Wildflower Home Care 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 better than expected compared to similar services. People’s feedback described it as exceptional and distinctive.

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.

Following initial assessments of people, the registered manager would check that Wildflower Home Care could meet the person’s needs prior to commencing the care package. The registered manager would also match a staff member with the person which helped people develop close and meaningful relationships with the staff who attended to them. We were told by relatives, “I felt confident they would match (family member) with someone and they absolutely have. She adores them” and “When my [family member name] passed away, they adapted the care package to suit my [family member name] so the transition was seamless.”

Following an assessment of 1 person who lived in a local care home the service was able to deliver effective care and treatment to this person through regular companionship visits. This had resulted in the person being less tearful and more receptive to personal care.

We also read positive reviews from family member’s saying, ‘[Registered manager] took time and care with my parents to find out just what they needed in their home to make life easier’ and ‘After the initial assessments Wildflower have really tailored the care package around my (family member’s) needs and she is a living a much better and safer life because Wildflower’.

Additionally, a relative told us, “I rang 3 different agencies, and I immediately liked the conversation with [registered manager]. I was so impressed. What stands out is the consistency.”

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.

The registered manager and staff worked within nationally recognised guidance to monitor a person’s health. For example, by taking a person’s blood pressure and recording it for their GP to review.

The provider always 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.

The registered manager and staff supported people to access external healthcare services, such as dental or GP appointments. A health professional organisation told us, “We had no issues when we did use this service provider.”

We read an email from the registered manager to 1 family member which read, ‘We will follow up with the nurse visit and the dentist appointment, as well as the prescription delivery. We have also booked a GP appointment’. A relative told us, “I am very happy for them to go with [family member name] to the doctors and in fact [family member] said she would like them to take her to the dentist, so I will organise the next appointment when I know they’re there.” This helped ensure people received seamless care.

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.

The service helped people, through their work with local professionals, to live a more fulfilling life. This included where the service supported 1 person to attend cycling sessions at a local care home which was a previous hobby of theirs. A professional told us, “The Wildflower team ensures excellent communication and handovers which is vital. For example, our team recently noticed a guest was experiencing foot discomfort. This was mentioned to the Wildflower care worker during pick-up and they immediately coordinated the appropriate medical care.”

Staff took responsibility in supporting a person to maintain their health and as such promote their wellbeing. This included where 1 person was supported to do daily exercises and another person who staff had discovered would benefit from a regular foot soak and cream treatment. A relative told us, “I’ve sorted some exercises and there is an area where the staff take her so she can walk her laps regularly.” Another said, “They go above and beyond. She has sore/dry feet and a staff member said, ‘I can soak her feet and put cream on’. She just suggested this herself and it’s really benefitted (family member).” A further relative told us, “Routine is paramount for her and they have a routine. As a result, she’s not deteriorated.”

Staff said they were aware of supporting a person to maintain a good level of health with 1 telling us, “I’m always encouraging fluids. One person wasn’t eating very well, so we used to prepare easy meals for her and heat them up so she could eat them later.”

This was confirmed by professionals, with 1 telling us, “We maintain a strong rapport regarding dietary and nutritional needs, frequently sharing information across teams. For instance, if the Wildflower team has concerns that a client’s intake has been low, they proactively notify us. Conversely, we notify Wildflower or our own observations and concerns. This level of integrated working ensured that the health and wellbeing of our joint clients is monitored consistently throughout the day.”

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.

With the input of staff people’s lives had improved. One person was once again able to have a shower, and another person was walking each day. Other people had seen the benefit from having a regular staff team visit them for companionship. One person had left a review saying, ‘She (staff member) is always kind and caring and we just connect on a deeper level’ and a family member had commented, ‘The team at Wildflower have made such a huge difference to my (family member’s) wellbeing’.

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

Information around people’s consent was recorded in their care plan so staff were aware of whether people could make their own decisions around their care. Where people lacked capacity, the registered manager held information on who had the legal authority to make decisions on the person’s behalf.

Staff completed training in the Mental Capacity Act 2005 to help in their understanding of the legal framework of the act and how it helps to protect vulnerable people. Staff did not carry out care without people’s consent. A relative told us, “[Family member name] told me the other day, ‘I didn’t want a shower, so we did something else instead’.” A staff member said, “I always ask how they would like me to do it (personal care). I am very respectful of their modesty.” A second told us, “I always make sure regardless of capacity I look at clients’ best interest and ensure they are given choice and opportunity of choice by being led by what they want to do.”