RCS Domiciliary Agency 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 inspection of 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.

Staff made sure people’s care and treatment was effective by assessing and reviewing their health, care and well-being needs with them. The registered manager met with people and their relatives before packages of care started to ensure their needs could be met by the service. A person told us, “I have a care plan that staff follow.”

Staff 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 were supported with their nutrition and hydration where required and guidance was in place where people followed a specialist diet.

Staff at the service 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 service had a system in place for staff to communicate with each other which enabled them to effectively deliver people’s care and support. Staff had access to an app on their electronic devices where updates and messages could be shared between staff instantaneously. Staff made timely referrals and worked well with other agencies to ensure people's treatment needs were met. A person commented, “The carers help me after the district nurse has been.”

Staff at the service supported people to live healthier lives and where possible, reduce their future needs for care and support. Staff had the knowledge to monitor and identify a deterioration in a person’s health. Other people managed their own health and wellbeing with the support from their loved ones. Where people required support, such as making phone calls to a person’s GP, staff supported people to do this. A relative commented, “Staff will let me know if they contact the GP for [Name].”

Staff 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. There was evidence of reviews and action being taken immediately following any changes to people’s health needs. A person told us, “I have an up-to-date care plan.” During reviews, care needs were discussed to improve outcomes. Regular audits were also carried out to monitor and improve outcomes.

Staff at the service told people about their rights around consent and respected these when delivering person-centred care and treatment. People’s consent to care and support was respected by staff. Records relating to mental capacity contained all relevant information and were documented in line with the Mental Capacity Act guidance.