Greatful Care

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 newly registered 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.

People’s needs were assessed by the registered manager or the care coordinator, prior to commencing care with the service. This was carried out with the person and when needed, with their family. We found assessments were detailed and contained information about the care people needed. The information from the first assessment helped the registered manager to plan the person’s care and formed the person’s overall care plan.

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 registered manager was able to provide evidence-based care and treatment. Policies were in line with good practice guidance. Care was delivered to people using a person-centred approach and took into consideration their preferences. The registered manager kept up to date with current best practice guidance by attending training courses and the sharing of learning with other home care agencies.

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 and staff engaged with relevant healthcare professionals, and other organisations within the community. Staff monitored people's health and welfare and reported any concerns to the management team, who made referrals to health care professionals where required.

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.

People were supported to access a range of health care professionals and staff monitored people’s health and well-being during visits. When needed, the service liaised with health professionals, on behalf of people. The registered manager remained actively involved in people’s care, regularly visiting people to monitor their 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 monitored people’s wellbeing during each visit and maintained contemporaneous records, regarding their wellbeing. Any changes in people’s wellbeing were escalated to either their family, when appropriate or professionals. People and relatives felt that the staff monitored people’s wellbeing and had a good understanding of their health conditions. A relative told us, “The staff have a good understanding as their medical condition is complex and needs can fluctuate, it is really important. The carers are aware and understanding, Greatful Care are very understanding and supportive.”

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

People’s capacity was clearly recorded within people’s individual care plans. Where people lacked capacity, we found mental capacity assessments and best interest decisions were in place which were detailed. People and relatives confirmed that the staff sought consent from people, before care was given. A relative told us, “My loved one can choose what they want to do and make their own decisions, knowing the staff has really helped, the carers help with everything”. The staff had good awareness of how to gain consent from people, and they offered people choices around the care and support they received.