Raynsford Domiciliary Care

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, relatives and others involved in their care had been actively involved in assessments of their needs carried out by the registered manager prior to admission. People’s choices and preferences had been used to inform their support needs. People had been given several opportunities to visit the supported living house and meet other tenants before moving into the service.

Care plans were detailed and focused on people’s health and social needs and what was important to them.
 

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 and staff had invested time into supporting people to transition from living in a care home into a supported living house. People were empowered to lead fulfilled lives of their choosing and foster stronger connections in the community. Through training and discussions, staff assisted people with daily living tasks, promoted their independence, and worked closely with people to reach their potential and achieve their personal goals and wishes. For example, people were supported to plan, shop and cook meals of their choice. People told us they enjoyed and participated in voluntary, educational and various social and leisure opportunities.
 

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

People were supported by staff who worked well-together and communicated well with other external health and social care professionals and bodies. Their approach helped to ensure there was a joined up and consistent approach to delivering safe and effective care to people in line with their individually assessed needs and preferences. Health and social care professionals recommendations informed people’s care plans, such as the dietary requirements of people who experienced swallowing difficulties.
 

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 by staff to stay healthy and well in line with their assessed needs and wishes. For example, people’s nutrition and hydration needs were met. We observed people being involved in meal and drink preparation when they chose. People were encouraged to make healthier choices about the meals and snacks they ate. Staff were aware of people’s food likes/dislikes and those who required a specialised diet.

We saw evidence of routine and specialist appointments being recorded. Easy read information was available to help people understand the purpose of their appointments, such as easy read health screening leaflets.

People were assisted in recognising and managing their personal health risks and the potential negative effects of unwise decisions on their well-being. For example, one person explained they had been diagnosed with diabetes and staff had helped them understand the implications of diabetes and what they should eat to minimise the risk. They explained they had lost weight because of eating a healthier diet.
 

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent, and they met both clinical expectations and the expectations of people themselves.

People experienced positive outcomes from the care and support provided by staff. We heard examples from people, their relatives and staff about how support had helped people achieve their potential and pursue healthier lifestyles. For example, people had been supported to make choices about their lifestyles and interests such as swimming, going on trips and meeting up with their families. It was evident from our observations and feedback from people, that staff consistently worked with them to help achieve positive outcomes, such as increasing their levels of independence.
 

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People received information about care and support in a way they could understand and have appropriate support and time to make decisions.

We observed and people told us, they were given choices about how they wished to be supported to live their daily lives.

Records showed, the principles of the Mental Capacity Act 2005 (MCA) had been applied and recorded in relation to specific decisions relating to a range of aspects of people’s care and in their best interests. We found mental capacity assessments were comprehensive; however, the records of best interest decision outcomes for some people needed more detail.

Staff confirmed they had received MCA and Deprivation of Liberty Safeguards (DOLs) training. Staff understood the importance of ensuring that people fully understood what they are consenting to and the importance of obtaining consent before they delivered care or support.