Casbrook Home Care Limited

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. At our last assessment we rated this key question good. At this assessment the rating has remained 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 was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

The manager had a very clear understanding of the range and scope of needs the service could accommodate. They considered the strengths, capabilities and availability of staff, which ensured they only took on care packages where they could meet peoples identified needs. They had created care rounds for geographical areas. This helped them identify where they had the capacity to take on additional care packages within established care rounds without it impacting on the people already receiving care.

Assessments were carried out prior to care commencing. This included work to identify people’s preferences and routines around their personal care. People told us they were involved in initial care assessments and care plans were reflective of agreements made. Senior staff were in regular contact with people once their care packages commenced. This helped to ensure care was meeting people’s needs and expectations.

The provider planned and delivered people’s care and treatment with them. They did this in line with legislation and current evidence-based good practice and standards.

People told us staff provided effective support around eating and drinking. Care plans detailed the support people required, to promote good nutrition and hydration. Staff told us they ensured people had access to food and drinks outside of scheduled care visits. This helped to ensure people were not solely reliant on staff support.

The provider had an external company to help them develop policies and procedures in line with best practice. These included policies around safeguarding, medicines administration and complaints handling. The policies we reviewed were reflective of requirements.

The provider worked well across teams and services to support people.

The manager followed strict procedures when working with other providers and stakeholders. They told us this was due to the increased risks around, delegation of responsibilities and communication between stakeholders.

Where people had input from other stakeholders, each party’s role was clearly defined and documented. For example, ensuring staff had instructions in reporting and recording concerns to external stakeholders when people’s needs changed. This helped to ensure people received appropriate and timely input from professionals when required.

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.

Peoples’ healthcare needs were documented in their care plans. This included how people’s medical conditions affected their everyday lives and how staff should support them to meet their healthcare needs. People told us staff had provided effective support leading to positive outcomes in relation to their health. This included support regaining mobility after periods of illness, managing their medical conditions and attending medical appointments.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent.

People told us staff were pro-active in monitoring their health, medical conditions and wellbeing. They said they trusted staff to support them to get the help they needed from professionals. For example, during the inspection, a staff member was coordinating with leaders about a person having a possible infection. This helped to ensure they received appropriate medical attention to treat this condition.

There were effective systems in place to monitor and review people’s care needs. For example, senior staff regularly visited people to carry out care visits or reviews. This helped to ensure they had an accurate, up to date picture of how the person was and whether the current care provision was suitable.

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

People or their legally appointed representatives signed care agreements to confirm they consented to the care provided. Staff had a good understanding of The Mental Capacity Act 2005 (MCA). They told us they always assumed people had capacity and asked for their consent each occasion they offered care. One staff member said, “I understand I must assist the clients with the least restrictive option and always assume they have capacity”.Care plans identified where people may have fluctuating capacity around consenting to their care due to ongoing medical conditions. Care plans documented how to work with people to best aid their understanding if they were confused or disorientated. This helped to ensure people were fully involved in making decisions about their care.