Community Care Direct 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 did not rate this key question because we did not look at the quality statements in this domain. At this assessment we have looked at all of the quality statements and 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, however this was not always recorded. Everyone we spoke with told us the provider regularly visited them in their homes to ensure they were happy with the service provided.

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 we spoke with were able to described how people liked to be supported. This was not always recorded in detail in care plans or staff notes. However, people told us they were in receipt of good care. One person said, “The staff always ask me how I like things to be done in my home.”

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 were notes in place when people had to be admitted into temporary respite or hospital due to ill health. Staff regularly communicated with these services and updated people’s notes.

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. A relative told us they felt their family member’s admissions into hospital had been reduced since being supported by Community Care Direct. They said, “They are better than any other agency we have had, to be honest. Good at understanding [person].”

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 had positive working relationships with clinical commissioning groups and often acted upon their instruction to ensure people were kept safe from harm, such as ensuring people had fluid monitoring charts in place where needed. However, we discussed the use of universal screening tools as these help monitor and improve people’s outcomes.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Care plans clearly recorded decisions people could make for themselves, such as what they chose to wear or eat. In instances where people could not make these decisions, there was a best interest process recorded, which involved people’s representatives who were legally allowed to decide this on their behalf.