Individual Homecare 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

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.

People and relatives felt involved in their care and support and told us they had an initial assessment prior to using the service. One person shared, “They listened to what my needs were and now I have a care plan which suits me.”

People’s specific needs were detailed in their care plans, including guidance on how these were to be met. For example, where relevant to them, people had detailed care plan sections in relation to any food and nutrition support required from staff during their care visits.
 

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

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.

People were supported by the registered manager and staff who worked well together to communicate any changes to people’s care packages. We saw confirmation of this with feedback from external health and social care professionals. One professional shared, “The registered manager maintained regular communication, providing updates as required and responding promptly when any guidance or support was needed.”

The registered manager had systems in place to make sure information was shared in a timely manner by everyone involved in people’s care. Care notes were quality checked by the registered manager.
 

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 were encouraged and supported to make decisions about their own care needs by staff who understood their care needs and preferences.

Staff encouraged and supported people to make healthier choices to help promote and maintain their health and wellbeing but were also mindful that the person had the final say on decisions relating to their care. Staff regularly monitored people’s health and supported people to access external primary healthcare support from GP’s or community nursing when needed.
 

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

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

Staff encouraged people to make decisions about aspects of their daily routines, and staff ensured they always obtained consent from the person before supporting them with personal care. We saw people had consent documents in place when required to consent to specific decisions about their care. Where people were unable to meaningfully consent, considerations, discussions and appropriate best interest decisions were made and recorded in their care plans.