Chenai Holistic Home Care Agency

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 inspection for this 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 care plans identified their needs and described how care should be delivered. The management team completed initial assessments before care started to ensure they could meet people’s needs. For example, there were assessments covering people’s health conditions, mobility needs, and personal care requirements. Staff and managers reviewed care regularly. There was clear involvement from people and relatives to ensure care remained personalised and responsive to people’s preferences and needs.

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.

People’s care was planned and delivered to include risk assessments and guidance for staff. They followed these practices and were monitored through spot checks to ensure compliance. People received effective care in line with what mattered to them that followed best practice guidance. Staff were trained, competent and used evidence‑based approaches. They observed, recorded and escalated concerns where necessary. This helped ensure they understood how to support people safely.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once. There was a collaborative approach between people, relatives, staff and managers towards planning and coordinating people’s care and treatment.

Communication within the service was effective which supported continuity of people’s care. A relative said they saw the “same cluster of carers” and were satisfied with the service. Staff worked closely with relatives, who were actively involved in coordinating care and raising concerns where needed. The provider held regular meetings with family members and maintained clear records of discussions and agreed actions. The provider also liaised with health professionals such as district nurses and occupational therapists to ensure joined-up care. This collaborative approach supported continuity of care and positive outcomes for people.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support.

People were supported to maintain their independence and daily routines. For example, a person received support with personal care, nutrition and social activities, helping them remain active and engaged. They were encouraged to access community activities and outings for exercise and socialising. Staff supported people to eat and drink to ensure they maintained their nutrition and hydration. The provider promoted independence where possible and care was tailored to people’s preferences, including maintaining consistency of staff to build trust and confidence. Relatives told the provider they were happy with the support and valued the strong relationships with staff, which contributed to the person’s quality of life.

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. People were supported to maintain their care routines and maximise their health, independence and wellbeing. People and relatives felt the service helped their family members in their day to day lives. A person said, “The carers are very positive and help make [family member] have a good day and good outcomes.”

The provider informed people about their rights around consent and respected these when delivering person-centred care and treatment. Staff told us they always asked for people's consent before providing them with support. People’s capacity to make decisions about their care was assessed. Staff were knowledgeable of the Mental Capacity Act 2005 (MCA). They described clear consent processes, such as explaining tasks, giving people time and space, and encouraging choice.

Where appropriate, consent was given for family members to be involved, which was respected and clearly recorded. Care plans reflected people’s choices and preferences, including decisions about care delivery, staff selection and daily routines. Staff respected these choices and promoted dignity, independence and control.