Everycare (Isle of Wight)

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. A person said, “Someone came to do an assessment at my place.” Another person told us, “They found out (needs) when I came out of hospital 2 years ago. At first I had more visits but they are now reduced to 2 a day. Changes were discussed with me and I said what I wanted.” Prior to care commencing a senior staff member undertook a comprehensive assessment with the person, their family members and any professionals involved in their care. Assessments considered all aspects of the person such as life and medical history, current medical needs, medication and personal care needs. Risk assessments were then completed and care plans developed to meet identified needs.

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. Care plans and records of care provided reflected current legislation and best practice guidance. Care plans included information as to who was responsible for providing people with meals and reminders to leave additional drinks where appropriate. A person told us, “The carer gives me a straw and makes sure I get plenty to drink.” A family member said, “They [care staff] make sure they [person] eat, the staff prepare snacks and meals.”

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 registered manager and office staff understood how to seek support from health and social care staff when required. Care staff said they were able to access up to date information about people via an electronic app on phones and that they also received phone calls or could phone office staff or on call and got a good response. External health and social care professionals were very positive about the contact with office staff and the registered manager. For example, an external professional told us, “Any concerns or issues with an existing package are brought to our attention immediately for assistance in resolving the situation.” Whilst another external professional said, “The registered manager always responds promptly to any queries/safeguarding concerns and provides thorough responses including speaking with the carers and people who receive support.”

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. Care plans included information about people’s medication and past medical history. Care staff confirmed they had received relevant training such as for diabetes, catheter care and mental health and understood what actions they should take if a person’s health needs changed such as indications of a stroke or urine infection. Daily notes for a person detailed staff advising them to drink more. A person told us how staff support had helped improve their mental and physical health and reduce their risk of infection. Office staff were aware of how to access health and social care staff should there be a need.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that people’s outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. Care staff and the management team monitored people’s support and care to ensure this continued to meet their needs. Care staff told us they would call the office or on call if they identified any changes in a person’s needs or a possible new need and were confident office staff would take appropriate action. A family member told us, “I asked them to check for sores, they use barrier creams. They are really good at it. They let me know.” A person said, “She (carer) has in the past called a doctor and I went to Hospital. She let my daughter know.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. The registered manager, office and care staff understood their responsibilities in relation to mental capacity and consent and confirmed they had received training in relation to this. Information about people’s ability to make decisions about the care they were receiving was included within assessments. Care staff confirmed they would always seek consent before providing care. A person told us, “They [care staff] ask permission.” A family member said, “They do ask permission. They will say are you ready for a walk or shower.” Care records reviewed showed that where people declined offered care this was respected by care staff.