My 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 inspection we rated this key question good. At this inspection the key question has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Staff made sure people’s care and treatment was effective by assessing and reviewing their health, care, well-being and communication needs with them. People's needs were holistically assessed over a period of time before they received care from the service. Guidance on how to support people with specific needs was incorporated into ongoing assessment of needs. When needs changed, so did the assessment and the guidance for staff. The registered manager met with people and their relatives before packages of care started to ensure their needs could be met by the service. A relative told us, “At the start we were invited to the office to discuss the care plan with the [registered] manager.”

Staff 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 were developed for each identified care need and staff had guidance on how to meet those needs. Staff applied learning effectively in line with best practice, which led to good outcomes for people and supported a better quality of life. Some people were supported with their nutrition. A relative told us, “Staff help prepare meals, which the family choose, and arrange the protein, and carers cook in the air fryer. They help with the meal preparation, cooking vegetables, using the microwave and air fryer.”

Staff at the service 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 had systems in place for staff to communicate with each other which enabled them to effectively deliver people’s care and support. Staff made timely referrals and worked well with other agencies to ensure people's treatment needs were met. A relative commented, “[Name] is prone to urinary infections, and the carers spotted the sign recently suggesting we should contact the GP which we did and antibiotics were started quickly helping the recovery.”

Staff at the service supported people to live healthier lives and where possible, reduce their future needs for care and support. Records showed people received regular health checks, and that specialist advice had been sought when needed. This included guidance from GP services and the district nursing team for those with additional support needs.” Staff had the knowledge to monitor and identify a deterioration in a person’s health. A relative commented, “When I can’t be here, if staff notice a problem they will arrange for the GP or the district nurse if needed and let us know.” Another relative told us, “Reviews happen on a rolling programme and staff arranged podiatry for [Name].”

Staff routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. Care plans were personalised to ensure outcomes could be met, which meant people received safe and effective support. There was a system of evaluation of risk assessments and people's care plans. However, we discussed with the registered manager the evaluation needed to be more regular. There was evidence of regular reviews and action being taken immediately following any changes to people’s needs. A relative commented, “The family have been involved in the care plan to ensure it is what [Name] needs, and staff do check from time to time that this is still the case.” During reviews, care needs were discussed to improve outcomes. A relative told us, “We have had reviews of the care, sometimes by office staff who fill in at weekends, but the 2 staff in the office are always on the ball with any questions we may ask.”

Staff at the service told people about their rights around consent and respected these when delivering person-centred care and treatment. People’s consent to care and support was respected by staff. A staff member commented, “I always communicate with clients when delivering care, explaining what I am going to do, ensuring they understand, and checking that they feel comfortable and consent to the support.” Care plans contained evidence that consent to care documents had been obtained from people’s legal representatives.