Impression Health and Support Domiciliary Care Agency

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. This is the first inspection for this registered service. This key question has been rated 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. The provider carefully assessed people by organising visits to their property. For example, one person required staff photographs to be displayed so they could understand who was going to be attending the next visit with them.

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. For example, care notes were completed using respectful language and referred to people by their chosen pronouns.

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. For example, a person was supported to continue to attend their day centre, which was important to them. Staff made sure important information was shared with staff at the day centre to ensure support was seamless for the person.

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. For example we saw how a person was supported to undergo a medical procedure due to a condition impacting their quality of life. Staff planned and arranged their appointment and aftercare to ensure recovery was quick for the person.

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. Each person had detailed diary logs in place which recorded their outcomes and any aspirations for the future. For example, we saw how a person was supported on holiday and while there they tried new activities, such as swimming.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People were able to provide a form of consent using different methods. For example, a person used picture cards, and another person used their own form of Makaton (sign language) to consent to various aspects of their care. For important or complex decisions, these were made using a best interests process with relatives involved.