Kanssas Home Care Ltd

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 support were effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

Staff involved people, their relatives and the appropriate healthcare professionals when assessing their needs and capturing key information, such as people’s preferences and wishes, their abilities and strengths, and what was important to them. Staff reviewed people’s needs regularly. A relative told us, “The care plan was constructed at the beginning of my relative’s care and reviewed when required.”

The provider planned and delivered people’s care and support 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 worked collaboratively with healthcare professionals and followed their guidance to support safe and effective care. They used a range of recognised assessment tools when assessing and planning people’s care. Care plans included good practice guidance tailored to people’s individual needs. A person received their nutrition, hydration and medicines via a PEG tube (a feeding tube inserted into the stomach). While this was managed by the district nurse, the person’s care plan included clear guidance on the process, outlining staff responsibilities and the signs to monitor that would require escalation.

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 coordinated people’s care effectively, while respecting their wishes, promoting independence and prioritising their best interests. They maintained close working relationships with health and social care professionals and ensured information was clearly communicated across the wider staff team.

Management staff knew people’s individual needs and circumstances and responded swiftly when issues arose, or support needs changed. A health and social care professional wrote, “May I commend the support provided today by [care coordinator] at [person’s] review today, and the gentle manner and approach [care coordinator] has with [person] who also commends his carer. I just wanted to show my appreciation to [care coordinator] and say thank you.”

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.

Staff monitored people’s health and wellbeing needs closely and escalated concerns promptly. We saw evidence of how staff reported concerns to a GP. Care workers had become concerned about a person’s rapid weight gain and eating habits. They reported this to the management team, who made several attempts to escalate the concerns to the person’s GP for support. This showed the responsiveness of the staff team and their dedication to promoting people’s health and wellbeing.

People’s care plans contained clear information about their health and the support they required with eating and drinking. Where people had swallowing difficulties, clear guidance was in place on safe meal preparation to support their safety and good health. A person told us, “I’m happy with the meals and drinks I get from the carers.”

The provider routinely monitored people’s care 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. Where outcomes were less positive, staff worked with the person, their relatives and other professionals to improve them.

The management team used a range of methods to monitor people’s care, including monitoring calls, care reviews and spot checks. Care review records showed how care was adapted to meet people’s changing needs and included clear outcomes. This ensured staff had the right guidance and support. A person told us, “They have a professional approach to my care needs.”

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

People had agreed to their care and support arrangements. During initial assessments, management staff considered people’s mental capacity to make decisions and consulted with them and their representatives. Where people were able to, they signed their care plans to indicate agreement. Where people lacked capacity to make decisions about their care, the provider liaised with their legal representatives and relatives to ensure decisions were made in their best interests.