- Homecare service
Goldcrest Heathcare Service (Birmingham)
Report from 18 September 2024 assessment
Contents
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
People were supported by staff who knew their personal and individual needs well. People’s needs were assessed which ensured people received individualised support that matched their personal preferences. People were supported to have maximum choice and control of their lives and staff assisted them in the least restrictive way possible and in their best interests; the policies and systems in the service upheld this practice.
This service scored 25 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.
Assessing needs
People told us that their individual needs were regularly assessed and met and the staff promptly responded to any changes in their care and circumstances and ensured appropriate support was in place for them when needed. A relative told us, “If [name of service user] is getting weak they mention it. They have their own doctor that they can get in touch with. They are really hands on when it comes to their health”.
Staff demonstrated that they knew people well and helped to ensure people received care and support that met their needs, health and wellbeing. Staff told us that an initial assessment was completed prior to providing care and support to people, with the involvement of the person, relatives and other health care professionals. This captured people’s needs, abilities and their preferences and was used to develop care plans which helped people make informed choices about their care. Care reviews and regular monitoring visits ensured people’s care remained relevant and up to date and that staff were supported to provide effective care. A staff member told us, “The management team conduct spot checks and monitoring visits. They check to see people’s needs are being met.”
Effective systems were in place to ensure people’s needs were assessed and reviewed. Assessments considered aspects of people’s care and support such as people's healthcare background, mobility, personal care and safety requirements. This helped ensure people’s individual needs and wishes were respected and met. People’s needs were regularly assessed which enabled the service to monitor people’s progress and ensure they received the appropriate support when required.
Delivering evidence-based care and treatment
We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.
How staff, teams and services work together
We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.
Supporting people to live healthier lives
We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.
Monitoring and improving outcomes
We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.
Consent to care and treatment
People told us they were supported to have maximum control over their lives and they were directly involved in making decisions about their care and support wherever possible. A relative told us, “I love that they are very mannered. They knock on [name of service user] bedroom door before going in and greet them. They ask them questions. If [name of service user] says no they will keep prompting and will go away and will come back.”
The staff and registered manager described how they worked in line with the principles of the Mental Capacity Act (MCA) 2005. Staff and the registered manager understood the importance of gaining people’s consent to their care and respecting people’s right to make choices about their daily living. Staff completed training on understanding mental capacity and the MCA.
Effective systems were in place that ensured the service was working in line with the principles of the MCA. There were procedures in place for assessing people’s mental capacity to agree to their care or make other specific decisions when needed, including working with people’s relatives to do this. Regular audits of care and risk management plans included checking people’s capacity and consent arrangements. This helped the provider to make sure people’s rights were protected in line with the MCA.