Future Home Care Ltd Kent

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, since the providerchanged legal entities. 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.

When people’s needs changed, staff were aware, documented this and reported it to the relevant healthcare professional. Staff noted that one person was not their normal self, they reported this to healthcare professionals who recommended some treatment. Staff told us, “We made sure we worked together as a staff team to get the best outcome for her.”

Healthcare professionals told us that staff worked well and followed directions given to them. A healthcare professional told us, “I've visited and requested a treatment from the GP and the staff have followed advice to manage.”

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 and their loved ones told us staff knew how to support them to keep them safe, and in line with their wishes. People told us staff were ‘good’ and gave us the thumbs up when we asked about staff knowledge. The provider had systems in place to learn from and share good practice, for example when safety alerts were issued this was shared with teams. The registered manager also told us they were informed of learning from CQC or other inspections within the providers services.

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 had access to the information they need to appropriately assess, plan and deliver people’s care, treatment and support. Staff told us how they worked with other professionals to ensure the best outcomes for people. Healthcare professionals fed back that staff were knowledgeable about the people they supported and carried out all instructions given to them. A relative told us, “She has her feet done every 6 weeks [by the chiropodist] which is important. Otherwise its uncomfortable.”

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.

People were supported to live healthy lives. Staff told us that people were supported to go out as often as they wanted, which was important for their wellbeing and mental health. People were encouraged to take part in activities they enjoyed and enjoy physical exercise as often as possible. Some people had support from movement therapists, chiropodists and physiotherapists.

Relatives told us that their loved ones had been supported to lose weight when they had gained weight. One relative shared it was ‘fantastic’ their loved one had been supported to lose weight, due to the health benefits.

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.

Staff had worked with people to ensure that their health conditions remained stable and enhanced their lives. For example, people were supported to take part in activities and gain new friendships to support their wellbeing. People’s mobility was monitored and people were supported to seek support from professionals including movement therapists, the falls teams and physiotherapists to ensure they could maintain their mobility. We received positive feedback from healthcare professionals who engaged with the service who supported people with their PEGs. One told us, “Their feeding tube sites are managed well and clean.”

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

Staff we spoke with understood capacity and sought people’s consent. For example, staff asked people if we could see their room and observe their environment. During our inspection staff understood that a person was not comfortable to be observed during their medicines support. Staff understood the person’s wishes through their communication and advocated on their behalf. Staff told us it was important that people made all the decisions they could about their care and support.

When people lacked capacity to make decisions about more complex situations, then capacity assessments, and best interest meetings were undertaken. For example, one person had an epilepsy monitor in their room, and another person had a lap belt. These restrictions had been considered and discussed with the relevant stakeholders to ensure they were proportionate.