Gem Homecare Ltd

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 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 provider undertook comprehensive assessments of people's needs. People were referred to the service by health and social care professionals. The referral form included information about the support people needed and the expected outcome of the care package. The service then carried out a more detailed assessment with the person or their representative which looked at their individual needs, preferences and goals. Assessments included people's physical and mental health, risks, communication, mobility, continence and personal care needs. The completed assessments formed the basis of their care plans and provided information to enable staff to work with people safely.

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.

The provider worked closely with health and care professionals to deliver people’s care as per their expectations. People and their families were involved in developing their care plans and changes and adjustments were made following their suggestions and feedback.

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 provider used an electronic care planning and recording system which ensured key information was updated and shared between care teams. This maintained continuity of care and support for people.

The provider was excellent at gathering ideas from staff and acting on them to improve the care people received. One staff member said, “The managers really listen to staff and take our ideas on board. I can talk to them about anything, and they actually want to help. For example, someone needed a different type of sling, so I asked if I could contact the OT to find something better. They said go for it, and we got it sorted. The persons now got the sling in place and it’s better for them and for staff too.”

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 told us they were supported to access healthcare professionals to meet their individual needs in a timely way. This included GPs, community nurses, and mental health teams.

Records included information about each person's health needs and guidance for staff to show how these were met and affected their daily lives. Where necessary support was sought from healthcare professionals. There was guidance about people's medical conditions in people's care files should these deteriorate. The guidance included signs and symptoms for staff to be aware of, what to do and who to contact in case of an emergency.

Staff told us that people’s health and well-being was supported at the service. Staff and managers knew people’s needs well and discussed when referrals and reviews with relevant professionals were required.

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 demonstrated a commitment to working in partnership with other organisations to improve care outcomes for people.

People said staff understood their needs and worked well with them. Comments included, “The manager is fantastic, and the company well run. They encourage my independence and regularly ask for feedback on how I rate the service. I would recommend them and have no complaints.” Another relative said, “I cannot fault the company’s management, organisation or service. I would say that this company is great. I have no complaints and would recommend them.”

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 demonstrated a commitment to working in partnership with other organisations to improve care outcomes for people.

People said staff understood their needs and worked well with them. Comments included, “The manager is fantastic, and the company well run. They encourage my independence and regularly ask for feedback on how I rate the service. I would recommend them and have no complaints.” Another relative said, “I cannot fault the company’s management, organisation or service. I would say that this company is great. I have no complaints and would recommend them.”