Guardian Homecare (Tatton Gardens)

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

Responsive – this means we looked for evidence the provider met people’s needs.

This is the first assessment for this service. This key question has been rated good. This meant people’s needs were met through good organisation and delivery.

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 were at the centre of their care and treatment choices and they decided, in partnership with people, how to respond to any relevant changes in people’s needs.

Peoples care plans were person centred and identified people’s individual needs and preferences, which staff clearly understood. People said they were involved in planning their care. A person said, “They do what I ask, the way I like.”

The provider understood the diverse health and care needs of people and their local communities, so care was joined-up, flexible and supported choice and continuity.

People were encouraged to access the local and wider community, where able. Managers and staff recognised the importance of this, helping to promote people’s health and well-being.

Staffing arrangements were stable, providing good continuity in care. Staff told us they worked closely with health care teams, people, and their families, where appropriate, so people received the care and support that met their individual needs.

The provider supplied appropriate, accurate and up-to-date information in formats that were tailored to individual needs.

Up-to-date and accessible information was displayed in communal areas, so people were kept informed. People were provided with information advising of services available, so information was made accessible.

The provider made it easy for people to share feedback and ideas, or raise complaints about their care, treatment and support. Staff involved people in decisions about their care and told them what had changed as a result.

The provider undertook people surveys to gain information on areas to improve on and people’s satisfaction. Action plans were compiled if improvements were identified. People and families said they felt involved in their care, regular care reviews took place, and they could be involved if they wished to.

The provider made sure people could access the care, support and treatment they needed when they needed it.

People received the care and support needed, considering their individual assessed needs and wishes. People had access to external health and social care professionals as and when they needed them. Professionals spoken with told us the provider made sure people could access the care and support they needed when they needed it.

Staff and leaders actively listened to information about people who were most likely to experience inequality in experience or outcomes and tailored their care, support and treatment in response to this.

People’s care plans contained information about their individual wishes and preferences in relation to their social, cultural, and spiritual needs. Staff understood people had a right to be treated equally and fairly, to receive care and support that met their specific needs. Staff received training in equality and diversity, which helped them make sure people were not subjected to discriminatory behaviours and practices.

People were supported to plan for important life changes, so they could have enough time to make informed decisions about their future, including at the end of their life.

People had been given the opportunity to discuss their end of life wishes and for these to be documented if they wished. The provider would work alongside a person’s GP and had links with the local hospice to care for people who may be at the end of their lives.

People were encouraged to make goals as part of their care planning if they wished to decrease care gradually to maintain their independence. An example was shared where a person had returned from hospital and required visits to assist with washing and dressing. Through consultation with the person, support was gradually reduced so the person no longer required staff support.