Holmwood Gardens Domiciliary Care Services

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

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 requires improvement. At this assessment the rating has changed to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 63 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Assessing needs during this assessment. The score for this quality statement is based on the previous rating for Effective.

The service delivers good, evidence‑based care and treatment that reflects current best practice. Staff use up‑to‑date assessments and recognised clinical guidance to ensure support is tailored to each person’s needs. For individuals who present with distress, monthly ABC analyses were completed to review patterns, triggers, and effective responses. This ensured that the strategies applied by staff were grounded in evidence, remain person‑centred, and consistently implemented across the team. As a result, staff were equipped to respond in a calm, informed, and effective manner, promoting improved outcomes and reducing the likelihood of escalation.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

The service had effective systems in place to monitor, review, and improve outcomes for people. Staff used structured assessment tools, regular reviews, and ongoing observation to track progress and identify any emerging needs. Information was analysed to understand trends, evaluate the impact of interventions, and ensure support remains aligned with each person’s personal goals and desired outcomes. Learning from reviews was shared across the team, enabling consistent approaches and timely adjustments to care plans. There had been a noticeable reduction in incidents of distress for people, which meant individuals experienced greater emotional stability, improved day‑to‑day wellbeing, and a reduced potential risk of harm to injuring themselves or others. This proactive approach supported people to achieve positive, meaningful progress and drove continuous improvement in the quality of care delivered. This proactive monitoring supported people to achieve positive, meaningful progress and promoted continuous improvement in the quality of care delivered

We did not look at Consent to care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.