Ryedale Homecare

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

Responsive – this means we looked for evidence that the provider met people's needs.

At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good.

This meant people's needs were met through good organisation and delivery.

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 were at the centre of their care and treatment choices and worked in partnership with people to respond to changes in their needs.

Care plans were detailed, person-centred and regularly reviewed. They included information about what was important to people, their preferences, desired outcomes and how staff should support them in a way that reflected their wishes and routines.

Care plans promoted meaningful activities, community involvement and independence. One person told us, "They [staff] take notice of me," demonstrating people felt involved in decisions about their care and support.

The provider understood the diverse health and care needs of people and their local communities, so care was joined-up, flexible and supported choice and continuity.

Care records were comprehensive, regularly reviewed and reflected input from healthcare professionals and partner agencies. Information was shared appropriately to support continuity of care and people had access to support that responded to their changing needs.

People's records included relevant health information, risk assessments, hospital passports and end of life planning documents where required. This helped ensure people received coordinated care and reduced the risk of avoidable disruption when accessing other health and social care services.

The provider supplied appropriate, accurate and up-to-date information in formats tailored to individual needs. People had access to information about their care and support, and staff were provided with clear guidance to deliver consistent care.

Care plans contained detailed information about people's preferences, communication needs, risks and support requirements. Information was regularly reviewed and updated to reflect changes in people's circumstances.

Information was presented in ways which helped staff understand and respond to people’s individual communication needs. The provider had an Accessible Information Standard policy (AIS) and care records included guidance about how people communicated and understood information. AIS is a UK law requiring all organisations providing NHS or publicly funded adult social care to ensure people with disabilities, impairment, or sensory loss get information they can understand and the communication support they need.

The provider made it easy for people to share feedback, raise concerns and be involved in decisions about their care and support. People, relatives and representatives were encouraged to contribute to care planning, reviews and service development.

Care plans evidenced people and those important to them had been involved in reviewing and planning care. The provider also used questionnaires and regular reviews to gather feedback and identify opportunities for improvement.

People were aware of how to raise concerns and felt involved in their care and support

One relative told us, "Well I have never had to make a complaint, but they have shown me a form that I could fill in if I did need to make a complaint."

The provider made sure that people could access the care, support and treatment they needed when they needed it. Staff worked with people, relatives and healthcare professionals to help ensure people's needs were met in a timely way.

People had access to support which reflected their individual needs and circumstances. Care plans included information about health conditions, communication needs and reasonable adjustments, and staff worked with healthcare professionals to ensure people could access services and treatment when required.

Care plans included guidance to support communication, community access and attendance at healthcare appointments. Staff understood people's individual needs and how to support them to access services safely and effectively.

Staff and leaders actively listened to information about people who were more likely to experience inequality in experience or outcomes and tailored care and support in response to this.

Care plans recognised people's protected characteristics, communication needs, health conditions and personal preferences. For people living with dementia and people with a learning disability, care plans provided staff with clear information to support equitable and personalised care.

People were supported to access activities, maintain relationships and participate in their local community. During our visit, we observed people enjoying meaningful interactions with staff and discussing community activities, outings and opportunities that promoted inclusion and quality of life.

People were supported to plan for important life changes, so they could make informed decisions about their future, including at the end of their life.

We found people had detailed future planning and end of life care plans which reflected their wishes, preferences and individual circumstances. These included information about preferred place of care, cultural and spiritual needs, important relationships, funeral arrangements and healthcare decisions.

Where appropriate, plans had been developed with relatives, attorneys and healthcare professionals and were reviewed regularly to ensure they remained relevant. Records demonstrated consideration had been given to how future decisions would be made and communicated in a way that reflected their individual needs and preferences.