Holderness Home Care Limited

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.

Pre assessments reviewed demonstrated that people's health conditions, communication needs, mobility, personal care needs, nutritional and hydration requirements, social circumstances and personal preferences had been considered and recorded.

Care plans were detailed, person-centred and provided clear guidance to staff on how care should be delivered. Records reflected people's individual circumstances and identified what was important to them, helping to ensure care was delivered in line with their preferences and desired outcomes.

For example, one care plan reviewed related to a person living with a long-term health condition that impacted on their mobility and daily living activities. The care plan contained detailed guidance regarding personal care, continence support, oral care, meal preparation, and maintaining the person's comfort and wellbeing. This helped to ensure staff understood the person's needs and how support should be provided consistently.

People and relatives told us they were involved in the assessment and care planning process and felt their views were listened to. One person told us, "We were involved in everything." A relative commented, "We are involved in reviewing care plans and our views are listened to."

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.

Staff demonstrated a good understanding of people's health and wellbeing needs and described how they monitored individuals for changes in their condition and escalated concerns appropriately. Daily care records evidenced ongoing monitoring of areas including nutrition, hydration and general wellbeing, supporting the timely identification of any concerns and ensuring people received appropriate care and treatment.

People and their relatives spoke positively about the skills, competence and confidence of staff. One person told us, "All the staff are really good." Another person said, "All staff are confident when helping me and are very competent in providing my care.

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.

Records demonstrated regular communication with healthcare and social care professionals to support positive outcomes for people using the service.

Evidence reviewed showed the service worked collaboratively with external agencies, including Occupational Therapists, General Practitioners (GPs) and Social Services. Information shared with professionals informed care planning, risk management and reviews of care when people's needs changed. This helped to ensure people received timely support and access to appropriate services.

The Registered Manager spoke positively about the importance of partnership working and described how maintaining effective relationships with external professionals supported the delivery of person-centred care. Staff understood the importance of sharing information appropriately and ensuring relevant updates were communicated promptly.

One member of staff told us, "Communication is good. If anything changes, we are told straight away."

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 spoke positively about the support they received and the difference this made to their daily lives. One person told us, "The staff help me to be able to get up. I cannot be too independent due to my health conditions, but the staff help me stay at home with my family." Another person said, "The carers support me with meals and daily living tasks, helping me continue to live safely at home despite my mobility difficulties."

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.

The provider had systems in place to monitor people's outcomes and ensure care and support remained effective in meeting their needs. Daily care records contained detailed information about the support delivered, observations made during visits and any changes in people's health, wellbeing or circumstances. Records demonstrated staff monitored people's comfort, wellbeing and safety during each visit and reported concerns promptly when identified.

Care plans were reviewed regularly and updated to reflect changes in people's needs, preferences and circumstances. This helped to ensure staff had access to accurate information and could continue to provide personalised care that met people's current requirements.

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

People were supported to make decisions about their care and treatment, and their consent was sought and respected. Care records demonstrated people were involved in decisions about their support, with care plans reflecting their preferences, routines and choices.

Records reviewed showed people had agreed to their care arrangements and, where appropriate, consented to information being shared with relevant healthcare professionals. People confirmed they remained involved in decisions about their care. One person told us, "My views are listened to, and I feel involved in decisions about my care."