Caremark Hinckley Bosworth Blaby & Leicester

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 71 (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.

Initial needs assessments were completed for new people wanting to use the service. These entailed the provider gathering information from social workers, people and their relatives, healthcare professionals, and where appropriate other services involved in the person’s care. These assessments contained information about people’s health care needs, personal preferences and background information about the person.

Ongoing monitoring and risks assessments were completed to ensure that people’s care continued to meet their needs and remained person centred. Care plans were in place to ensure staff had access to guidance on how to meet people’s needs.

The provider mostly 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’s wishes and personal preferences were included throughout people’s assessment records and care planning documents. Daily care routines were planned around how people liked to be care for. However, people’s wishes around the times of care visits were not always adhered to. One person told us, “Sometimes they [care staff] don't come until about 10:30, but I would like to get up around 9.”

People’s nutritional and hydration needs were mostly met in line with current standards and evidence-based guidance. This included where people had complex care needs in relation to nutrition and hydration, such a Percutaneous Endoscopic Gastrostomy (PEG). However, we found one person’s care visit times did not always enable effective diabetic nutrition, as there was sometimes insufficient time between care visits.

The provider worked well across teams and services to support people. They shared their assessment of needs when people moved between different services.

Information was effectively shared between teams and services where they worked together to deliver a person’s care. For example, when clinical tasks were delegated or when people were referred between services.

Staff were proactive in working with other services when multidisciplinary involvement was required, and any actions were followed up on as needed. Staff told us they worked together effectively.

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.

People’s day-to-day health and wellbeing needs were met, and people experienced positive outcomes related to these needs. Staff effectively empowered and supported people to be as involved or manage their own health, care and wellbeing needs as much as possible.

The provider shared some examples of when care staff had supported people achieve positive outcomes. For example, they supported one person gain a care package more suited to their needs which enabled them to improve the person’s stoma care and promote better 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.

People who were at risk of developing pressure related injuries were supported by staff to be regularly repositioned. Care records were completed to ensure effective monitoring of this care need.

People’s daily wellbeing was monitored by care staff and any concerns were escalated to leaders or to health care professionals as needed. People and their relatives we spoke with expressed confidence that staff would respond if appeared to be unwell or required medical assistance.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Consent forms and contracts were in place to ensure people were consulted and gave permission for decisions relating to their care and infromation.

Care staff understood the importance and need to gain consent whilst delivering daily care to people. People spoke positively about care staff and indicated they gained consent during care visits to their home.