Divine Intervention Home Care 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 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.

The provider worked with people, relatives and professionals to ensure needs were assessed, understood and regularly reviewed. People had detailed risk assessments and care plans which were updated when their needs changed. This included referrals to occupational therapists and the district nursing team.

Relatives told us they were involved in assessments of their loved ones needs. A relative told us, “They contact me with any updates, including small changes. It keeps me informed and helps me feel more involved. All changes are agreed and then reviewed again at the next review meeting.”

These assessments informed personalised care plans that accurately reflected people’s current needs, preferences and health conditions. However, the health conditions were generic and not personalised to the individual. The provider took this feedback and started making changes to the health conditions area on the care plans to make them personalised to the individual, including symptoms and how they’re affected by the condition.

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.

There was clear evidence people’s wishes and preferences were consistently documented within their care plans. These records captured how each person preferred to receive care. The documentation included personal preferences such as chosen foods, hobbies and preferred social interests. The detail in the care plans showed the provider was actively working to deliver care in line with Right Support, Right Care, Right Culture (RSRCRC).

A relative told us, “They include [person] in all decisions to make sure the care is about [person], it makes such a big difference to [persons] mood each day”.

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.

Staff reported they had access to the information they needed to support people and were kept informed of any changes in people’s needs, this included access to the previous care workers notes. Staff worked alongside family members to support them and share information regarding their wellbeing.

Staff reported if “anything out of the ordinary happened”, they would report it through to the office.

On-call staff had access to people’s care records and were able to ensure information was passed onto staff where appropriate.

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.

People’s health needs were consistently reviewed, with suitable support in place to address any changes promptly. Individuals were supported to attend healthcare services, including both routine and specialist appointments.

Staff also supported people to maintain a balanced diet and adequate hydration, actively encouraging healthy lifestyle choices. This was well documented in the persons notes, recorded by staff.

The provider routinely monitored people’s care and treatment 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.

Support was regularly reviewed to ensure it remained effective and responsive to people’s changing needs. People’s goals and aspirations were clearly identified, planned for, and embedded within support plans. Progress towards these outcomes was consistently monitored, with adjustments made where required to improve effectiveness.

One person told us the provider had suggested changes to their care plan to help them achieve new goals set out by the person and updated their care plans on multiple occasions to reflect the progression made.

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

Staff understood the principles of the Mental Capacity Act 2005 (MCA) and applied them appropriately. Staff could clearly explain how they assessed people’s mental capacity, sought consent and involved the manager if relatives or professionals were required when best interest decisions were needed.

Relatives told us staff respected their loved one’s choices, with 1 saying, “Staff always ask permission before carrying out care tasks, give [person] choices in how they receive their care and make sure they’re satisfied before they finish. There are always meal choices offered by the staff when I’m not there, and [Person] has a great routine, and the staff support them really well.”