Smart Home Visits 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 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 found care records were detailed and reflected people’s individual needs, wishes and preferences. People’s communication needs were clearly recorded in their care plans, helping staff understand how best to communicate them. For example, guidance was provided for a person who was hard of hearing, including how staff should support them with communication. This helped staff provide personalised care.

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. People were involved in decisions about their care and treatment. Feedback from people confirmed they felt involved and listened to. Staff worked in partnership with district nurses and GP’s to identify and escalate concerns, supporting timely access to appropriate healthcare. People at risk of malnutrition had their weight monitored monthly, with care reviewed regularly or following changes in health or circumstances.

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. Staff worked well together and shared information effectively to support people’s care. Good quality care records were in place, providing staff with relevant and up to date information. Team meetings were used to discuss staff well-being, review policies and share positive feedback from people and relatives. Staff told us they worked well as a team and described the culture as positive.

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 maintain and improve their health and well-being. Care plans reflected individual goals, including supporting 1 person with daily exercise as this was important to them. Staff also made timely referrals to external health and care professionals when people’s health declined.

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 care and support had a focus on achieving outcomes important to people. Care plans considered people’s goals, wishes and what they wanted to achieve from their care and support. A relative told us, “We took part in a very thorough assessment of [relative’s] needs and [staff] are supporting with [relatives] wishes to remain at home.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Consent forms were in place and people’s rights were explained, including what they could expect from the service. People’s capacity to make decisions was documented within their care plans, alongside guidance for staff on seeking consent before providing care and support. This helped ensure people were involved in decisions about their care.