MiHomecare - Finchley

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 79 (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,wellbeingand communication needs with them.

People’s needs were assessed and met. Care plans were detailed, showing the support each personrequired, and were regularly reviewed and updated to ensure care remained effective and tailored to individual needs.

People and their relatives were involved in planning care and making decisions. Staff worked with healthcare professionals and other relevant agencies when needed and held regular team meetings to review care and respond to any changes.

Overall, the provider’s approach to assessing needs was person-centred and inclusive, placing people firmly in control and ensuring their care was designed around what mattered most to them.

Theprovider-maintainedcommunication and involvement with relatives, ensuring care plans reflected people’s preferences. This ensured people received safe, personalised, and effective care. A relative told us “I feel included in my loves one’s care; the care plan is reviewed my loved one is involved and will speak their mind if they are unhappy”

The provider planned and delivered people’s care and treatmentin partnershipwith them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

Staff undertook a range of training to help them perform their role effectively. Staff told us training was helpful, and they felt appropriately skilled and well informed.

Staff used structured assessment frameworks to ensure people’s needs were understood comprehensively, and leaders sought the views of those involved to ensure assessments remained accurate, relevant, and person‑centred. Staff were knowledgeable about people’s individual needs and demonstrated genuine commitment to delivering high‑quality care. People told us staff understood what mattered to them, and staff showed confidence in applying evidence‑based approaches in day‑to‑day practice.

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.

Staff had access to people’s care and support plans to understand people’s needs and deliver their care. People were supported to live a healthylife; staff understood the importance of sharing informationin a timely manner. Staff told us communication within the service was effective and various systems were in place for the staff team to share information appropriately

A member of staff told us, “The communication is good and we have access to care plans and risk assessments in clients houses and the app. This allows us to get all the information we need. These are regularly reviewed and updated.”

All professionals confirmed the provider worked well with them and shared information appropriately.

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.

A system was in place to helpmonitorpeople’s health and well-being. Staff recorded their visits and the support they provided. Management used these notes to helpmonitorpeople’s progress.

Staff were knowledgeable about people’s health and care needs. Where peoplerequiredassistancewith food and drink, guidance was in place.A person said,“They come to the G.P and Hospital appointments with us as well.”

The provider routinely monitored people’s care and treatment to ensure it remained effective and continued to meet their needs. Systems were in place to review care regularly, identify any changes, and make adjustments to support positive and consistent outcomes for people.

The provider demonstrated a person-centred approach, ensuring individuals remained central to decisions about their care. People and their relatives told us that staff understood their needs, reviewed them regularly, and responded promptly when any changes occurred. This helped ensure people continued to receive care that aligned with their preferences and supported their wellbeing.

Feedback from people and their families was positive. Several described meaningful improvements in wellbeing linked to the support provided and spoke warmly about the caring attitudes of staff. Relatives told us regular staff provided consistent and reliable care.

Examples of improved outcomes included a person who had experienced multiple significant traumas throughout her life. These experiences had contributed to high levels of anger, mistrust, and emotional distress.

Their care worker used a trauma‑informed approach, trust was built gradually through consistent, respectful, and non‑judgemental engagement. The service user felt safe enough to share her history at her own pace. This relationship helped restore her sense of dignity and control and independence. Another example was a person who has experienced significant bereavement following the loss of her husband, which has contributed to feelings of loneliness, low mood, and reduced community engagement. Walking outdoors was previously an important shared activity for the person and her husband, and this was used to inform a person-centred intervention. They were supported to attend Primrose Hill, a location of strong emotional significance to her.

Another example was a service user who had previously refused to leave their home for over 3 years and was now attending a day centre weekly, supported by a care worker trained to deliver relational, strengths-based support. These examples reflected the provider’s ability to work effectively with individuals to promote independence and enable positive outcomes within the community.

Where people had set long term goals and aspirations, a plan was put in place detailing the steps required to support them to be successful

The provider demonstrated good oversight of people’s care. With key information documented clearly. Sharing where appropriate, and escalating any concerns to healthcare professionals, to ensure individuals received timely and appropriate interventions.

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

People were supported to consent to their care as much as possible. They were involved in developing their own careplans,so these reflected the support they wanted.

Staff understood the importance of seeking people’s consent before each care task and were clear about the steps to take if a person lacked capacity to make specific decisions.Amember of staff told us, “I always ask before doing anything.”

Systems and processes were in place to obtain and record people’s consent to care and support. The service had a Mental Capacity Act (MCA) policy in place, and staff had received training in relation to the MCA. MCA assessments had been completed where appropriate to determine whether people had the capacity to make specific decisions

People raised no concernsregardinghow staff sought consent.