Ivy&Sage Homecare Office

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. We assessed a limited number of quality statements in the effective key question and found areas of good practice. The scores for this area have been combined with scores based on the rating from the last inspection, which was good.

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.

People’s care and support needs were assessed before their care package started. The information from this assessment and any additional information from the local authority was used to develop the person’s care plan and risk assessment. Relatives confirmed both they and their family member were involved in the development and review of the care plan and risk assessment. Relatives said that if there was a change in their family member’s needs it was identified, and the care plan was amended to provide appropriate support in a timely manner. A relative commented, “Me and my [family member] are involved in their care plans. Whenever my [family member] comes back from hospital the provider visits them at home and reviews the care plan and risk assessment to make sure the care needs are accurate.” The registered manager told us a review of the care plan was carried out 6 weeks after the start of the visits to ensure current support needs were reflected with additional reviews when care needs had changed.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

The provider ensured people were supported to make decisions about their care whenever possible. Relatives confirmed care workers explained to people about the care they were providing, listened to and followed their wishes. A relative told us, “Both care workers have an exceptional relationship with [family member]. [Family member] trusts them and is happy to be helped by them. However, they still ask their permission and listen to their feedback, whether that be what time they want to eat, what time [family member] wants to go to bed, what they want to wear etc.” The registered manager explained that they carried out mental capacity assessments to indicate if the person was able to make decisions about their care. If the person could not make decisions the registered manager told us they followed the Mental Capacity Act 2005. They either identified if a relative/representative had legal authority to make decisions on the person’s behalf or a best interest decision was completed.