Supreme Homecare

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 as 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.

The registered manager told us they carried out an assessment of people’s needs prior to the provision of care and records confirmed this. The assessment involved the person and their relatives where appropriate, so it captured what was important to them. The operations manager told us, “We first do a telephone call and arrange a face-to-face appointment. We ask them what they need and how we can provide this.”

Care plans and risk assessments were then developed by the co-ordinators based upon the assessment. We saw care plans which covered areas of support required including, eating and drinking, communication and mobility.

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.

The provider was able to provide evidence-based care and treatment. Policies were in line with national good practice and care was given in a person-centred way. This was in line with the people’s wishes, and they were involved in their assessment of need.

Individuals were supported to attend annual health checks with their GP, ensuring potential health concerns were identified early. Staff ensured people accessed routine appointments with opticians and dentists. This proactive approach meant people’s physical health was monitored and maintained, contributing to improved wellbeing and overall quality of life. One person said, “The carer accompanied me to GP appointments, this support was extremely valuable and enabled me to attend appointments otherwise I might have struggled to access.”

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.

The provider had clear systems in place to ensure information was shared effectively among team members, enabling them to consistently meet people’s needs. Staff were kept updated on changes in people at handovers and the electronic care plan system was updated following health professional’s reviews to inform staff of any changes to people’s care and treatment.

Staff had access to the information they needed to appropriately assess, plan and deliver people’s care and support. A staff member told us, “We have access to care plans and risk assessments, which clearly outline the support people need and how we should provide their care.”

The management team and staff told us how they shared positive relationships with other professionals involved in people’s care. This included the GP surgery and social services. Information was provided to other professionals to ensure people received a consistent service. This included a summary of the care plan if people required for example a hospital admission.

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.

The service worked closely with people and their families to support their health and wellbeing. This included liaising with relatives following hospital discharges to identify any changes in care needs, updating or discontinuing medicines in line with GP instructions, and discussing the outcomes of hospital or healthcare appointments to ensure care packages remained appropriate and responsive to people’s needs.

Staff made referrals to relevant healthcare professionals when required, including GPs and district nurses. People were also supported to access additional healthcare services such as dentists, opticians, and chiropodists where needed. People told us they were able to access healthcare professionals appropriately and when required.

Staff received training to enable them to effectively support and manage people’s healthcare needs and medical conditions. This included areas such as moving and handling and first aid, helping to ensure people received safe and appropriate care.

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.

The provider had systems for monitoring the care provided. Daily records were kept of what support was provided on each shift, and these were reviewed by the coordinators. In addition, the registered manager and operations manager remained actively involved in people’s care, regularly visiting people to monitor progress and ensure agreed outcomes were achieved.

Relatives confirmed that staff identified and responded promptly to changes in their family members’ health. Regular care plan reviews ensured the management team maintained full oversight of each person’s health and social care needs. People and their relatives were involved as partners in care, which was reflected in the feedback we received.

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

People and their relatives told us they were involved in planning their care and support and were able to express their preferences regarding how care was delivered. One person told us, “Yes, we have a care plan.” Staff we spoke with confirmed they always sought people’s consent before providing care and support. Staff explained that people were encouraged to make their own choices and decisions wherever possible.

Systems and processes were in place to obtain and record people’s consent to care and support. The service had a Mental Capacity Act (MCA) policy in place, and staff had received training in relation to the MCA. MCA assessments had been completed where appropriate to determine whether people had the capacity to make specific decisions.