Dynamic Homecare Services Limited

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 that 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.

Care plans were person-centred and regularly reviewed. They contained detailed information about people’s daily routines and, specific care and support needs. One relative told us, “The carers know [Name] really well and know the routine which is good for them.” A staff member said, “I regularly read people’s care plans to get an idea of the individuals daily routine and how they like their care delivered.”

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.

The registered manager had good oversight of people’s packages of care. Consistent staff supported people ensuring care was provided to people by staff who were familiar to them.

The management team supported people to gain additional support when required to ensure care was coordinated and responsive to people’s needs. For example, seeking advice from health professionals to ensure safe and effective equipment was in place to promote safe mobility and independence. They also liaised with GPs and pharmacies to manage medication issues or queries to ensure timely access to appropriate treatment.

The provider demonstrated compliance with the Accessible Information Standard. This standard expects providers to have assessed and meet people's communication needs, relating to a person's disability, impairment or sensory loss and supporting them as they moved from one service to another. The provider supplied appropriate, accessible, accurate and up-to-date information in formats that were tailored to individual needs. For example, where a person required written communication due to a visual impairment, this was provided in a larger font to support accessibility. Where a person preferred text messages due to a hearing impairment, staff supported them to register for the emergency SMS service, giving them confidence to contact emergency services independently.

Staff were knowledgeable about the most effective ways to communicate with people, and this was clearly recorded in their care plans. For example, where a person experienced memory difficulties and previously struggled to communicate effectively at medical appointments. The management team arranged for a senior staff member to accompany them, ensuring their full history and concerns were shared. This improved medical understanding and enhanced their confidence and independence. One relative said, “Communication is very good.”

The provider made it easy for people to share feedback and ideas, or raise complaints about their care, treatment and support. People and relatives were given regular opportunities to share their views. This included reviews, meetings and questionnaires. A relative told us, “I’ve never had a complaint, but I would go straight to [Registered Manager] if there was anything wrong, they are excellent and really work with us on any issues that arise.”

Staff actively involved people in decisions about their care and respected their views and wishes. These were clearly recorded in people’s care plans.

The provider made sure that people could access the care, support, and treatment they needed when they needed it. Care plans contained evidence of the involvement of a range of healthcare professionals in people’s care including, physiotherapists and occupational therapists. A staff member told us, “I have worked with the district nurse and been present during home visits to ensure the correct information is obtained. I have also made telephone calls to GP’s when individuals have been unwell.”

Staff and leaders actively listened to information about people who are most likely to experience inequality in experience or outcomes and tailored their care, support and treatment in response to this. People’s care plans were regularly reviewed to ensure they reflected people's current support needs and desired outcomes.

Staff respected the needs of people who preferred to have care delivered by specific carers and they considered and followed people’s cultural needs. Staff supported people to achieve good outcomes and maintained their well-being. One staff member told us, “It is important to understand an individual’s cultural, religious and sexual preferences such as at times of religious festivals when times or visits may need to change.”

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.

At the time of our assessment nobody was receiving end of life care, but systems were in place to provide this. A staff member told us, “People’s choices are respected to ensure individuals receive the best outcome possible. The registered manager always makes sure these decisions are made in advance so the person can be involved in their care planning.”