Carelytical Homecare Ltd

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 assessment for this newly 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 67 (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 in place for people; however, we found these lacked sufficient detail around people’s physical and mental health and wellbeing. Where people had specific health needs and illnesses, there was no detail in the care plan to guide staff on these conditions or how it affected a person. The registered manager took immediate action to address this and is making care plans more robust and detailed. People told us, “I am very satisfied with the care, I get the same carer every morning who is nice and kind. I have a care plan, and the care workers keep my family up to date with the visits.” Staff demonstrated they knew people well, and reviews of the care plans occurred routinely.

The provider did not always ensure people’s care and treatment was detailed enough to support what was important to them. Information relating to people’s specific care needs were not detailed in care plans and there was no reflection of the National Institute for Health and Care Excellence (NICE) guidance within care plans. The provider did not have an effective recording system in place where risks were evident.

The provider worked well across teams and services to support people. Relatives told us the service had worked well with external professionals and had supported them to receive specialist equipment where required for their loved ones. Staff felt communication between the staff team and leaders was effective, and this included updates from other services and professionals. The provider worked well with partners, but records did not always demonstrate this. We recommend the provider ensured detailed records are kept of professional involvement.

Staff supported people in the least restrictive way, and in a way which promoted people’s involvement in care tasks. Whilst care plans did not contain specific information relating to people’s preferences, a visit-by-visit guide for staff was completed by the registered manager for staff. This was detailed and provided guidance to staff on expectations of each person’s routine. One relative told us, “The carers come every morning, they shower [relative] and set out clothes [relative] has chosen for when [relative] is going to go out. They are really supportive and will contact me when they are running out of products for [relative].”The practices demonstrated by staff have ensured people are able to promote their own health and wellbeing needs, and maintain everyday life skills, which has promoted a healthier and more active life for people.

The provider ensured outcomes for people were positive and consistent, and staff supported people to achieve outcomes and improve their quality of life. One relative told us, “I got a call recently from the service, they had found [relative] had a bruise. {Relative] is on medication which means they bruise easily. I was happy with how the staff had handled this quickly and with how they informed me.” Daily care records evidenced how people’s health and wellbeing was promoted. Leaders were involved in reviewing people’s outcomes and ensured action was taken where needs changed.

The provider told people about their rights around consent and respected these when delivering care and treatment. Care records captured people’s consent to care and included information relating to people’s capacity to consent. Staff provided examples of how they gained consent verbally before commencing any care tasks, and people confirmed this was routine practice. Relatives told us they were involved in the care planning process and their loved one had their views and wishes considered.