Honest 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 provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

Assessments were completed prior to support starting and the information collected transferred into care plans which were detailed and person centred. Regular reviews of care were seen to be completed.

Information on the new electronic care recording system still required some information to be added to some sections. However, in the interim paper records remained in place to ensure staff had access to all information needed to provide safe support.

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.

Care records showed people were given choice and control about their care and support. The service responded to people’s care needs appropriately.

We received mixed feedback from people and families about their involvement in care planning. Some told us they were involved initially but were unsure if they had a recent review. We saw evidence of reviews taking place but asked the provider to provide reassurance to people and families regarding reviews of care.

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.

Evidence of joint working with partners was available and feedback received from professionals was positive about how they and staff worked together. One professional commented, “Honest have a good working relationship with [Name of organisation] and any feedback or recommendations given are appreciated and acted upon. If they require any support or have any queries, they don’t hesitate in contacting me for advice.”

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.

Care records evidenced involvement of other health care professionals and appropriate follow up by staff when people needed health interventions. One family member gave an example where the provider had called a meeting with social services and healthcare staff for their relative due to increased care needs. They told us, “Staff listen and are positive and pro-active.”

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.

The provider had systems in place to gather feedback from people and relatives on their care and had systems in place to monitor support provided including on site observations of staff competence.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

Staff received training in the Mental Capacity Act and understood the importance of ensuring that people fully understood what they were consenting to and the importance of obtaining consent before care was delivered. One staff told us what they would do if someone refused care or treatment, “I would speak to my manager and also write everything in my call log. I would also ensure that my service user understands the pros and cons of the right care and I would try and explore the reason for the refusal.”

Information around consent and capacity was still to be added to the electronic care recording system. However, paper records were in place which provided this information. The provider confirmed that they would ensure that this information would be added to the electronic recording and management system for each person supported.