Homecare Team 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 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.

The provider carried out assessments of people’s health, care, wellbeing and communication needs before care commenced. People and, where appropriate, their relatives were involved in these assessments to ensure care reflected their preferences, routines and desired outcomes.

Care plans were personalised and contained clear information about people’s needs, how they wished to receive support and any risks associated with their care. Needs were reviewed regularly and updated when people’s circumstances changed, helping to ensure care remained effective and responsive. Staff understood people’s individual needs and used assessment information to provide person-centred support that promoted people’s wellbeing and independence.

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.

Care was delivered in line with current legislation, best practice guidance and people’s assessed needs. Staff received training relevant to their roles and understood how to apply this knowledge in practice. Care plans and risk assessments were reviewed regularly to ensure support remained appropriate and reflected any changes in people’s health or circumstances.

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.

The registered manager worked effectively with external services to ensure people received coordinated care. Staff shared information appropriately between teams when people accessed different services or experienced transitions, such as receiving input from specialist services. Assessments of people’s needs were completed.

Staff held meetings and informal discussions to review people’s progress and ensure continuity of care provision. Where required, staff worked alongside external professionals such as GPs and social workers to ensure care and treatment were aligned.

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 plans reflected people’s individual needs and goals, and staff encouraged people to do as much as possible for themselves, promoting confidence and independence.

Staff monitored people’s health and wellbeing and acted promptly when concerns were identified. They supported people to access healthcare services when needed and worked with relatives and healthcare professionals to help ensure positive outcomes. People and relatives told us staff understood their needs and provided support in a way that helped them remain safe, well and living independently in their own home.

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 needs, health and wellbeing were reviewed through care reviews, daily records and ongoing discussions with people, relatives and healthcare professionals. This enabled staff to identify changes promptly and adjust support where required. However, we found gaps in various sections of 1 person’s care records.

The planning and delivery of care focused on what was important to people, such as maintaining their independence, improving wellbeing and achieving personal goals. People were involved in reviewing their care and staff understood how to deliver personalised support which reflected people’s preferences and wishes.

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

People told us the provider, registered manager and staff ensured people’s views and wishes were considered when their care was planned. People understood their rights around consent and staff supported them to understand these. People received information about their care and treatment in a way they could understand and had appropriate support and time to make decisions.

People's capacity and ability to consent was considered. The provider had systems in place relating to the Mental Capacity Act (MCA). Capacity assessments had been completed. However, for 1 person, their consent document did not clearly state what they were providing consent for and there was no detailed information on what the person was consenting to.

Staff understood the importance of ensuring people fully understood what they were consenting to and the importance of obtaining consent before they delivered care or treatment.