OneCare Southampton Head Office

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 newly registered 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 ensured people’s care and treatment was effective by assessing and regularly reviewing their health, care, wellbeing and communication needs with them.

Staff completed comprehensive initial assessments with people and, where appropriate, their representatives. They kept information about all health and social care professionals involved in people’s care up to date and reviewed it routinely. People confirmed they were happy with their care arrangements. One person told us, “Someone from the office came to my house at the beginning to explain how it all works as we really didn’t know. He went through everything and put our minds at ease.”

The provider planned and delivered people’s care and treatment in partnership with them, ensuring it reflected what was important to them. They delivered care in line with current legislation, evidence-based guidance and recognised standards.

Senior staff carried out competency assessments to ensure staff followed best practice and implemented guidance from relevant health professionals. The registered manager told us they worked closely with health professionals and the local authority, taking appropriate advice to ensure people remained safe while living at home.

The provider worked effectively across teams and services to support people. They shared assessments of need when people moved between services, which reduced the need for people to repeat their information.

Records showed the service collaborated closely with a range of health professionals, including social workers, occupational therapists, community nurses and doctors. Staff told us they contacted district nurses promptly when they identified concerns about a person’s skin integrity. Community nurses provided timely support, which helped people achieve positive health outcomes. Health professionals we spoke with did not raise any concerns about the service.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff promoted healthier lives and, where possible, helped people reduce their future need for care and support.

Staff identified people’s healthcare needs within their care plans, including the level of support required to maintain good health. People and their relatives told us staff responded appropriately to changes in need and took timely action when concerns arose.

The provider communicated changes in people’s healthcare needs effectively. Staff received timely updates through the electronic care planning system, which enabled them to access key information and respond promptly to changes.

The provider routinely monitored people’s care and treatment to drive continuous improvement. They ensured care delivered achieved positive and consistent outcomes that met both clinical standards and people’s expectations.

Staff recorded details of the care and support provided during each visit, and senior staff reviewed these records to confirm people’s needs were met. Staff also recorded food and fluid intake when requested by healthcare professionals, which supported the monitoring of nutritional needs and informed decisions about people’s care.

The registered manager told us staff reported any concerns promptly. Senior staff reviewed these concerns and shared relevant information with health professionals, including body maps and written reports, to support improved outcomes for people.

The provider informed people of their rights regarding consent and respected these when delivering person-centred care and treatment.

The provider implemented policies and procedures to ensure staff obtained valid consent before delivering care. People told us staff consistently sought their consent before providing support. Staff demonstrated a good understanding of the Mental Capacity Act 2005 (MCA) and applied this in their day-to-day practice. Where people had appointed a lasting power of attorney, the provider verified the legal authority of those individuals to act on the person’s behalf. This approach ensured the provider followed appropriate processes when gaining consent to care.