London Homework: Wandsworth

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.

Initial assessments covered a wide range of needs, including eating and drinking, moving and handling, and physical health risks. These assessments clearly identified the support people required and were followed by detailed, person-centred care plans that guided staff practice. Reviews reflected changes in people’s needs and ensured care remained appropriate.

The provider planned and delivered care and treatment in line with current legislation, evidence-based guidance and recognised good practice.

Care was delivered in line with up-to-date policies and procedures that reflected current standards. Staff received regular training to support evidence-based practice. Care plans included guidance on nutrition, hydration, infection control and pressure care, ensuring care was safe and effective.

The provider worked effectively with other professionals, teams and services to make sure people experienced coordinated care and did not have to repeat their needs unnecessarily.

Records showed consistent communication with multidisciplinary professionals, including GPs, occupational therapists, district nurses and local authorities. Information was shared appropriately to support continuity of care, such as referrals, care reviews and requests for increased care packages when people’s needs changed.

The provider supported people to manage their health and wellbeing and worked with healthcare professionals to promote healthier lives.

Staff supported people with ongoing health needs, including nutrition, hydration and physical health. There was evidence of regular engagement with healthcare professionals to monitor deterioration and respond to changes in people’s conditions. This helped people maintain their health and wellbeing as far as possible.

The provider routinely monitored people’s care and treatment to improve outcomes and make sure care met people’s expectations and clinical needs.

People had personalised outcomes recorded in their care plans, based on what mattered to them. The provider reviewed care delivery and worked with professionals to adjust support when needed, such as extending care calls to improve people’s experience and outcomes.

The provider understood and applied the principles of consent and made sure people were involved in decisions about their care and treatment.

Care records clearly documented people’s capacity and consent. Staff demonstrated a good understanding of the need to obtain consent before delivering care, and

consent policies were in place to guide practice. People with communication difficulties were supported to be included in decisions about their care.