Joy2care

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 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 provider had a thorough pre-commencement assessment process in place to ensure they were aware of people’s needs and how to support them safely and effectively.

A health care professional told us, staff appear committed to support individuals in a person-centred way and demonstrate a willingness to engage with professionals. The overall approach reflected an understanding of the needs of the people they supported and evidenced efforts to promote safety and wellbeing. A health care professional told us that “pre-assessment processes, these have been completed in a timely and organised manner.”

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’s care plans were personalised and provided staff information on what was important to them.

The registered manager was passionate about hydration and emphasised its importance to staff. As part of the spot check process staff were monitored to see if they provided and encouraged fluids.

The provider worked well across teams and services to support people. Staff spoke positively about teamwork and the support they received from each other.

A healthcare professional that worked with the service has told us, “Communication from staff is generally good. They are responsive when contacted and provide updates when required. There is a clear willingness to liaise with other professionals and share information. Communication is always proactive, particularly in ensuring that all relevant parties are kept informed of changes or emerging concerns at the earliest opportunity.”

Another said, “I have been impressed by the quality of care and attention to detail that they have delivered.Communication is good and we have a positive working relationship.Joy2Care are delivering a very bespoke service and their management are open to suggestion as to how this should be delivered.”

The provider supported people to manage their health and wellbeing in a way that promoted independence, choice and control. Staff were encouraged to support people to maintain healthier lifestyles and, where appropriate, reduce the need for more intensive care and support.

Care plans included clear, person-centred guidance for staff on how to encourage and support individuals to make healthier choices, tailored to their specific needs and preferences.

Feedback from external professionals was positive. One healthcare professional told us, “Guidance and recommendations are generally followed by staff, and there is a clear intention to implement advice given. In most situations, this is reflected in practice.”

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.

Where possible, people were supported by a small, consistent team of care staff. This helped to ensure continuity of care and meant staff were familiar with people’s usual presentation. This enabled them to identify and respond promptly to any changes. Staff demonstrated an understanding of their responsibilities in monitoring wellbeing. One member of staff told us, “I’d identify deterioration in a person’s health by noticing any changes in their usual self, behaviour, mobility, mood and wellbeing. If I have any concerns, I’d report it to the office or my manager straight away and record them on the app so action can be taken.”

However, we identified some gaps in records, as not all care interventions were consistently documented, for example, repositioning. This meant oversight of some aspects of care was limited. The provider responded promptly to this feedback and took immediate action to reinforce expectations with staff and improve recording practices.

The provider ensured people were informed about their rights in relation to consent and these were respected when delivering person-centred care and treatment.

Care plans clearly emphasised the importance of gaining consent and provided guidance to staff on how to support people to make their own decisions. Staff demonstrated they understood this in practice. One member of staff told us, “I support [people] to make their own decisions, never assume they lack capacity,” and another said, “I encourage independence, ensure [people] are aware of what I am doing, gaining their consent.”