Roche Homecare (Community)

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.

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 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. People had regular reviews and changes to their care plans were made accordingly. The provider ensured their staff could meet people’s needs and a thorough assessment was undertaken with each person before support was offered.

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 manager told us they regularly attended a local authority forum to keep their knowledge and practice up to date. The service worked in partnership with health professionals to ensure care was delivered safely and that people had the necessary equipment to meet their needs.

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 manager told us they regularly visited people to gather feedback, observe staff practice, and identify any changes in needs. They operated an open-door policy and held regular meetings with staff and people using the service to ensure everyone was informed about care arrangements. The manager also attended professional visits to help ensure the service could meet people’s needs effectively.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. One person told us, “They definitely go through the care plan with me, and a copy is in the house.” Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. For example, the service supported a person to make healthier food choices, working closely with their family to encourage food moderation. Staff also spent time helping the individual understand and feel involved in their care.

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. For example, they had supported a person to reduce their alcohol intake with the help of district nurses to good effect. Another example is that the service introduced new training for staff when a person’s needs changed and they required emergency epilepsy medication. This involved collaborating with the virtual ward and epilepsy team to ensure appropriate support was in place.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff consistently demonstrated their awareness of people's right to make choices including when they may be deemed unwise. The manager explained that people’s capacity was reviewed when necessary, and mental capacity assessments were carried out whenever concerns were raised regarding an individual’s ability to make decisions.