Reliance Community Care Limited Bradford

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.
People’s care needs were assessed comprehensively prior to the commencement of their care packages. Thorough pre-assessment processes ensured that care was tailored to meet individual needs from the outset. Care needs were continually reviewed and updated throughout people’s time with Reliance Community Care.
Care records were subject to regular monthly reviews to ensure they remained accurate and reflective of people's current needs. In addition, reviews were promptly carried out following key events such as admission to hospital, ensuring care plans remained responsive and relevant.
There was clear evidence of ongoing and proactive updates to care documentation in response to changes in people’s health and wellbeing.
 

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.
Clear guidance was provided to staff on identifying early signs of health deterioration, with protocols in place for timely reporting and escalation. Staff were able to explain with confidence how they followed this guidance.
Care plans demonstrated meaningful involvement of people in their development, reflecting both clinical needs and personal preferences. These plans were detailed and person-centred, ensuring that support was aligned with individuals’ health requirements as well as their personal goals and wishes.
Relatives consistently told us that staff were attentive and responsive. One family member said, “Staff always make sure [person] has plenty to drink and that their meals are prepared exactly how they like them.” This feedback supported evidence that staff delivered care in a way that was both safe and respectful of people’s preferences.

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.

There was clear evidence of effective partnership working between Reliance Community Care and external professionals. Records showed that staff worked collaboratively with healthcare partners to complete pre-assessments, ensuring that care packages were safe, appropriate, and well-informed from the outset.

Regular contact was maintained with GPs and pharmacies, supporting safe and consistent care, particularly in relation to medication management and treatment planning. Strong working relationships were also in place with hospital discharge teams, helping to ensure smooth transitions for people returning home after a hospital stay.

We saw evidence of referrals to occupational therapists, with completed documentation demonstrating timely action to secure equipment and adaptations to support people’s independence and safety at home.

Communication within the staff team was also effective. Staff told us they felt well-informed and supported, and spoke positively about the communication systems in place, including handovers and regular updates. This supported consistent, joined-up care across the service.

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 while maintaining as much control and independence as possible. Detailed, person-centred care plans helped ensure that support was tailored to each individual’s assessed needs, preferences, and goals. Staff provided encouragement and practical assistance to help people make healthy lifestyle choices and maintain their wellbeing.
People told us they felt in control of their daily routines and decisions. One person said, “Staff help me stay healthy, but I still make my own choices,” with a relative informing us, “They always ask [person] what they want and allow them time to choose and make decisions.” Others shared that staff encouraged balanced nutrition, regular hydration, and supported them in accessing healthcare when needed.
 

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.
The service had effective systems in place to monitor and improve outcomes for people using the service. Care plans, risk assessments and some clinical monitoring tools were reviewed regularly to ensure they continued to meet people's needs and reflected any changes in health, preferences, or circumstances.
People were involved in decisions about their care and treatment, and their experiences of care was monitored on an ongoing basis. The registered manager carried out regular reviews to ensure staff were meeting both the clinical and personal expectations of individuals.
When people were admitted to hospital, there was evidence of collaborative working with health professionals which ensured the provider was fully informed of any changes in medication or support needs, and that care could be adjusted accordingly.
 

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.
People received care and support with their consent. People and their relatives confirmed they had given informed consent prior to the commencement of care packages. People told us that staff consistently sought their permission before carrying out any care tasks, ensuring their rights and choices were respected.
Staff demonstrated a clear understanding of the principles of consent. They provided several examples of how they gained consent in practice, including verbal agreement and checking for non-verbal cues. Staff were also confident in explaining how they would respond appropriately and respectfully if a person declined support, ensuring that decisions were always respected while maintaining safety.