Home Instead Worthing and Steyning Also known as Home Instead

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.Assessments were completed before care started to ensure people’s needs could be met. Information was gathered from people, their relatives and professionals where needed to build a clear understanding of each person. People's needs were reviewed when their needs or circumstances changed, including following hospital admissions or changes in support needs. Assessment information was used to review care plans, risk assessments and staff guidance to help ensure support remained responsive to people's current needs. Care plans reflected people's needs and gave staff clear guidance on how to support them. One staff member said, "Everything is on the care plan and we always check through."Staff told us changes in people’s needs were communicated through care plans and internal systems, which meant care remained consistent and responsive to people’s needs.

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. Care was delivered and planned in line with people’s individual needs and preferences. People and their relatives told us they were involved in decisions about their care and felt their preferences were respected. Care plans contained relevant information about people’s health conditions, including any specific nutritional requirements. This included guidance on how these should be managed, which supported staff to provide care in line with current good practice. Staff demonstrated an understanding of people’s needs and were able to describe how care was adapted to reflect what was important to each person. Staff worked with external professionals where required to support people’s health and wellbeing. This included seeking guidance and support to ensure care remained appropriate and reflected current standards. Staff told us they would contact relevant professionals if additional support or advice was needed. Processes were in place to review and update care in line with people’s changing needs. This supported staff to deliver care that remained appropriate and in line with current guidance.
 

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 and relatives spoke positively about communication between the service and professionals. Staff described how they worked with health and social care services to ensure care was coordinated and responsive to changes. Information was shared appropriately to support continuity of care and reduce the need for people to repeat their needs. Feedback from professionals supported this. One professional told us, “The quality of professional collaboration has been fantastic.” This showed the provider worked in partnership with others to 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 where possible, reduce their future needs for care and support. One person told us, “Staff always help me get the right support when I am not feeling well.” This showed people felt supported to maintain their health and wellbeing. Staff recognised changes in people’s health and took appropriate action, including contacting relevant professionals where required. This helped to maintain people’s independence and ensure their ongoing wellbeing.
 

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.One relative told us, “They always keep us updated by phone or the app and involve us if anything needs to change.” This showed people experienced positive outcomes and were involved in decisions about their care.

Staff demonstrated awareness of people’s outcomes and described how care was adjusted where needed. This showed the provider monitored care delivery and made changes to support consistent outcomes for people.Systems were in place to review people’s outcomes and monitor whether care continued to achieve positive outcomes and meet people’s needs and expectations. This included regular reviews, feedback from people and relatives, management oversight and adjustments to care planning where needs changed. Staff described how concerns and changes in presentation were escalated appropriately, which supported consistent and responsive care.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People told us staff always asked for consent before providing personal care, which showed their rights and choices were respected. One staff member told us, “I always check with the person before I do anything and explain what I’m doing so they can decide.” Care plans included information about people’s decision-making needs. Where support was required, this was recorded and followed. This ensured people were involved in decisions about their care and their rights were respected.