Naveed Medicare Ltd Hampshire

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 71 (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. This included initial assessments of people’s needs prior to care packages commencing as well as reviews of people’s care at agreed intervals or when people’s needs changed. This helped to ensure care plans and assessments were kept current and reflective of people’s needs. The registered manager informed us after completing the first assessment they carried out another assessment within 14 days to ensure it was accurate and that people were happy with their care and support. Another review was completed after 3 months to ensure the care provided met people’s assessed needs.

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. Senior staff conducted competency assessments to ensure staff were following best practice and the advice provided by relevant health professionals. One person told us, the care team, "Go over and beyond" and that, “They arrive on time and that they help her with her medication.”

However, records did not always evidence best practice guidance in relation to falls, diabetes and risks with topical creams. These needed to be more comprehensive to ensure information provided to staff always guided them to provide care in accordance with national guidance. The registered manager assured us they had taken this learning on board and were making improvements to records to ensure national guidance was being followed.

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. Records showed the service worked closely with many health professionals, including social workers, occupational therapists, community nurses and doctors. One professional told us, “Their partnership has been excellent. The individual has formed a positive relationship with one of the staff members, which has significantly improved engagement.’’ This meant the person was more comfortable to engage with staff and professionals and be actively involved in their care.

The registered manager told us how they worked closely with health professionals and the local authority ensuring they took advice to keep people safe living at home.

The provider always supported people to manage their health and wellbeing to fully 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’s healthcare needs were identified in their care plans. This included the level of support they needed to maintain good health. People and their relatives were confident staff were responsive to changes in needs and took appropriate action. Senior staff shared examples where they had recognised people’s needs had changed and their care needed adjusting.

Changes in people’s healthcare needs were communicated effectively with staff via the electronic care planning system, which enabled updates and key changes to be shared promptly. Where people had specific health conditions, staff had training in line with these conditions and the clinical lead worked closely with people, their families and other healthcare professionals to ensure people were supported to manage their conditions safely and as they wanted to. This helped to ensure positive outcomes for people and ensured staff had a good understanding of people’s healthcare needs and how to respond appropriately when their needs changed.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. Staff recorded details of the care and support provided during each care visit. Senior staff monitored these to confirm people’s needs were being met. The registered manager told us how they noticed from reviewing records that a person was not drinking enough. They worked with them to make improvements and informed staff to encourage people to drink plenty of fluids and record this on their electronic care system so it would be monitored for improvements. One relative told us, “It's an excellent service, we have regular reviews. They're really flexible too.” They said, if she needs to change the time of a care call "it's never a problem".

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. There were policies and procedures in place to ensure valid consent to care was obtained. People told us staff sought their consent before delivering care. Staff had a good knowledge around the Mental Capacity Act 2005 (MCA) and how to practically apply this in their everyday roles. Where people had appointed a power of attorney, the provider ensured this legal authority to act on a person’s behalf was verified. This helped to ensure the provider was following the correct procedures around gaining consent to care.