Tendacare

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 were highly involved in an assessment of their needs. Families and professionals were involved where appropriate in this assessment process and assessments were updated when needs changed. One person told us “The carers come mainly to take me out and sometimes they supervise me when I am showering. Recently I have been able to do this myself as I am much better.”

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 supported with nutrition, hydration, mobility and emotional wellbeing. Care plans included guidance on monitoring health conditions and recognising changes, with staff escalating concerns appropriately.

One relative said, "The carers really understand what my [family member] needs and how to encourage [them] to eat."

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.

There was strong partnership working with healthcare professionals, including district nurses, GPs, occupational therapists and speech and language therapists.Staff made referrals appropriately and worked collaboratively to ensure people received coordinated and timely support.

Communication systems were effective, with regular updates shared through digital platforms and daily communication between office staff and coordinators. Staff told us they felt informed and supported to deliver care safely. A healthcare professional also told us “I feel like we work really well with the staff. They are very knowledgeable.”

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 demonstrated an understanding of best practice, including supporting people with long-term conditions, safe moving and handling, and person-centred care.

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.

The provider used digital systems, including electronic care records and monitoring tools, such as the Malnutrition Universal Screening Tool [Must] to ensure care was delivered consistently and safely.

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

People were encouraged to make their own decisions about their care, including the right to decline support. Staff demonstrated an understanding of seeking consent before delivering care and respecting people’s choices.

Mental capacity assessments were completed where needed, and decisions were made in line with legislation and best practice. Where people lacked capacity, decisions were made in their best interests and appropriately recorded.

Care plans documented people’s preferences, and staff supported autonomy by encouraging independence and involving people in day-to-day decisions about their care.