- Homecare service
Epic Care Services Bradford
Report from 11 November 2024 assessment
Contents
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
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 assessment for this 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.
Assessing needs
The service ensured people’s care and support was effective by assessing their needs and discussing how they wanted to be supported. Relatives were also included in the planning process. One relative said, “[My relative] has complex needs and had been reluctant to accept help, however the registered manager and their team have been excellent and have met all [my relative’s] needs and more.” The registered manager had good knowledge of the people they supported and knew their needs well. This was also reflected amongst the staff team. The registered manager informed us that other health care professionals are involved with people they supported and would make further referrals to other professionals if needed. Examples were shared of when appropriate health referrals had been made to meet people’s needs. Staff had completed specific training to meet the needs of the people they supported. Staff ensure they followed advice and guidance from other health professionals to ensure people were supported effectively. Care records were completed in good detail, which helped monitor people’s health and identify any changes.
Delivering evidence-based care and treatment
Care needs were reviewed from the start of a care package, regularly in the first few weeks, and then less frequently when the person was happy with the care in place. Feedback was sought frequently from people and their relatives which allowed changes to be made if needed. There was open communication between the managers, relatives and health professionals to ensure changes were captured. Staff were promptly informed of any changes. The service ensured people had the opportunity to share what was important to them. Relatives felt like staff had good knowledge of their relative and knew how they wanted to be supported.
How staff, teams and services work together
Care plans included information and contact details of healthcare and other professionals who were involved in people’s care and when they should be contacted. The service worked closely with planning and delivering people’s care and treatment with them, including what was important and mattered to them. One relative said, “I have been involved in the process right from the start and everything was explained very well to me but also to my [relative].” The registered manager confirmed that if a person required support with accessing healthcare professionals and other organisations, they would support with this. Examples were shared of when they had supported people to access health care services, as well as making arrangements for health professionals to visit people in their own homes.
Supporting people to live healthier lives
The service supported people to live healthier lives. Relatives told us staff supported people to access health care services if needed, and were responsive in reporting any changes in health, or if they had concerns about people’s wellbeing. Information on people’s health and wellbeing was included in their care plans and risk assessments. There was an effective system in place to help ensure people’s health and well-being was monitored. The training provided to staff ensured they were able to support people to remain healthy and well. Managers monitored people’s progress on daily notes which were held electronically. This helped staff to respond to people’s changing needs promptly and make sure people received appropriate support.
Monitoring and improving outcomes
The service routinely monitored people’s care and treatment to continuously improve their health. People’s care was monitored so that changes could be made to their care when needed. One relative said, “[My relative] receives care, which is the very best. [My relative] was consulted in the planning of their care package and is regularly consulted and asked how they are feeling about their care package.” Detailed daily notes were completed by staff to evidence how and when people had been cared for. These included details about their health, emotional wellbeing and information regarding their conditions. Staff knew any concerns had to be addressed with people’s relatives and appropriate health care professionals. Care packages were regularly reviewed to ensure outcomes were being monitored and people were working towards meaningful goals. Examples were shared of when staff had supported people to achieve goals which they had set for themselves. We saw evidence of where staff had contacted health care professionals when they had concerns to people’s health.
Consent to care and treatment
People were supported to consent to their care and treatment when their package commenced. An appropriate Mental Capacity Act (MCA) policy was in place. Staff had also completed MCA training. Staff ensured they asked for consent before they supported people. One staff member said, “People are always consulted about their care and their wishes and preferences are adhered too.” The registered manager had good knowledge of MCA and knew how they would support people who were unable to make decisions for themselves.