Pharma Homecare LTD

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• 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 rating of this key question for this location and it 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 provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. Relatives confirmed the care and support needs of their family members were discussed before the care package started. The information was used to develop the care plans and risk assessments which identified how the person wanted their care provided. Relatives also told us the provider involved them and, whenever possible, their family members in the regular reviews of the care plans and risk assessments. A relative said, “There are regular meetings with the registered manager to discuss [family member’s] care needs.”

The provider planned and delivered people’s care and treatment according to their wishes, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. Relatives explained the care workers had the appropriate skills and training to meet their family members support needs. Care workers completed a range of training courses which included specialist courses on supporting people with a learning disability, positive behaviour support, how to reduce risks such as pressure ulcer prevention and those associated with living with dementia. A care worker told us when asked if they felt the learning disability and autism training was useful, “Yes it’s become very beneficial to understand the service user better.”
People’s care plans indicated if they required support from their care workers to prepare/eat meals to ensure their nutritional needs were met. Relatives confirmed care workers, when required, provided their family members with food they enjoyed eating.
 

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. The provider ensured care workers had access to detailed care plans and risk assessments to provide guidance on the person’s care needs and how they wanted that support provided. The registered manager told us that the records completed by the care workers following each visit were reviewed daily and checked against the person’s care plan to ensure appropriate care was provided. Care workers confirmed they felt supported by the senior staff and they were confident they could raise any concerns or questions with them. The registered manager confirmed they had regular contact with the care workers to discuss the care being provided as well as regular supervision and team meetings.

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. People’s care plans and risk assessments provided care workers with information on any medical conditions the person lived with and how they should support the person. A relative explained that the care worker provided food which met their family member’s dietary requirements that they also liked to eat. The registered manager said that, if required, they would support the person with accessing healthcare professionals and appointments. The registered manager also explained that if a person had a specific medical condition, they would arrange for care workers to complete training to meet the person’s specific needs.

The provider routinely monitored people’s care 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. Care workers explained that if they identified a change in a person’s care needs, they would contact the senior staff and the person’s relatives to ensure the any new needs were met. People’s care plans and risk assessments were reviewed regularly to ensure they reflected the person’s identified support needs. Care plans identified outcomes in relation to aspects of the person’s care needs with guidance for care workers on how they could support the person to meet these goals.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Relatives confirmed that the care workers explained to their family members what care they were providing so they could agree to it. A relative commented, “[Family member] and I are both happy with the care. Care workers explain to [family member] about the care they are providing so they understand.” The registered manager explained that if a person was unable to consent to their care, they worked with the person’s relatives to ensure support was provided in the person’s best interest.