Homely Supported Living 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.

This is the first assessment for this 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.

People’s needs were assessed regularly, and as part of reviews, people or their relatives were able to make decisions about their care and support. Reviews of care included if people’s support needs had changed, their current health and wellbeing and if they were satisfied with the support received. A relative told us, “Yes, the carers are brilliant, but [person] is particular about what [person] wants to wear and they are good at honouring that and [persons] other preferences.”

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 good practice and standards.

Care plans included the support people required with care and treatment. Feedback was sought from people and staff through meetings and reviews to ensure evidence-based care and treatment was delivered. People were supported with choices on what was important to them as part of their care. A staff member told us, “We provide them with choices like we got a client that communicated with us what [person] wants. We always respect their decisions. We also provide them with different choices of meals.”

People’s nutrition and hydration needs were met in line with current guidance. A nutritional care plan was in place that detailed the support people needed including any specific dietary requirements.

The service also arranged a number of activities such as a sports day, an earth day to support people with vegetation and an autism day. This supported people’s wellbeing and social needs.

The provider worked well across teams and services to support people.

The service worked in partnership with other agencies such as health and social professionals if people were not well, to ensure people were in the best of health. Details of social and health professionals were recorded on people’s care plans. Records also showed people were supported to attend health appointments when needed. Staff monitored people's health and welfare and reported any concerns to the management team who made referrals to health care professionals where required. A relative told us, “Recently, [person] not been very well. The carer supported [person] at the hospital. The home responded well.”

Staff told us they worked well with each other and external services and were supported by management.

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.

People were supported to live healthier lives. The service carried out assessments on people’s care and health to ensure they could be supported to live healthier lives.

The management team and staff told us that people were always supported to live healthier lives. This included supporting people to go out in the community, encouraging people to eat well and promoting independence.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent.

Reviews were carried out regularly to ensure people’s support and outcomes were monitored. Audits were being carried out, to ensure people received personalised care according to their needs to ensure there was a cycle of improvement and improving outcomes for people. During reviews, care needs were discussed and feedback was sought from people and relatives to improve outcomes.

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

Mental Capacity Assessments (MCA) had been completed to check if people had capacity to make certain decisions about their care. Where people did not have capacity to make specific decisions, then a best interest decision was made with their relatives. Consent had been sought from people as part of these assessments.

Staff had received training on the MCA and told us they would always request people’s consent where possible before doing any tasks. A staff member told us, “I always ask for consent before supporting someone, like with shower I will explain before I provide that support.”