North Kirklees Domiciliary Care Service

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 the last inspection this key question was rated good. At this assessment the key question 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.

There was a robust and thorough initial assessment and care planning process, which ensured each person’s needs were recorded for staff to understand any risks and particular requirements for care.

Records were updated when changes to each person’s preferences or abilities were identified, and these were reviewed regularly with the person and their family/advocate where appropriate. Care plans and risk assessments demonstrated a highly person-centred approach, with good individual detail to support the consistent delivery of care.

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.

Staff received training and understood how to deliver evidence-based care. They used recognised tools to identify and record any risks to each person’s health. If a person’s needs changed, the staff were updated and relevant professional advice was obtained to ensure appropriate care and support. People had individualised daily planners which outlined their choices and goals. A healthcare professional told us, “The service ensure that the support plans are person centred and that the individuals wishes and choices are respected as a priority.”

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 closely with external agencies, and had links with the learning disability nursing team, SALT team, respiratory nursing team, travel training team, GPs, social workers, probation officers, forensic liaison officers and PAs. Any advice given was followed and any changes to each person’s health and wellbeing was communicated clearly.

Staff worked alongside each person, their families and their friends to ensure opportunities for people’s independence and well-being, through social engagement and activities.

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.

There were very good support measures in place for each person to experience as much choice and control over their care as possible. The provider took into account each person’s wishes and tailored their care needs to promote their independence as much as possible.

When people needed to attend hospital appointments for health screening or non-routine procedures, the staff team developed innovative ways to help them understand what the appointments entailed, so they were fully informed of their choices.

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.

There was continuous monitoring of each person’s care and treatment, and regular discussions about people’s needs at every opportunity. Any changes in a person’s abilities or preferences were promptly updated in their care plan to ensure staff understood how to promote the best outcomes for the person.
 

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

Obtaining meaningful consent was at the heart of the person-centred approach. Consent was an ongoing process and staff had a clear understanding of people’s rights, working within the principles of the Mental Capacity Act and embedding these in all aspects of each person’s care and support. People and their families told us staff were highly respectful of people’s rights around consent. One family member said, “I am kept informed but only if [person] wants me to be. It is very clear the staff ask [person] for their consent for everything, and that is right that they do so.”