Trinity Homecare

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 changed to outstanding.

This meant people’s outcomes were consistently better than expected compared to similar services. People’s feedback described it as exceptional and distinctive.

This service scored 88 (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’s care plans were person centred and included important information about people’s routines and their life histories. People’s communication needs, such as if they wore glasses and / or used a hearing aid was within their care planning information, along with if they used assistive technology. People had a review of their care needs every 3 months or before if needed. The registered manager completed quality assurance reviews of the care plans reviewed. All people felt supported by staff who respected their individual wishes and needs and people told us the service was provided flexibly to them.

The provider offered a flexible service to support care givers. They were able to offer a bespoke service depending on what their individual needs might be. For example, this included supporting with visits, shopping, cleaning or resource information.

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.

The provider delivered highly effective, evidence‑based care and treatment to people that provided them with a consistently good level of care, that regularly exceeded expectations. They used best practice and national guidance to assess and monitor any changes to people’s individual needs. This included providing people and their families with

resource information on their website. This included providing information on different types of health conditions, to providing resource information on certain conditions including dementia, frailty, cancer, Parkinson’s, stroke, palliative and end of life care, and other complex health needs.

People’s needs were assessed and monitored by staff. This included monitoring people’s fluid intake, bowel management, and how the person was presenting to staff. Staff monitored and documented any changes to people’s presentation; they raised any changes with the appropriate professionals and senior managers as required to ensure people got the right care and support and referrals made if needed. For example, 1 person following a change with their mobility had been referred by the service for a review with their mobility. Following their mobility being reviewed they had been issued new walking equipment, and their footwear had also been reviewed. People described the care and support from the service as, “Very good,” “Excellent” and “Amazing and brilliant.” One relative told us, “They are so lovely, kind, caring and extremely respectful.” This relative went on to describe how staff had supported the person in a non-judgemental approach when they had arrived to find the person needing extra support and assistance on their care visit.

The provider was innovative in working with health and social care professionals. They were completing a recipe book seeking input from professionals about the recipes and their nutritional benefits for specific health conditions. People’s care and support plans included reference to best practice outcomes and staff were provided access to information and resources to support them in their roles. For example, the provider had resource information on wellbeing, nutrition and hydration and preventing falls. Although we only received feedback from 1 health and social care professional, the feedback provided was positive. They felt the service supported people and their families very well. They told us, “I am also fully aware that Trinity support family and carers very well, providing them with guidance and education. They are great advocates for the clients with dementia."

The provider always worked well across teams and services to support people. They shared thorough assessments of people’s needs when they moved between different services, so people only needed to tell their story once.

People were supported by staff who liaised and made referrals, so people received care and support that met their individual needs. We were provided examples where referrals had been made for people who could benefit from an assessment by an occupational therapist and dementia service. These referrals were made by the service, and staff had attended when the person had their assessments undertaken. Depending on the outcome of these assessments, care and support could be adapted to meet any changes to the person’s individual care and support needs. People felt able to discuss any changes to their individual needs. One person told us, “They leave it to us. We can always increase (our care) if needed.”

The provider always supported people to manage their health and wellbeing to fully maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

The core ethos of the service was all about supporting people to live a healthy life at home, maintaining their independence for as long as possible. The service had developed wide ranging and strong relationships with external stakeholders to ensure they could provide this support to people. Staff consistently supported people with prompt referrals to ensure they could access specialist assessments and the adapted equipment they needed to maintain their independence. People and their relatives also had access to extensive information the provider had created on their website, aimed at supporting people to live healthier lives. These resources covered a wide range of topics, including preventing frailty and how to live well with dementia. Staff supported people’s health in a holistic way, not only focusing on care, but also thinking about wider support, such as referring people to AGE UK for assistance with financial matters.

The provider tailored people’s care and support in a flexible way to support people’s health and independence, increasing and decreasing support depending on people’s needs. All people and their families described the care and support as above a standard of good. As they felt care was, “Amazing and Brilliant,” and “Excellent.” All staff were very familiar with people’s individual needs and were able to describe to us how they flexibly supported people to ensure they received prompt healthcare advice. Any concerns or changes to people’s individual needs could be accessed by relatives through the provider’s digital system and concerns were raised and reviewed by office staff or senior management if required. The service was proactive in always looking at improved ways of working with health care professionals and the provider was exploring how they could improve people’s care experience by working collaboratively with health professionals through a joined-up digital approach.

Although we only received feedback from 1 health and social care professional, the feedback provided was positive. They told us, “The support provided is good, they go beyond and above to support people.”

The provider monitored all people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they fully met both clinical expectations and the expectations of people themselves.

The provider ensured people were supported with a consistent staff team, who visited people regularly. Staff knew people well and felt able to support people if their needs changed. The service consistently supported people to achieve the best possible outcomes and found innovative ways to improve outcomes when barriers were faced in people’s home environment. For example, the provider supported one person by sourcing a place in the community for them to shower, when they were no longer able to shower at home, this significantly improved the person’s wellbeing and their skin health. Other examples included referring people for equipment that enabled them to mobilise more. Therefore, increasing their independence in between care visits. The service also supported people to access physiotherapy, and that people were supported with any exercise plans by staff during their visits should they need this. People and their families raised with us how grateful they were for the help and support provided by staff. Comments included, “They are really, really good, very caring, understanding, respectful and yes they do promote my independence” and “They do a marvellous job, they ask and I can tell them what I want.” People and their families all felt the support provided to them was flexible and supportive enabling them to remain at home for as long as possible.

People’s health was monitored by staff who documented outcomes for people such as their daily fluid intake, their well-being and other aspects of their daily routines. This enabled staff to identify any changes to people’s individual needs whilst also being able to further support people with referrals and discussions with health professionals. One health care professional told us, “Trinity work very well with our service. They are always willing to learn from us andalmost immediately take action from our advice, keeping us actively informed. If I contact themabout a concern or want their opinion then they will be very responsive.”

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

People had their wishes and choice respected by staff. Care staff gave examples of gaining consent from people and checking with people before they help them. For example, 1 member of staff told us, “We give people choices.” Another member of staff told us, “Ask before doing, we get consent.”

People’s care plans were person centred and explored how people wanted their care and support provided. Care plans were reviewed to ensure they were current and up to date and any changes to people’s care needs were made following these reviews.