Poole Home Care Limited Also known as Poole Home Care

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 service 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 and support needs were assessed before they started to use the service. Staff had access to information about people’s needs, through the providers electronic care planning system. People were actively involved in discussions regarding their care and support and were encouraged to share their preferences, routines, goals and the support they felt they needed to remain as independent as possible. The service reviewed people’s needs regularly and when changes occurred. For example, where people developed increased care needs, care plans and risk assessments were updated to reflect this, ensuring care remained safe and appropriate. A staff member said, “Care plans are completed very well and we get up-to-date information regarding any changes to a person or new client.”

The service 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. People were involved in creating their care plans and assessments; they were at the centre of all support provided by the service. The service ensured care and treatment were delivered in line with current best practice and professional guidance. Staff had access to appropriate training and support to meet people's assessed needs, however, during the inspection training gaps were identified relating to people's specific needs. Whilst mandatory training requirements had been met, the provider had not consistently ensured that all staff had received training relevant to people's specific needs, such as, pressure sore care and prevention and Parkinson awareness. When gaps were identified, the service acted promptly to allocate and arrange the necessary training. Care records evidenced regular reviews to reflect changes in health and wellbeing. The service worked collaboratively with external healthcare professionals to support positive outcomes for people. Monitoring and audit processes were used to identify areas for improvement and promote the delivery of effective care.

The service 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 felt their information was shared appropriately, for example with the GP or community nurse. Staff kept detailed records of their care and support visits, these were shared when needed. Staff worked effectively within the team. Handovers and communication systems ensured staff were aware of changes to people’s needs and could respond appropriately. This meant that people experienced joined‑up care, reducing the risk of fragmented support and supporting consistency. A health and social care professional told us, “Staff regularly seek input and work in partnership with individuals to enhance their overall quality of life.”

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support. People were supported to live a healthy lifestyle. Care and support plans were detailed and accessible. Staff supported people with their health needs and monitored for changes that could indicate deterioration. Where concerns were identified, staff escalated appropriately and sought support from healthcare professionals. For example, staff supported people with eating and drinking, recognising signs of complications and contacting appropriate services when needed. Support focused on maintaining wellbeing and independence. People were encouraged to engage in daily routines and maintain control over their lives while receiving appropriate support. This helped people remain in their own homes for longer and reduced the likelihood of hospital admission. The service worked along side a range of health and social care professionals.

The service 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. People and their relatives shared examples of positive impact on their lives since receiving care and support from Poole Home Care. Relatives told us they were confident staff monitored people’s health conditions effectively and responded appropriately whenever any changes were identified. Relatives were also kept informed of changes. Each care and support plan was individual and centred around the person. A person told us, “They are very good, the carers come twice a day and arrive on time, I have the same carers and they know what needs to be done and how I need it to be carried out.”

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. People told us they were treated with respect and supported to live their lives. Staff demonstrated a good understanding of consent and sought people's permission before providing care and support. People told us staff respected their choices and involved them in decisions about their day-to-day lives. Care records reflected people's preferences and choices regarding their care and treatment. Staff worked in partnership with people to support them to make informed decisions. Staff completed training in the Mental Capacity Act and understood the importance of supporting people to make their own decisions wherever possible.