Ryedale 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 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 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 had comprehensive and up-to-date care plans which reflected their current needs, preferences, strengths and desired outcomes. Care plans included information about communication, health conditions, mobility, nutrition, medicines, relationships and future wishes, and were reviewed regularly.

Assessments reflected individual communication needs, interests and aspirations. One member of staff told us, "There is enough information to provide safe care and keep ourselves safe." This demonstrated staff had access to the information needed to understand and meet people's needs effectively. 

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.

We found care plans were comprehensive, regularly reviewed and reflected current guidance and professional recommendations. Records included guidance from healthcare professionals, such as speech and language therapists, occupational therapists and GPs, to support safe and effective care.

Care plans were personalised and included information about people's preferences, communication needs, health conditions and desired outcomes.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing assessments of need and relevant information with other professionals involved in their care.

Care records demonstrated effective communication between staff, healthcare professionals and relatives. Care plans included information from GPs, district nurses, speech and language therapists and occupational therapists to ensure staff had access to current information about people's needs.

Staff used electronic care records, communication systems and team meetings to share information about changes in people's health and support needs. A relative told us, "The carers did mention that my wife's legs were stiff and she was in pain when she was being moved so I rang the GP who came out to see her." This demonstrated staff worked with others to identify concerns and support positive outcomes for people.

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 worked with healthcare professionals to help people achieve positive outcomes.

We found care plans contained detailed information about people's health conditions, monitoring requirements and the support needed to maintain their wellbeing.

Care plans included information about communication needs, pain management, mobility and accessing healthcare services. Records demonstrated staff monitored people's wellbeing and acted on concerns to ensure people received appropriate support and treatment when required.

The provider routinely monitored people's care and treatment to continuously improve it. They ensured outcomes were positive and consistent and met both clinical expectations and the expectations of people themselves.

We found the provider had introduced robust monitoring systems, including monthly audits of care records, medicines, risk assessments and daily notes. Audit findings were used to identify improvements, update care plans and monitor actions to completion.

Care records demonstrated people's needs, outcomes and risks were regularly reviewed to ensure care remained appropriate and responsive to changes in their health and wellbeing. This provided assurance that improvements made since the last assessment had been embedded and sustained.

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

Consent to care and treatment was clearly considered and documented within people's care records. Where people lacked capacity, appropriate mental capacity assessments and decision-making records were in place, including involvement from relatives, advocates and court-appointed representatives where required.

Care plans reflected people's ability to make decisions and included information about how staff should support choice and involvement. We identified a minor recording issue where 3 care plans for people with capacity had been signed by the manager. Although there was evidence to support the decision, the provider acknowledged further recording of the rationale and witness verification would strengthen the process. This did not impact on the overall delivery of person-centred care.