Radfield Home Care Chingford & Loughton

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.

A pre-assessment form was in place to determine if the service could support people’s needs safely and effectively through capturing key information on support needs and risks.

People had choices and their preferences were included as part of assessments. A relative told us, “[Person] is involved with everything about their care. [Registered manager] always makes sure that any new carers meet them before they start.” By involving people directly in their care planning, the provider promoted autonomy, dignity, with the care and support people received.

People’s needs were regularly assessed. Records showed the service assessed people’s needs regularly to ensure the care they received, reflected their needs and were personalised. Reviews included assessing people’s needs on support required, review of care plan, medicine and risks.

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 good practice and standards.

People received evidence-based care and treatment. Care plans included the support people required with care and treatment. Feedback was sought from people, relatives and staff through reviews and surveys to ensure evidence-based care and treatment was delivered. A relative told us, “We have a sheet of [person] requirements, which we’ve agreed with [registered manager] and review regularly.”

The registered manager gave an example where they supported a person who had injured their arm and through support and care, the person had recovered from their injury.

The provider worked well across teams and services to support people.

The service worked in partnership with other agencies such as health and social professionals if people were not well, to ensure people were in the best of health.

Daily notes were completed after care was delivered to people, which included tasks completed and wellbeing of people to ensure continuity of care.

Staff told us they worked well with each other and external services and were supported by the registered manager well.

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 live healthier lives. The service carried out assessments on people’s care and health to ensure they could be supported to live healthier lives.

The registered manager and staff told us that people were always supported to live healthier lives. Care plans evidenced that people were supported to go out in the community and promoting independence. The service also undertook community engagement projects such as cooking, art and exercise clubs. People were able to participate in these clubs supporting independence and healthier lives.

Nutritional care plans were in place that included the level of support people required with nutrition and their preferences.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent.

People's care and treatment was being monitored to improve outcomes. Reviews were carried out regularly to ensure people’s support and outcomes were monitored. Spot checks and audits were being carried out to ensure people received personalised care according to their needs to ensure there was a cycle of improvement and improving outcomes for people.

The registered manager and staff told us people’s outcomes were always monitored through reviews and feedback. During reviews, care needs were discussed to improve outcomes. A person told us, “If the carers see something not quite right, they tell me while they are here. I am very happy with them.”

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

The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The Act requires that, as far as possible, people make their own decisions and are helped to do so when needed. When they lack mental capacity to take particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible. We checked whether the service was working within the principles of the MCA.

The service demonstrated a robust commitment to working within the principles of the Mental Capacity Act 2005. People were supported to make their own decisions wherever possible, and any decisions made on their behalf was carefully considered to be in their best interests and as least restrictive as possible. For example, we saw that people had MCA, best interest and care plans in place, which held information regarding their mental capacity and whether they were able to give consent for task being undertaken.

All staff participated in regular training sessions designed to ensure that their knowledge and understanding of the Mental Capacity Act (MCA) framework remained current and robust.

Management and staff were aware of the principles of the MCA and the need to ask for consent. Staff told us that they would always request people’s consent where possible before doing any tasks. People confirmed this. A staff member told us, “I always take consent. If they like their lunch or dinner, if they want their medication now or later.”