MiHomecare Islington

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 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.

A continuing approach to assessing people’s needs was evident. Initial needs were assessed with plans amended as needs changed. People told us they were involved in their assessments. Where a person did not have mental capacity to be actively involved in care planning, family and friends we spoke to advised they were involved to ensure it met individual requirements.

A person-centred approach was evident in care planning. People were treated as individuals with their specific needs and preferences discussed and recorded. Feedback from people and staff that we spoke to also reflected this.

Staff expressed to us that they felt well supported by colleagues and senior staff members. We saw evidence of the service contributing to partner service meetings, such as the local authority and healthcare services. The provider shared concerns with relevant services in the interest of people who received care.

Care plans included details of any specific dietary needs. Staff liaised with healthcare professionals where needed to ensure people’s needs were met and that care plans reflected these needs adequately.

Care visit logs specified any concerns and these were monitored and escalated when necessary.

Regular reviews of care plans took place with any necessary amendments made to work towards desired outcomes. Care plans were also reviewed outside of schedule if needs changed prior to this. Monitoring of people’s needs in care visit logs helped identify changing needs and desired outcomes.

Staff told us they asked for consent at each visit and for each task. People we spoke to confirmed this was the case. Consent was clearly recorded in care plans and where a person did not have capacity to consent, the appropriate assessments were conducted and someone suitable was able to consent on their behalf.