Caremark Hammersmith and Fulham

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 assessed people’s needs and choices to plan person-centred care. People and their relatives told us they were involved in this process. The registered manager regularly reviewed people’s care plans to make sure these were up to date.

Staff provided evidence-based care and support. Staff undertook a range of training based on good practice principles and legislation. The provider sourced training and support from healthcare professionals when needed. We received feedback from some of the professionals who provided this training. They explained staff had sought additional guidance and support when they were unsure about treatment or interventions.

Staff completed training to understand about caring for people with a learning disability, autism, dementia, caring for children and effective communication. They told us this was helpful when they supported people. Comments from staff included, “The training has helped me to understand and support people in a person-centred way” and “I have improved my communication skill to help reduce people’s anxiety.”

Staff worked together to ensure people’s needs were met. The registered manager contacted staff to discuss their work. Staff communicated with each other using a messaging application, through phone calls and records of the care they provided. Staff told us there was good communication. Staff attended regular team meetings to discuss the service and best practice.

The registered manager and staff worked with external professionals. A staff member explained about recent contact with a professional. They told us, “[Professional] guided us through what we needed to do. It was helpful and we learnt together.”

Staff supported people to stay healthy. The registered manager assessed and planned for people’s healthcare needs. Staff completed training to understand these. Staff worked with people and their relatives to identify and respond when people’s health declined.

Staff monitored people’s wellbeing. They kept records of the care they had provided and any concerns. The registered manager carried out regular reviews of care. They asked people and their relatives for feedback. They made changes to care when needed. Staff supported people to work towards planned objectives. These included developing skills and independence.

People consented to their care and treatment. During the initial assessment of their needs, the registered manager assessed people’s mental capacity to make decisions. They consulted with the person and their representatives. When people were able to, they had signed agreement to their care plans. For people who lacked the mental capacity to understand and decide about their care, the provider liaised with their legal representatives and relatives to make decisions in their best interests. Relatives told us people were asked to consent to their care. They explained staff offered choices.