Archived: Promedica24 Homecare (Blaby and Lutterworth)

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 newly registered 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.

Care plans were regularly reviewed with people and, where appropriate, their relatives to ensure they remained accurate and reflected any changes in needs or preferences. People were able to access information about their care and were kept informed of updates. A relative told us, “I have seen the care plan and updates are noted on the App.”

Staff completed care notes following visits, recording how people were, any changes in their wellbeing, concerns identified and actions taken. This helped to ensure information was shared effectively and that people received consistent care. Staff described clear communication processes for managing changes in people’s needs. One staff member told us, “Normally any changes are communicated on the App which is helpful. If the changes are really complicated, then the office will ring me directly and talk it through with me to make sure I know what to expect. For big changes, the manager will come out and work alongside me to demonstrate what the current needs are and to make sure I know how to support the person 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.

People received care and treatment that reflected current good practice guidance and involved appropriate healthcare professionals when changes to their needs were identified. Relatives were positive about the knowledge and competence of staff. A relative told us, “At last, I can relax a little. I have worked with [manager] to find 3 carers who are well-trained enough to be able to speak about [person’s] health conditions and spot any changes quickly.”

Staff demonstrated an understanding of how to support people safely and sought specialist advice to ensure care and treatment remained appropriate. One staff member told us, “We have a person who is on a soft diet, and their medicines had to be changed to liquids as well as having their medicines crushed, the GP and pharmacist oversaw this.”

The provider ensured staff had access to training appropriate to people’s individual needs and health conditions. This helped staff deliver care in line with professional guidance and identify when concerns needed to be escalated.

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.

Staff worked well as a team and closely with external professionals, including GPs, social workers, and district nurses. Records showed regular communication and joint working, particularly where people’s health or risks changed. A relative told us, “The carers liaise well with other professionals who are all working to keep [person] at home.”

Staff told us they worked well as a team and felt supported by managers, which helped ensure continuity and consistency of care.

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 to maintain and improve their health and wellbeing through effective monitoring and partnership working with healthcare professionals and family members. Staff demonstrated a good understanding of the importance of identifying changes in people's health and reporting concerns promptly. A staff member told us, “If a person is not eating, this has to be reported to the office as well as the family, they may well need to be referred to a dietitian.” They explained how they monitored a range of health needs during care visits, including skin integrity and pressure areas. Any concerns were documented and escalated to the office, who liaised with GPs, other healthcare professionals and relatives as appropriate.

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.

Care records, staff feedback and communication with people and their relatives were used to evaluate whether care was achieving the desired outcomes. The provider worked closely with people, their relatives and healthcare professionals to ensure care met both clinical needs and people's individual preferences and goals. Reviews of care enabled the provider to identify areas for improvement and ensure positive outcomes were delivered consistently.

People and their relatives spoke positively about the difference the service made to their health, wellbeing and independence. A relative told us, “[The staff’s] excellent care has meant that [person] has been able to avoid hospital for the last 3 months.”.

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

People were supported by staff who respected their right to make decisions about their care and consistently sought consent before providing support. A person said, “The carers are very respectful and check with me before they do anything.”

Care records contained information about people’s capacity and ability to consent, ensuring staff had clear guidance on how to support people in line with their wishes. Staff demonstrated a good understanding of the importance of gaining consent and adapting their approach to meet individual communication needs. A staff member told us, “I always gain people’s consent before I begin my support. Even where a person may be non-verbal, this doesn’t mean they cannot give their consent. It is a matter of not rushing a person whilst waiting for their consent.”