Spectrum Homecare 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. This is the first assessment for this service. 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. Assessments of people's needs had been carried out prior to people using the service and involved the person and, where appropriate, their relatives and healthcare professionals. This ensured the service was able to meet the person's needs and preferences. Care plans and risk assessments clearly identified people's needs and risks. They showed the action staff should take to minimise any risk of avoidable harm. Staff told us this information was reviewed and regularly updated. People told us they felt involved in this process and staff understood their needs well. One person told us, “They know exactly what I need and how I like things done.” And a relative told us, “The care plan is great, I can see what’s going on at any time”.

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. The staff worked in partnership with health professionals to ensure care was delivered safely and that people had the necessary equipment to meet their needs. Appropriate referrals had been made when people’s needs changed. For example, the service sought equipment for people when they required this to support their mobility, and staff had worked closely with physiotherapists to understand how to support people with individual exercises to improve their range of movement.

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. The registered manager told us and records confirmed how they worked with external professionals when required to develop people’s care plans and risk assessments. For example, one person’s care plan evidenced the involvement of several other agencies to ensure their needs were being safely met. An external professional provided us with positive feedback on the care provided by the staff and told us, “They are very good at communicating, I have never had to wait for an answer from them, they send information promptly and are friendly to work with.”

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 told us how staff positively supported them with their wellbeing. One person told us, “They always make sure I’m comfortable and eating properly.” And another person told us, “They help me stay active and independent”. We found people’s care plans included information on how their health conditions affected their day-to-day life; they also provided staff with guidance to follow to ensure they provided safe and consistent support.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. The staff team were passionate about supporting people to achieve positive outcomes. We saw many examples of how they had supported people to access activities and experiences, such as supporting people to go rock climbing, attend local events and places of interest. People confirmed staff were vigilant and promptly acted on any changes they noticed. One person told us, “They keep an eye on things and always notice small changes, things I might not have taken any notice of.” And a relative told us, “They notice changes and let me know if anything needs checking.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff had received training on the Mental Capacity Act 2005. Staff understood the importance of gaining people’s consent prior to supporting a person with their care and were knowledgeable on the process of determining if a mental capacity assessment and best interest decision was required. People told us their rights and wishes were respected by staff. One person told us, “They always ask before doing anything and check I’m happy.” And another person told us, “They listen and do things how I prefer".