Warrington Borough Council Intermediate Care at Home

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 and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. People were involved in the planning of their care, support and reablement.

The service continued to work with other statutory services to further develop assessment processes to meet the needs of people. For example, people being discharged from hospital had their needs assessed and care plans in place prior to being discharged. Regular reviews took place between people and staff to ensure their care and reablement needs were being met.

Staff understood the importance of continual monitoring and assessment of people’s needs as part of their reablement journey. Staff explained that recent changes had been made within the service to ensure there was a clear criteria for using the service. This was to avoid the service not providing care to people when staff do not have the knowledge and awareness to meet people's needs safely.

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. Where required, people’s assessed needs and care plans contained information around specific needs. This was done with the involvement of other statutory agencies linked to the service assessing and advising on best practice. For example, Occupational therapy and Physiotherapy

One family member explained that following their relative’s referral to the service, other health care professionals, for example, an occupational therapist and district nurse were brought in to ensure that all needs could be met.

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 service was undergoing a period of change which involved improvements to liaison around people’s needs were assessed and arrangements made for care delivery. These changes included staff meeting with people prior to discharge from hospital to plan the reablement support for when they returned to their home; changes to staff working rotas and, following a review of care planning documents as part of this assessment process, changes to a more person-centred care planning approach.

Information about people’s needs; wishes and reablement plans was shared with other statutory agencies involved in their recovery journey.

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’s needs were assessed and a plan for a short period of reablement was developed. This often-included additional support from other health care professionals. Following the period of reablement, if required, alternative services were identified to continue to support people.

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. Monitoring systems were in place to review people’s needs and wishes. For example, one person told us staff monitor their skin twice daily to see if there are any changes. Changes were made to the care and support people received as their reablement pathway progressed.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Systems were in place to ensure people’s rights under the Mental Capacity Act were acknowledged. People were involved in the assessment of their needs and planning of their care.