Your Own Home Care

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. At our last assessment we rated this key question good. At this assessment the rating has remained 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 registered manager made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. People had their needs assessed with a questionnaire which was detailed and person‑centred way. Staff considered people’s wishes, preferences and cultural needs as part of the assessment process.

The registered manager made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

People had their needs assessed in a detailed and person‑centred way. Assessments captured people’s health conditions, communication needs, routines and risks.They reflected the daily realities of people’s lives. Staff considered people’s wishes, preferences and cultural needs as part of the assessment process. People who required support with their nutrition and hydration were supported with this with detailed care plans.

The registered manager 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.

Staff supported people to live healthier by encouraging positive lifestyle choices and helping people to understand and manage their health conditions. Staff had to complete daily logs about how care was delivered. These logs included clear information about people’s needs, how support would be delivered and they reflected each person’s abilities and preferences.

The registered manager supported people to manage their health and wellbeing to maximise their independence, choice and control.Communication between healthcare professionals and the staff were documented when people's health needs changed.

The registered manager gave examples of increasing care hours to support people to attend GP and hospital appointments, if that was something they needed.

One relative told us, “We have confidence as we know if [Person’s] needs change, they will adapt to meet their needs, this is a real comfort.”

The registered manager routinely monitored people’s care and treatment to continuously improve it, through frequent visits and regular hands-on care provision. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

The registered manager still worked in the field and carried out regular care calls as this allowed for people’s care to be monitored regularly. The registered manager explained that recognising small changes early often meant people received support before their health declined.

People were supported to eat well; people had a varied diet and staff recorded each day what people ate to ensure it was balanced and nutritious.

The registered manager ensured people’s consent to care, and treatment was obtained, recorded and reviewed in line with legal standards. Staff understood the principles of the Mental Capacity Act (MCA) and applied them in everyday practice, supporting people to make informed decisions by providing clear information in a way they could understand. Staff were trained to support people to make decisions and where people lacked capacity, relevant others were involved in best interest decisions. The least restrictive option was always considered.

Care plans included evidence of consent, and family members told us staff were observed to ask for agreement before providing care.