The Right Home Care Team Chesterfield

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.

The provider implemented a system to ensure care and treatment for people was effective. An assessment that involved the person and relevant others was completed prior to the service starting. Regular reviews took place to ensure risk assessments and care plans were accurate.

Ongoing audits by the provider of the care record system ensured timely support was available as needed.

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 provider utilised appropriate resources to ensure practice was up to date and in line with expected standards. People received clinical care and support in line with evidence based good practice standards for a wide range of needs. For example, swallowing, nutrition and hydration needs and moving and handling. Staff received specific training and followed detailed support guidelines to manage people’s risks associated with their diagnosed chronic conditions, for example, diabetes. Staff were competent to provide the care and treatment people required and were able to access additional training and support if required.

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 worked with relevant professionals to develop effective working relationships, for example, with GPs, district nurse teams, speech and language therapists and occupational therapists. The registered manager ensured information for updates and reviews was available from the professionals involved in people’s care.

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.

Care plans included detailed guidance for staff to support people to reduce the risk of deterioration of known health needs. People’s complex needs were identified, risk-assessed, and managed collaboratively. Where required, people’s health care needs were led by the local district nurse team, staff were trained and assessed as competent to carry out delegated tasks.

Staff were trained to monitor, recognise emergencies, and escalate appropriately. Staff were confident any concerns reported would be acted on.

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 carried out regular audits of people’s care records as well as speaking with stakeholders to identify where improvements could be made. For example, one relative told us the provider carried out a responsive review when a deterioration in a person’s known health condition was identified. The provider facilitated an appropriate assessment to ensure all the correct equipment was available to support the person safely.

The provider recorded updates to people’s goals. Staff were confident communication systems were effective, and they had access to people’s up to date information.

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

People were supported to consent to their care, support and treatment where they had capacity to do so, and the principles of the Mental Capacity Action 2005 (MCA) were followed when people lacked capacity to make decisions about their care.

People were supported by staff who understood how to promote independence and support people to make everyday choices.