Pleasant Home Healthcare 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 79 (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.
The provider carried out a comprehensive assessment of needs when people were referred to them. They made sure people and their families were involved in planning care and that people remained at the centre of this. Frequent assessments were carried out by the registered manager to monitor people’s progress and make referrals to health professionals when required.
The provider ensured as people’s needs changed, they were assessed for the equipment they would need which helped to keep them safe as well as maintaining their independence.
 

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.
The provider had a good understanding of the range of equipment available to assist the client group they offered support to. For example, they told us how they had supported people to access assistive technology that helped keep people with dementia and those at risk of falling safe in their homes. They told us they were also able to acquire other equipment such as walking aids and devices to help with moving and repositioning people which kept people safe as well as comfortable.
Staff received training in best practices in supporting people with a range of needs associated with older people’s care. These included, dementia training, moving and positioning and training to care for people at the end of their lives.
 

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 told us about a single access point within the local community health team used to make referrals for a range of professionals they might need help from. Through their long-established relationships with other professionals, they were able to use the referral point to ensure people received timely medical interventions when required.
At the time of our assessment the provider was introducing a new system for increased monitoring around what people ate and drank. This tool was additional to systems already in place and was designed to raise greater awareness to make sure people received the food and fluids and for staff to be acutely aware of any changes in what people had.
 

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.
As part of the care and support delivered, staff involved people in a range of activities to keep them engaged. One staff member told us how they supported a person with dementia to go for short walks to a local park. The staff member told us, “We go to the park near to where the person has lived for many years. This helps them get a bit of exercise and keeps them physically active. It also helps them remember quite a lot too. They tell stories of when they used to visit the park with their children and it certainly brings back happy memories for them.”
Staff support people to prepare their food or heat food pre-prepared by their families. Staff told us they make sure people eat well and discuss any concerns about people not eating and drinking with their manager.
 

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent and met people’s expectations. People’s health was monitored and staff kept records of people’s health and wellbeing.
Staff had a good knowledge of the people they supported and liaised with people’s families and health professionals over any concerns they had. Staff worked alongside health professional’s recommendations to improve health and achieve good outcomes. For example, a staff member told us about a person they supported who required a diet that was modified which helped them eat their food safely and minimised the risk of choking.
 

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.
The provider involved people in agreeing their care. The provider also sought where appropriate the thoughts of people’s families which was done with an aim to make them feel included. We saw care plans which had been agreed and signed by people. There were mental capacity assessments in place to assess people’s ability to make decisions about their care and where people lacked capacity, there was clear evidence that families and professionals were involved in decision making.