Olive Tree Domiciliary Services 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 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.

Relatives told us they were involved in putting together the care plans. One person said, “There was a meeting when we first started with the service, and everything was recorded. The care plan gets updated regularly or when there is a change.” Assessments contained information about a wide range of needs, and included detail about people’s social history, and personal routines and preferences.

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 understood people’s dietary requirements and completed relevant training. They used nationally recognised assessment tools to consider people’s needs and risks around different aspects of health, such as around bowel health and weight loss.

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.

People had a health passport so that important information was available to all health professionals involved in care. People also had ‘health action plans’ so that relevant people knew what people’s goals were, and what people needed to ensure they remained healthy.

Staff had regular handovers and team meetings so that updates were communicated in a timely manner. Referrals were made to external agencies when required.

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 supported people to maintain healthy eating habits and supported people with shopping when required. Staff talked to people about what activities and opportunities they would like to get involved in and were then supported to achieve this. People were supported with exercise and with their mental wellbeing.

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 monitored people’s health outcomes and took action when people’s needs changed or deteriorated. An example included monitoring when 1 person continually refused their medicines. Staff kept a record about this and any factors that may have contributed, so that different strategies could be considered to help the person understand why medicines were important.

The provider did not always tell people about their rights around consent and did not always respect their rights when delivering care and treatment.

Although we saw consent forms in people’s records, the registered manager confirmed they would update their knowledge about the process required for when people lacked capacity to consent to their care and support, to make sure Mental Capacity Act 2005 (MCA) assessments and best interests’ decisions were completed.

Staff considered consent throughout their caring tasks and made sure people understood what was happening.

Some people were subject to Court of Protection Deprivation of Liberty Safeguards, (when someone can have court appointed restrictions made to protect their wellbeing and safety); these were being reviewed due to changes in the legal ruling.