Guardian Homecare (Tatton Gardens)

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 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 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.

The manager told us they had a very good relationship with the social care professionals and the housing provider. Assessments of people’s needs were received as part of the referral process. Assessment visits prior to people moving into the service were completed by the manager. Families took part in these assessments when appropriate.

All staff said they had the information available to them to ensure they could provide care and support to people in a way they had agreed. One staff member said, “We are made aware if there are any changes with people’s needs.” Care plans and risk assessments were reviewed regularly to ensure they reflected people’s current 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 had their nutrition and weight monitored if they had been identified as at risk using the national recognised malnutrition tool.

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.

Managers and staff told us they worked closely with various external health and social care agencies and sought advice and support around best practice.

Staff were kept informed of people’s changing needs and updated when people moved between services, such as discharge from hospital. One staff member said, “The communication book for handovers when you come on to shift is always filled in and will inform you if someone has had a fall or is in hospital.”

People had health passports that could be taken with them to hospital. These provided health professionals with information into the persons health conditions, medication prescribed, likes and dislikes, allergy status, next of kin details and communication needs and any other relevant information. This ensured information was shared effectively.

Feedback received from external professionals confirmed working relationships were effective, so people received safe and effective support. Professionals were confident there was a trusting, effective professional relationship and they worked together for people.

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 in maintaining their health and well-being and had access to relevant healthcare professionals when needed.

People were encouraged to take part in the social activities available, including a weekly film club, games evening and crafts. A staff member said, “I try to encourage people to take part in the activities and will take them down to one of the lounges if they need support.” A person said, ‘I enjoy taking part in the activities the care staff arrange as it gives me something to do and makes me happy.” Another person said, “I like the choice, we can do what we want, sometimes I am happy with my own company and sometimes I like to go to the activities for a chat, but it is up to me.”

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent, and they met both clinical expectations and the expectations of people themselves.

Regular monitoring and checks were carried out and analysed, helping to identify issues, learn lessons, and develop action plans to improve the quality and safety of the service people received.

It was clear from the feedback we received the managers and staff recognised the importance of learning lessons and continuous improvement to ensure they maintained high-quality, person-centred and safe care for people.

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

People said they were always asked for consent before staff entered their apartments or gave any personal care. Staff had completed training in the Mental Capacity Act and understood the importance of seeking consent from people when offering support.

Staff were observed to knock on people’s apartment doors before entering to ensure they had consent to enter their apartments.