Holistic Homecare 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.

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 provider 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 and care plans contained person centred detail about people's needs and wishes. For example, people's meal choices, music they enjoyed and activities they liked to do. People and relatives told us they were involved in planning their care, had regular reviews and had copies of their care plans in their homes. A relative said, “There is a care plan. It is due for review in a couple of months. It is done yearly. I feel involved in the planning. They listen to me and what I’ve got to say.”

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. Care records evidenced staff liaised with professionals to meet people's health needs, and professionals advise was included in people's care plans, including what equipment was needed to keep them safe. Records evidenced people were involved in watching educational videos and records provided to people contained information about how to keep healthy, both physically and mentally.

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. Partners told us the service worked well with them. Staff told us the team worked well together, and communication was good amongst the team. A staff member said, “It is a good place to work. I enjoy the team chemistry and support. Morale is good amongst the team and we work well together.” The service received several compliments, which included 'The standard of care has been consistently high, and communication with the team has been reliable, respectful, and centred around the patient’s needs.' and 'My support workers have helped me regain confidence and I feel better mentally and physically.'

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. Where required staff supported people to attend health appointments. People received information via a newsletter, which shared health information for people, such as 'heart health' and 'keeping healthy in winter'. One person was supported to eat healthily and attend the gym. People told us staff offered them a varied diet, in line with their needs and wishes. A relative said, “Staff do all of that (food). [Name] is on a wholemeal diet. They know how to monitor their blood sugars and make sure they always have water to drink.”

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. People’s future goals and wishes were explored with them and regularly reviewed. For example, 1 person was working towards being more independent in community settings, and another person was working towards communicating their needs more clearly. Care plans contained details about activities people enjoyed, such as shopping, cinema, and baking. A relative said, “[Name] had enough of going bowling, so we asked for this to be changed, they now take [name] to table tennis. [Name] likes music and poetry. Without us saying it to staff, they play music together in the car and listen to [name] recite poetry. We are Quakers, all of his carers are Muslim and it is nice that we share a faith.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff understood their responsibilities to gain consent from people prior to providing support to them. A staff member said, “MCA training is about ensuring we encourage people to make their own decisions. If someone refused care, I would respect this, document it and report it if necessary.” People told us staff sought their consent. People’s capacity and consent was explored and information relating to this was contained within their care records. A relative said, “Staff always tell [name] what they are doing. [Name] is non-verbal now. Staff keep them informed and wait. Staff tell them in short sentences and look at [name] in the eye. There is no force, no stress. It takes a while and it eventually clicks.”