Hopecare and Health Limited

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 requires improvement. At this assessment the rating has changed to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (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 had their needs assessed prior to using the service. People and relatives told us they were involved in their care planning and initial assessments, including information about their likes, dislikes and preferences. A relative said, “The carers always let me know if they think [name] is unwell. I then contact the GP. [Name] has a care plan in the house and on the carer’s phones. [Name] had a review 2 weeks ago which I attended.” Care plans were detailed, and included people’s life history, what was important to them and their religious and cultural needs. For example, 1 person’s care plan detailed their vegetarian dietary preference.

Care records evidenced staff liaised with professionals to meet people's health needs, however some improvements were required to ensure all professionals advice was included in people's care plans. For example, we found people's nutritional information was included in their care plans. We also found some advice from a physiotherapist to be missing.

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. Records evidenced staff worked with external agencies to meet people's needs. People and relatives told us staff monitored their health, to ensure they received the correct support, such as monitoring people's skin for pressure damage. Staff told us they worked well together as a team. A staff member said, “Team meetings are held regularly. I attend and participate where I can. They’re useful for sharing updates, discussing improvements and making sure everyone is on the same page. Staff morale is positive; we work together as a team.”

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 and relatives told us staff supported them to attend health appointments, such as attending the GP's, dental and hospital appointments. A relative said, “Staff are very proactive. They leave me messages, and phone me if anything is needed. [Name] is bedbound, if there are any skin issues they report them to me and to the District Nurse. [Name] was struggling with swallowing tablets, so the carers contacted the GP and obtained a pill crusher and some liquid medication.” Records mostly contained detail about people's health diagnosis and how staff manage this. For example, where people required pressure care, guidance was in place for staff about how this was safely managed, and daily records evidenced staff provided repositioning, topical medicines and used appropriate pressure relieving equipment.

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. Care records contained details about what was important to people and goals they would like to achieve. For example, 1 person's desired outcomes were to live a good quality of life, with people supporting them in a calm and dignified way, ensuring they were pain free and were kept comfortable. A person said, “Staff went through my care plan a couple of months ago. If new staff start they shadow experienced staff, so they can get to know me.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People or their representatives had consented to their care and treatment, including receiving personal care and staff managing their medication. People and relatives told us staff sought consent from them prior to providing care and support. A staff member said, “I always knock before entering, explain what I’m doing, involve individuals in decisions, maintain confidentiality, and encourage independence wherever possible rather than doing everything for them.”