Right at Home South Trafford

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 and their relatives were actively involved in the assessment process and felt confident, the provider had a thorough understanding of their needs. Assessments were comprehensive, capturing physical, social, emotional and communication requirements. They were reviewed regularly to ensure they remained accurate and continued to reflect people’s current circumstances.

One person told us, “Originally, they (hospital) were wanting to discharge me from hospital, and I was having to wait for the local authority to put the care plan in. My son looked it up and happened to find this care company who could come far quicker. The person from the office actually came in and had a meeting with my son and myself, and she spelled everything out. My son knew what was needed, and I was party to that process. They came to my home and had a discussion about my needs.”

Another person told us, ““I had been looking as I knew I needed someone to help me. I saw the recommendation on Facebook, and saw others who were recommending them. [Registered manager] was very accommodating, and all the girls have been brilliant. I do have a Care Plan from them which is emailed to me every week with what ladies are coming. There’s an occasional change, but each (staff member) has introduced themselves at the door.”

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.

Care and treatment were delivered in line with the best available evidence, recognised standards and current guidance. Staff used up‑to‑date assessments, clinical information and professional judgement to ensure people received effective, personalised support. Practice was continually reviewed, and improvements were made when new evidence or learning became available.

The provider had responded to a choking incident demonstrating the delivery of evidence‑based care and treatment. The carer applied recognised first‑aid guidance by administering back blows, which successfully cleared the airway and ensured the person’s immediate safety. Following the incident, a referral to Speech and Language Therapy (SALT) reflected adherence to clinical guidance for assessing potential dysphagia risks. Updating the care plan ensured, future care was informed by current evidence and tailored to the individuals 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.

Staff worked collaboratively to deliver safe, consistent and person‑centred care. Clear communication systems ensured important information about people’s needs, risks and preferences was shared effectively across the team. Regular handovers, digital care records and ongoing dialogue between care staff and leaders supported continuity of care and reduced the likelihood of errors or omissions.

Staff understood their individual roles and responsibilities and knew how their work contributed to the wider care plan. When concerns arose, staff escalated issues promptly and worked together to ensure people received timely support, including involving external professionals when needed.

People reported the staff team worked well with other services. One person told us, “My wife spoke to the NHS people, and they agreed to get someone (new care agency) closer to where we live and a better quality. It’s really good I can have carers that can do the exercises as well – physio and care at the same time. The physio came initially and helped to set out all the exercises, etcetera, and then he finished, but they have been back again to help me advance.”

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.

Staff supported people to live healthier lives by promoting wellbeing, encouraging positive lifestyle choices and helping individuals to understand and manage their health conditions. Care plans included clear information about people’s needs, risks and goals, enabling staff to provide personalised support that reflected each person’s abilities and preferences.

Teams worked proactively with healthcare professionals to ensure people received timely advice, treatment and monitoring. Where technology such as Whzan digital observations was used, it helped identify early signs of deterioration and supported people to remain well at home. Staff encouraged people to stay active, maintain good nutrition and hydration, and engage in meaningful daily routines that contributed to their overall health and independence.

This approach helped people to maintain their wellbeing, reduce avoidable health complications and continue living safely and comfortably in their own homes.

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.

The provider monitored the effectiveness of their processes through regular audits, spot checks, supervision and feedback from people using the service, their families and external professionals. This helped them identify what was working well and where improvements may be needed.

Any lessons learned from incidents, complaints or safeguarding concerns were shared openly with the team. This promoted reflective practice, strengthened communication across the service and ensured improvements were embedded into day‑to‑day care delivery

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

The provider ensured people’s consent to care, and treatment was obtained, recorded and reviewed in line with legal and ethical standards. Staff understood the principles of the Mental Capacity Act (MCA) and applied them in everyday practice, supporting people to make informed decisions by providing clear information in a way they could understand.

People confirmed staff were respectful and gained their consent when providing care and support. One person told us, “We have got into a mutual way of doing things. They don’t take over. I usually tell them if I want them to do something. After two years you get into a pattern.” Another person said, “She (staff member) occasionally makes suggestions, but she respects my wishes, she is very good like that.”

A relative told us, “Mother has never mentioned they do anything without her permission. She has never made any negative comments at all.”