Pearl Home Care 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 under its new registration. This key question has been rated good.

This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (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. Assessments were carried out prior to support commencing. Where appropriate, these assessments included input from health and social care professionals to ensure a thorough understanding of each person’s individual’s needs. People and their relatives told us they had been involved in assessment and reviews of their care needs. One person told us, “My care plan is in the process of being reviewed currently. I have been fully involved in this process and have a paper copy of the care plan at home.”

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’s dietary needs, including cultural needs, and preferences were assessed and planned for. Staff were supported through regular supervision and training to deliver care and support to people which was in line with good practice guidelines and standards. We asked people if care staff had the skills to support them and a relative told us, “I don’t know who trains the staff, but they deserve a well done because all the carers are so friendly and chatty.”

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. Overall staff told us they worked well with each other. The registered manager and staff sought advice from and shared information with other partners when needed. When people received advice from other professionals, this information was updated in their care plans and shared with staff. We received no concerns from professionals about working with Pearl Home Care Limited.

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. However, care records for some people required more detail to assist staff in monitoring ongoing conditions and promotion of good health. For example, 1 person had epilepsy, but their care plan needed additional detail and a risk assessment to be in place to guide staff on how to support this person should they have a seizure. The registered manager agreed to action this immediately.

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. There were systems in place to monitor support provided, including on site observations of staff competence. Daily notes and records were completed to monitor people’s health and wellbeing. Care plans were reviewed and updated to reflect any changes to care and support. People and their families told us they were involved in decisions about their care, and when health needs changed, care plans would be updated. One relative told us, “Carers have worked really hard to help [Name of relative] and [person] has regained some use of their arm and without this support they would not be as comfortable as they are.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Assessments of people’s needs were tailored to each decision and in line with the Mental Capacity Act 2005 (MCA) Code of Practice. Where people did not have the capacity to make decisions, appropriate procedures were in place to ensure any decisions were made in people’s best interests. The care plan for one person needed clearer detail about capacity and decision making which the registered manager agreed to address immediately. Staff completed training in the MCA and understood the importance of ensuring that people fully understood what they were consenting to, and the importance of obtaining consent before care was delivered. One staff member told us, “I always explain what I am doing and ask for consent before providing care.”