Catto Homecare

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.

Care plans were person centred and contained information covering their likes and dislikes and a summary of daily routines, including how the person would like the care to be carried out. One person told us, “Oh yes. They have time for me. They are interested in my needs. [Registered manager] is very knowledgeable.” Care plans were based on assessment and were well written and clear. Information seen in care plans indicated that people were supported to access healthcare services and professionals.

The provider planned and delivered people’s care and treatment with them, including what was important to them. They did this in line with legislation and current evidence-based good practice and standards. Care records reflected people's care and support needs and included their like and dislikes regarding care and dietary requirements. The service made timely and appropriate referrals for specialist support from other professionals such as the GP or district nursing team. Care plans had been written including guidance from professionals to help ensure people’s needs were 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 had regular involvement with other professionals such as social workers from the local authority to ensure that the person had the correct level of support. We also found evidence of regular conversations between the provider and other professionals to ensure the best outcome for the person.

Professionals reported good communication to meet the needs of people. For example, one professional told us, “Catto Homecare follows up all healthcare requests and ongoing health care support. They will update me if there are any changes and I know they are in regular contact with families and GP.” Another professional said, “When I have contact with [Registered manager] at Catto Care, [they are] very passionate and caring in their work. I find [Registered manager] extremely responsive, and I have no problems discussing the best outcomes for care, health and patient preferences. [Registered manager] will do joint visits with staff to support when necessary. [Registered manager] has a good understanding of patients and this is a benefit.”

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.

We asked people if staff supported them to be as independent as possible. One person told us, “They make sure I do as much of it myself as I can. They always ask me what I would like to wear to ensure that I make the choice.”

The management team undertook spot checks of all staff, which included ensuring that staff were treating people with dignity and supporting people with their independence.

The provider 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. The use of an electronic monitoring system allowed the senior staff team to monitor care in real time. There was an option to create reports showing call times, when care plans were last updated, and concerns staff had added to the system

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 mental capacity assessments had been completed with people and others involved in their care. Where people could not make decisions and consent to their care, robust processes were in place to make sure any decisions would be made in their best interests, involving all the relevant persons. Staff understood people’s capacity to make decisions about their care and support using people’s preferred method of communication including through people’s non-verbal communication.