Hope Care Agency

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.

We did not assess all the quality statements within this key question. We did not identify concerns relating to these areas which we judged as being met at our last inspection.
 

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.

People’s communication needs were not sufficiently assessed to maximise the effectiveness of their care and support. Care plans did not always outline each person's communication requirements and abilities. This meant that people were not always able to engage with staff to make sure their needs and wishes were properly understood.

A person with a speech disorder was described as ‘highly unintelligible’ and for staff to disregard their preferences or wishes regarding their care. People’s care plans did not always include information on alternative communication tools and strategies required to meet their needs. This meant the provider was failing to comply with the Accessible Information Standard (AIS), which is a legal requirement for organisations providing NHS care and publicly funded adult social care in England.
Care plans included information on people’s physical health and wellbeing. However, people’s medical histories and allergies were not always recorded. This meant that staff may not have all the necessary information to provide safe and effective care.

The provider reviewed people’s care plans every 3 months. Staff told us they had read and understood people’s care plans to understand how to meet their needs.
People and their relatives told us they were involved as much as possible in the care planning process. A relative commented, ‘’Before we started using the service, the manager came and went through what they would be doing and we all agreed on a plan which we have a copy of.’’ Another relative said, “The care plan was done with me the manager and the social worker before [loved one] started using the service. It is reviewed regularly.”
 

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The MCA requires that, as far as possible, people make their own decisions and are helped to do so when needed. When they lack mental capacity to take particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible.
People can only be deprived of their liberty to receive care and treatment with appropriate legal authority.

We reviewed training record and found that not all staff had received training on mental capacity. This meant that staff may not have the knowledge and understanding to support people with their decision-making, respect people’s choices and recognise restrictive practice.

Care plans showed where people had made decisions about their care. People and their representatives had completed consent forms to confirm they understood and had made an informed decision.