Veemu Healthcare Office

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 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.

The registered manager told us they carried out an assessment of people’s needs prior to the provision of care and records confirmed this. The assessment involved the person and their relatives where appropriate, so it captured what was important to them.

The registered manager told us a review of care plan reviews was carried out on a weekly basis, followed by six monthly reviews and, as and when required to reflect on the changes and support required.

Relatives confirmed both they and their family member were involved in putting together and reviewing the care plan and risk assessment.

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 and relatives were included in the care planning process so their preferences and goals could be met. The provider carried out an assessment of people’s needs before they began to use the service. This meant they were able to plan any resources, such as staff rotas and activities.

The care plan we reviewed clearly provided a good overview about people’s dietary, nutrition and hydration needs including preferences, food allergies and the level of support required.

Policies were in line with national good practice and care was given in a person-centred way, in line with the persons wishes, and they were involved in the care planning process.

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.

The registered manager told us that the person using the service booked their GP appointment, and other healthcare outpatient appointments by themselves. The registered manager maintained an effective communication with the person using the service and their relatives. People and their relatives confirmed this with us. Information was shared with the staff whenever there were changes to people’s care and support.

The staff we spoke with, demonstrated a good awareness of people’s health and medical needs and, how they would respond to these, if people were to become unwell. The staff had access to the information they needed to appropriately assess, plan and deliver people’s care and support.

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 by staff to stay healthy and well in line with their assessed needs. Person’s wishes were documented in their care plans. The care plan we reviewed, clearly highlighted the support the person using the service required and how staff can meet those needs. Relevant risk assessments were completed to mitigate risks. The provider followed best practice in line with the regulatory guidance available. People were involved and assessed to make decisions in relation to manage their health and well-being.

Staff were aware of people’s health diagnosis, dietary requirements, lifestyle, mobility, and spiritual needs. Staff encouraged people to access their local community where this was part of their planned care and support.

The provider did not always routinely monitor people’s care and treatment to continuously improve it. They did not always ensure that outcomes were positive and consistent, or that they met both clinical expectations and the expectations of people themselves.

On our visit, we reviewed the daily log notes completed by the staff on each visit. We found that they were not detailed. They lacked vital information including the type of support provided during personal care and what the person had for their breakfast. The availability of such information like dietary intake can help healthcare professionals to identify themes and trends and recommend further lifestyle changes to maintain independence and live a healthy life.

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

People and relatives told us they were involved in planning their care and support and were able to share their preferences for how they wished to receive care. Consent forms were signed by the relevant individuals. A person told us, “Staff ask me what I want.” Staff we spoke with said they always sought consent before providing care. A staff member told us, “We always seek person’s consent before doing anything. We ask person if they are ready for shower, ready to take their medicine, or whether we can take their bins out etc.”