Aspect Domiciliary Care Limited

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 service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. People’s care and support needs were assessed before they started using the service. Staff received key information straight away through the service’s messaging system. Care plans were regularly reviewed and updated when needed. People’s records were detailed, accurate and person centred.

The service 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 took an active role in developing their care plans and risk assessments, and their views were central to all support provided. Staff told us they followed recognised good practice guidance when working with people, including supporting nutritional needs and managing medical conditions. The service’s policies and procedures were based on evidence-based care.

The service 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. People felt their information was shared appropriately, for example with their GP or community nurse. Staff maintained thorough records of care and support visits, which were shared when necessary. The registered manager had oversight of records and could access details to share with external professionals. This helped ensure smooth and coordinated care for people.

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support. People were supported to maintain a healthy lifestyle. Assessments regarding people’s care and support needs were clear and easy to follow. When people needed help with food and drink, detailed instruction were provided, including for those requiring special diets. Information about people’s needs were shared effectively, as the small staff team communicated daily through their messaging system. Each person’s nutrition and hydration requirements were understood by staff, and plans were in place to meet them.

The service 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. People said their lives had improved since receiving support from the service, as they were able to continue living in their own homes and maintain their independence as much as possible with support from staff. Records included clear outcomes, along with guidance on how to achieve them. Each care plan was personalised and focused on the person. The registered manager remained actively involved in people’s care, regularly visiting people to monitor progress and ensure agreed outcomes were being achieved.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment.The service informed people about their rights regarding consent and consistently respected these when providing person-centred care. People’s rights were upheld and staff respected people’s decisions. At the time of this inspection, people using the service had capacity to make all decisions regarding their care. The registered manager told us they did not have a robust process in place if a person did lack capacity to make decisions. The process for assessing mental capacity was strengthened during the inspection, the registered manager sought more in-depth training, and we were fully assured by these actions.