Right At Home (East Lancashire & Ribble Valley)

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 key question was previously rated good. This key question remains 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. They assessed and reviewed people’s health, care, wellbeing and communication needs with them.

The registered manager and other senior staff completed assessments of people’s needs prior to using the service and ensured people were included in the assessment process.

Staff were well trained and confident in updating people’s care plans to ensure they accurately reflected people’s needs. Their understanding and application of the provider’s electronic care records system was effective.

The provider planned and delivered people’s care and treatment by including what was important to them. They did this in line with legislation and current evidence-based good practice and standards. Policies and procedures reflected this.

People had high degrees of confidence in the support they received from staff. One relative said, “They seem very well trained and they are rigorous in what they do.”

Staff were aware of people’s needs and care was delivered in line with up-to-date guidance. Training was comprehensive and a blend of online and face to face sessions. One staff member said, “The training was really comprehensive and they went through a lot of scenarios, not just the basics.”

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by documenting and sharing information well. People and relatives confirmed there was a continuity of staffing. This meant people were consistently supported by people who knew them well and needed no introduction.

Sharing of information between staff was consistent and effective. There was evident mutual respect between the office team and staff attending care calls, with open communication and trust.

The provider had good working relationships with external professionals, who praised the knowledge of staff. One said, “I have found them easy to work with as part of a multidisciplinary approach.”

The provider ensured detailed care records were up to date but also short, accessible sections of information were available for specific uses, for instance a one page profile or a hospital passport. These ensured people could experience a smoother transition if they needed to go to other services or move quickly.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control.

Staff supported people to make the choices they wanted, and to encourage healthy eating and drinking options, as well as exercise. Where people valued exercise and time outside, staff supported and enabled this, and recognised the positive impacts on people’s 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 used a range of measures to update care planning information with accurate information about people’s health and wellbeing.

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

Staff had completed training in the Mental Capacity Act (MCA) 2005 and understood the principles of best practice and consent. They respected people’s right to choose and knew how to seek support if they felt someone’s ability to choose was changing.

Policies reflected recent legal changes and the registered manager demonstrated a good understanding of the implications of these, alongside a keen sense of ensuring people’s rights were protected.