- Homecare service
Housing 21 - Fountain Court
Assessment report published 5 August 2026
Contents
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
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 79 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.
Assessing needs
The provider always made sure people’s care and treatment was effective by thoroughly assessing and reviewing their health, care, wellbeing and communication needs with them.
People and their families were actively involved in the assessment process, including the initial assessment and creation of care plans.
Assessments contained comprehensive information about people’sphysical, clinical, emotional, and communication needs. This ensured care and support were planned and delivered in a person-centred way.
Regular reviews of assessments ensured people continued to receive the right care and support. Reviews involved people, their relatives and relevant professionals, helping to identify any changes in needs, preferences or goals.
Staff demonstrated an understanding of people's individual communication needs and were encouraged to observe non-verbal cues, including body language, facial expressions, mood, and changes in a person's environment. This helped them to recognise how people were communicating their wishes, feelings, and needs, particularly when verbal communication was limited.
Delivering evidence-based care and treatment
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.
Where staff identified concerns, they referred people to appropriate health professionals to ensure they received the support they needed.
Care plans included information about people’s health conditions, how these affected their daily lives, and how staff should support them. Guidance was clear and reflective of best practise.
How staff, teams and services work together
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 service worked with a wide range of partners including, social workers, GPs, nurses and other external health and social care professionals. A partner commented, “[Registered manager] will keep in touch and update me when required, request a meeting or we will catch up when I visit. I know she does this with my patient’s family also.”
Regular meetings were held to coordinate care, promoting effective communication and collaboration across the organisation.
Supporting people to live healthier lives
The provider always supported people to manage their health and wellbeing to fully maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.
Support was tailored to people's individual goals and aspirations. For example, staff worked with a person who wanted to stop smoking by providing encouragement and helping them access stop-smoking information, advice and appropriate equipment. This empowered the person to make informed choices about their health and take positive steps towards improving their wellbeing.
Another person was encouraged to attend the gym each day as part of their preferred routine. Staff recognised the benefits this had on the person's physical health, emotional wellbeing and independence and actively supported them to achieve their fitness goals.
People could also access activities, such as gardening, coffee mornings and outings to support their wellbeing.
Monitoring and improving outcomes
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 encouraged people to work towards goals that improved health and quality of life.
The provider and management team regularly gathered and acted on feedback to continuously improve the quality of care and support. Staff were committed to promoting people's wellbeing and helping them make progress towards their individual goals and outcomes.
Consent to care and treatment
The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.
Staff understood the importance of gaining people's consent before providing care and support. They were aware of the actions required when a person lacked the capacity to make specific decisions. Mental capacity assessments and best interest decisions had been completed where appropriate and provided clear information about people's ability to make decisions relating to their care and support.