were carried out to determine if the service was right for them, and the staff had the capacity and skills to meet their needs. Assessments were used to prepare people’s care plans to provide staff with the information and guidance they needed about people to provide them with safe and effective care. This included information about people's specific medical conditions, their mobility and health risks. A person said, “I have always been advised by the company that if I require more care they will assess my needs to ensure they can accommodate it.”

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's care plans detailed the care they needed based on their identified needs. The provider worked with local social care professionals to ensure support was provided in line with assessed needs.

People received care in line with what mattered to them. The provider accessed best practice information. The provider kept up to date with best practice and the registered manager discussed with people and their relatives the level of support they needed. Care plans included information that was relevant and important to them, as well as their desired outcomes for their support. This promoted people’s independence and supported them to work towards their goals.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once. There was a collaborative approach to planning and coordinating people’s care and treatment.

People and their relatives told us the service worked with other health and social care services to provide ongoing care and treatment. Staff and the management team were aware of how to access advice regarding people’s health needs, such as from GPs or social workers. Staff worked with each other and maintained records to ensure there was continuity and consistency of care for people.Staff knew whom to contact for advice about people’s health and support needs, such as the person’s GP. A relative said, “When [family member] wasn’t so well this past week, the district nurse set up [medicine process] and the carers supported [family member] effectively.”

Recommendations from health professionals, such as from district nurses were followed. The staff worked with district nurses to support people with their medicines, and ongoing treatment of health conditions. For example, staff supported a person when their mobility deteriorated and contacted district nurses as they were developing pressure sores. They worked together to provide the person with a profiling bed and an air flowing pressure relieving mattress to reduce the risk of further sores. When there were changes in people’s skin integrity, records showed staff contacted district nurses to check on people’s skin conditions and offer advice. This meant the service was working effectively with other professionals to support people to improve their health and desired outcomes.

The provider 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. Staff supported people to maintain their health, nutrition and hydration. They helped prepare meals and drinks and reminded them to take their medicines when needed.

Records showed staff supported people with eating, drinking and taking their medicines. Relatives told us staff were important in maximising their family member’s health and wellbeing. A relative said, “The carers give [family member] choices, and her food is beautifully presented to her.”People’s care records contained information about any long term health conditions people had. Staff or relatives supported people to attend health appointments, depending on the agreement set out between the person and the service. A relative said, “The office are easy to contact and when I have needed to alter care times due to appointments at the hospital, they have been very flexible.”

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. Relatives felt the service benefited their family members and helped them in their day to day lives. A person said, “I am very lucky to have such good carers, that meet my needs.”

People were supported to maintain their care routines and maximise their health, independence and wellbeing. Staff told us they monitored people’s health to ensure they received positive outcomes and a good quality of life. A relative said, “They have been very responsive when needed as when they put extra care in for [family member] which was much appreciated.”

The provider informed people about their rights around consent and respected these when delivering person-centred care and treatment. Staff told us they asked for people's consent at all times before providing them with support. People’s capacity to make decisions about their care was assessed. Staff were knowledgeable of the Mental Capacity Act (2005) and what processes to follow should they feel a person’s capacity to consent to their care had declined.

People’s choices and decisions were respected. Relatives told us their family members were asked for their consent by staff in relation to the care and support they received. They were involved in planning their care. People and their relatives were involved in care decisions and staff respected their wishes. A person confirmed, “I have always been involved with the decisions about my care and how I like things done.”