Altogether Care - Care At Home Limited Wareham

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 inspection 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 told us, “I was involved in creating my care plan.” Staff assessed people’s needs before they started using the service to ensure their needs could be met. These assessments formed the basis of care plans that were reviewed annually or when changes occurred.

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. For example, staff received regular training in fluid and nutrition, food safety and dementia awareness to ensure their knowledge was up to date. People told us staff supported them to eat meals they enjoyed and ensured they had enough to eat and drink. They said, “Yes staff know about my health and get support, like the nurse for me if I need it. My food is kept in the fridge, they check to see when my food is out of date and cook what I want.”

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. The service worked with healthcare professionals to support people temporarily to enable them to be discharged from hospital. We received feedback from professionals who told us, “Staff assess the people they support home from hospital and make a record of their needs and their outcomes. This is kept up to date so we can understand the persons journey following hospital and the on-going recommendations. This supports the person moving between services, so the new care providers know how to meet the person’s needs.”

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. Care plans contained information about people’s health, medicines and their wishes in the event emergency care is required.

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 told us staff regularly reviewed their care plans with them. A healthcare professional said, “From my experience I would agree that they work with all healthcare professionals to ensure good outcomes for people whilst following professional advice.”

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. People told us, “Staff always ask first.” Staff knew how to seek consent and had followed the mental capacity act when people did not have capacity to make decisions for themselves including the people closest to them, to make decisions in their best interest.