Future Home Care Limited (Mansfield)

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

We reviewed care plans and risk assessments which showed documentation was reviewed and updated to ensure information was current and reflective of people’s needs.

People’s diagnosis and how this affects them, were recorded in robust care plans which included details on the person’s communication style, emotional support, dietary needs and any monitoring as appropriate. Documentation included people’s background, life experiences and care plans were person centred and worded in a respectful and thoughtful way.

The approach to people’s care and support took a trauma informed approach which was evidenced by documentation. This involves recognising how trauma can affect individuals and building systems and relationships around core principles of safety, trustworthiness, choice and empowerment supporting recovery and resilience. Our observations and review of daily records supported this was part of people’s day to day support.

This meant people’s support needs were met by staff using an approach that addressed their holistic care needs in a way that placed the individual at the centre of their practice.

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.

We saw evidence that people were effectively supported with fluid and nutrition. The team had worked with professionals to ensure people’s needs relating to nutrition met their individual needs and preferences. One person told us about how they prepared their food and showed us their kitchen.

People were encouraged and supported to maintain relationships with family and develop relationships with people in their local community as well as peers living at the service. One person told us about attending a disco which they enjoyed and said, “I like it, I go to bingo and the disco. I’ve got friends there.”

Care plans documented conversations with people about their care using pictorial documentation to support communication and understanding where the person preferred this. These documents evidenced what was important for them regarding care and support had been considered and discussed, as well as what mattered to them, for example family members. This meant people’s care and support met their overall needs and wishes in a person-centred way.

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.

We saw records evidencing communication with other professionals where the team had identified a need a person had which would be best supported with input from outside expertise. We saw concerns were appropriately escalated to the relevant agencies to ensure people received the support they needed. External professionals confirmed that the registered manager and team worked well with them and took on board suggestions and feedback they gave.

Staff told us there was good communication at the service and they had access to information and records on the digital records system they used so they were kept up to date with any changes in people’s needs.

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.

We reviewed digital records as well as email communication and reports from health professionals and saw people were supported to manage their health and wellbeing by assisting them to access routine and urgent health care. Peoples mental and physical health was considered and information to guide staff to recognise signs that a person’s health may be deteriorating were documented as well as action to take and the health professionals working with that person to contact.

We spoke with one staff member who told us how they had supported a person who had not been able to communicate a health need to them. “I could tell something wasn't right cause of their expressions. I took out a chart for pain. They pointed out that their tummy wasn't right and we dispensed medication for this.”

This approach ensured people received timely and effective care and treatment to maintain their physical and mental health.

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.

Care plan documents showed goals were identified and tracked to support people to achieve their chosen outcomes and achieve their potential. We reviewed pictorial documents that had been completed in conjunction with people which supported with identifying things people did and didn’t like to do and their goals.

We spoke with staff about monitoring outcomes for people and they gave us examples of things that had been implemented and how this was monitored. One staff member said, “There is a monthly review prompt for the goals. The goals prompt what has worked positively, what has happened etc.” This was recorded and demonstrated how people were working towards achieving their goals both short and longer term.

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

We observed staff communicated with people about their choices in a way that was appropriate to them including using open questions. We reviewed care plans which documented how to support people to communicate choice for example, using visual aids or pictures.

We saw consent and capacity was considered through care planning and clearly documented.

This meant people’s rights were promoted and respected.