My Homecare Redbridge

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.

During our last inspection we found the service was in breach of regulation 9 (Person centred care) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 as robust pre assessment system was not in place to determine if people could be supported safely as we found a person did not have a care plan in place.

During this assessment, we found improvements had been made and the service was no longer in breach in this area.

A pre-assessment form was in place to determine if the service could support people’s needs safely and effectively through capturing key information on support needs and risks. People had care plans, which was detailed and informative on people’s care and support.

The nominated individual and staff told us that people’s needs were assessed regularly to ensure they always received personalised care. Records showed the service assessed people’s needs regularly to ensure the care they received reflected their needs and were personalised. There were information on people’s goals, what was going well and areas that were difficult to people.

People received evidence-based care and treatment. The management team and staff told us people's care was based around what was important to them and according to their preferences to ensure evidence-based care and treatment could be delivered.

Care plans included the support people required with care and treatment. Feedback was sought from people, relatives and staff through meetings and reviews to ensure evidence-based care and treatment was delivered. At our last inspection, we found the service did not capture people’s nutritional needs. At this assessment, we found robust nutritional assessments had been completed, which captured people’s preferences and support needs with nutrition. Records were also kept on delivering care in this area.

Relatives were positive about the care provided. A relative told us, “All working well and carers are well. Some carers go above and beyond.”

The service worked in partnership with other agencies such as health and social professionals if people were not well, to ensure people were in the best of health.

Daily notes were completed after care was delivered to people, which included tasks completed and wellbeing of people to ensure continuity of care.

Staff told us they worked well with each other and external services and were supported by management. A staff member told us, " We write notes (on tasks completed and persons wellbeing) for the next carer on the appointment so next carer knows what is happening.”

People were supported to live healthier lives. The service carried out assessments on people’s care and health to ensure they could be supported to live healthier lives. Record also showed the service worked with professionals to ensure people lived healthier lives.

The management team and staff told us that people were always supported to live healthier lives. This included encouraging a balanced diet and promoting independence. Care plans also included to support people with independent living. A staff member told us, "I encourage service users to do as much as they can.”

People's care and treatment was being monitored to improve outcomes. Care plans were personalised to ensure outcomes could be met in ensuring people received safe and effective support. Reviews were carried out regularly to ensure people’s support and outcomes were monitored. Audits were being carried out and action plans were in place to ensure people received personalised care according to their needs to ensure there was a cycle of improvement and improving outcomes for people.

The nominated individual and staff told us people’s outcomes were always monitored through reviews and feedback. During reviews, care needs were discussed to improve outcomes. The registered manager told us that regular audits and feedback were carried out also to monitor and improve outcomes. Records confirmed this.

Spot checks were carried out by the management team to ensure care could be monitored and being delivered safely. Relatives had no concerns about the care people received.

The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The Act requires that, as far as possible, people make their own decisions and are helped to do so when needed. When they lack mental capacity to take particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible. We checked whether the service was working within the principles of the MCA, and whether any conditions on authorisations to deprive a person of their liberty had the appropriate legal authority and were being met.

Systems were in place to obtain consent from people to provide care and support. An MCA policy was in place and staff had been trained on the MCA. People were able to make day to day decisions about their lives. For example, they were able to choose how they wanted to be supported. Where people did not have capacity to consent to care and treatment, then MCA assessments had been carried out and best interest decision process was followed.

Consent was sought from people where possible. Management and staff were aware of the principles of the Mental Capacity Act (MCA) and the need to ask for consent. Staff told us that they would always request people’s consent where possible before doing any tasks. A staff member told us, “Everything I do, I need to get consent from them [people].”