Neways at Home Weymouth

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 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.

Assessments were completed of needs with people prior to service delivery commencing. These took place either in the persons home or in a hospital setting. If the provider could meet the persons needs a care plan was devised and adapted as more was learnt about the person.

Assessments and care plans were reviewed each month and adjusted as necessary. A wide range of areas including personal care, premises and housekeeping needs were assessed and mitigated to meet a person’s required needs.

The provider ensured people and with consent, their relatives, were involved in assessments and care planning to make sure they were person centred and met people’s needs in their preferred way.

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 provider made referrals in line with good practice guidance when needed. For example, if a person had significant unplanned weight loss, or experienced difficulties in swallowing, they would refer to a GP who could make appropriate referrals on to speech and language therapy (SaLT) or dieticians. Skin integrity was assessed using best practice assessments and concerns raised with GP’s or district nurses as needed. Staff training was up to date and reflected current good practice and standards.

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 provider had positive relationships with local health and social care professionals and worked with them to provide a quality, joined up service to people. If people were admitted to hospital or to a residential care home, the provider was open to sharing assessments and care plans with the new service to enable a smooth transition for the person. Additionally, information was shared between team members should a person’s needs change to ensure they would not have to tell different staff as they arrived.
A relative told us, “They are a well-trained group. I know that the nurse is really happy with the way that they keep the PEG clean – they do their very best, which is excellent."

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 provider ensured people were supported to access healthcare services as needed. They were able to support people to appointments and be present should they need additional support.
Training was available to staff about various health conditions, and the registered manager told us they would source additional training should a person be living with a condition they were not familiar with. Information about individuals’ health conditions was available within their care records; however, additional documentation relating to visits by healthcare professionals needed to be recorded.

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.

Regular reviews of care records were completed by the management team. Care notes were reviewed to ensure people were receiving their support as per care plans and to monitor people’s well-being and make referrals on to healthcare professionals should this be necessary.

Regular reviews of care plans were completed, both with the person and their relatives and by the provider. This ensured plans were effective in meeting people’s needs and remained current.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. However, principles of the Mental Capacity Act (MCA) were not always followed in line with the MCA assessment process. Record keeping around consent was inconsistent.

Information such as copies of lasting powers of attorney (LPA) were not always in people’s care records and we found some MCA assessments had not been completed, particularly when a person had an LPA in place.

The provider has since worked with social care professionals to establish if a person required a community DoLS and have booked staff on to level 3 training around MCA to improve staff knowledge and understanding.

However, people and their relatives assured us they were consistently asked for their consent before care was delivered reducing the impact of the above shortfalls.