Hibiscus Domiciliary Care Agency

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 requires improvement. At this assessment the rating has changed to 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.

People had their needs assessed and plans put in place to meet them. The provider ensured people’s needs were assessed and reviewed and shared information with staff to guide them on how to support people effectively. Assessments included information about people’s health and care needs and guides for staff on how to meet these. The planning function enabled staff to record when care was delivered. People told us staff understood their needs. Relatives told us they were kept informed and involved about people’s needs and their care plans. Staff told us they received information about peoples assessed needs and care plans through the electronic system. One staff member said, “We get detailed assessments and plans in peoples electronic record.”

People received care and support which was in line with legislation and current evidence-based good practice and standards. Peoples care plans were person centred and included information about people’s health needs, communication needs, their interests, hobbies and preferences. One staff member told us, “[Person’s name] needs support in a way which manages their pain, the care plan tells us how to do this effectively.” The provider told us they had invested in the electronic system, and this ensured people had comprehensive evidence based assessments and care plans in place.

People were supported by staff who understood how to work together and across other services to meet their needs. There were systems in place to ensure people had a regular and consistent staff team who worked together with people, their relatives and other professionals to provide care. Partners confirmed the provider worked closely with them to meet peoples needs. One relative told us, “The staff here work well with the health services [person’s name] uses, they monitor them and provide feedback.” Staff told us they worked with other professionals to support people giving the example of how they worked closely with a physiotherapist to provide 1 person’s care.

People were supported to manage their health and wellbeing and live healthier lives. The provider had systems in place to identify people’s health needs and work with other agencies to develop plans to meet these needs. Plans were in place to meet peoples physical and mental health needs which guided staff on how best to support people. One relative told us, “The staff have been really good supporting with getting [person’s name] to the dentist and working to improve oral health.” Staff understood people’s health needs they were able to share with us how people were supported to maintain and improve their health.

People had their care monitored to enable staff to continually improve the support people received and help them achieve positive outcomes. The provider had systems in place to check if peoples care plans were effective and helping them achieve the things they wanted to do. The registered manager told us, “People have done well, lives have improved, and we are keen to support more people in the community to achieve a better quality of life.” People told us staff supported them to achieve things which were important to them. Relatives told us how staff supported people to make improvements to their lives. A staff member told us about the skin care routine in place for 1 person and how their skin had improved over time. Another staff member described a person who they had supported to maintain their health conditions which had improved the quality of their life.

People had their rights protected and consent was sought by staff when they delivered care and support. The provider had put systems in place to assess people’s capacity to make individual decisions. People and relatives confirmed staff sought consent when providing care and support to people. Staff understood how to seek consent from people and could describe how they supported people to make their own decisions. Staff had an understanding of how people’s capacity would be assessed, and decisions could be taken in their best interests if they lacked capacity to make decisions for themselves.