Delta Homecare

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 62 (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 did not always make sure people’s care and treatment were effective because they did not always check and discuss people’s health, care, wellbeing and communication needs with them. Care plans were not regularly reviewed and updated to make sure the information was current, and that care, support and treatment met people’s needs. When people using the service required behaviour support plans to help manage and improve their behaviour, these were not in place. As a result, staff did not have the necessary guidance to promote positive behaviour or respond appropriately when challenges arose.

The provider did not always plan and deliver people’s care and treatment with them, including what was important and mattered to them. Leaders had not ensured the service delivered care and support in line with best practice guidance. The service had not always ensured that up-to-date approaches were used to support people’s conditions, health, or behavioural needs.

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. Staff told us the service had shared information appropriately and they had access to the information they needed to appropriately assess, plan and deliver people’s care, treatment and support.

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 had been involved in regularly monitoring their health, including health assessments and checks where appropriate and necessary with health and care professionals.

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. Care plans included information and actions to ensure people using the service were supported to improve and maintain their quality of life. For example, this included supporting individuals to maintain or improve their mobility.

The provider did not always tell people about their rights around consent and did not always respect their rights when delivering care and treatment. For example, where 1 person had not been involved in the care planning process, there was no evidence a relative or person with power of attorney (POA) had been consulted to ensure the person’s views and wishes were considered, or that decisions were made in their best interests. Power of attorney (POA) is a legal document that gives someone you trust the authority to make decisions on your behalf if you are unable to do so yourself. Additionally, some care plans did not include the service user's signature to demonstrate staff had appropriately obtained their consent, or that the person had been fully informed and involved in decisions about their care.