Altogether Care - Care At Home Limited Poole

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 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 service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. People’s care and support needs were assessed before they used the service. Staff had access to information about people’s needs immediately, through the providers electronic care planning system. People’s care and support needs were assessed, reviewed, and updated as required. People’s records were accurate to the care they were receiving, and they were person centred.

The service 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. People were involved in creating their care plans and assessments; they were at the centre of all support provided by the service. Staff told us they worked with people following good practice guidance, this had included working to support people’s nutritional needs and medical conditions. Evidence-based care underpinned the policies and procedures within the service.

The service 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. People felt their information was shared appropriately, for example with the GP or community nurse. Staff kept detailed records of their care and support visits, these were shared when needed. The manager had oversight of records and could access details of care as required to share them with external professionals. These actions contributed to seamless care for people.

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support. People were supported to live a healthy lifestyle. Care and support plans were clear and accessible. Where people were supported with food and drink there were clear instructions in place, this included where a person may have difficulty swallowing or needed a special diet. Information about people’s needs was shared efficiently as records were electronic, clear and comprehensive. People’s nutrition and hydration needs were known, and plans were in place for each person, this included for specific medical conditions such as, Diabetes.

The service 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. People shared examples of how their lives had improved since receiving care and support from the service. Records detailed clear goals and outcomes for people, and this included instructions on how to achieve them. Each care and support plan were individual and centred around the person.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. People told us they were treated with respect and supported to live their lives. Where appropriate, relatives had been involved in decisions made on the persons behalf. Consent was sought from people and where necessary in accordance with the Mental Capacity Act 2005 (MCA). A clear process was in place to carry out MCA assessments where required. Records showed MCA assessments had been completed for individual decisions. Care was planned in the persons best interest in the least restrictive way and in consultation with others. The assessment detailed all the options explored, including how the person was supported to decide and how the best option was selected as the outcome.