Swifthand Care Services Limited

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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

The service provided care that was effective so people could receive positive outcomes. People's needs were assessed so that they could receive the right level of care and treatment. People were supported to live healthier lives and were provided food and drink to maintain their health. They were also supported to take their medicines and see their doctor if necessary. People's consent to care was sought. They were supported to maintain their independence and have choice and control over their care. Staff were trained and their competency was assessed. Staff were supported to carry out their roles and could discuss any issues with their managers. The service scored 75 out of 100 for this area.

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.

There were clear processes in place for people's needs to be assessed upon referral to the service. Senior staff visited people in their homes to assess their needs, risks and home environment so that they could receive the right level of support. People's care and treatment was reviewed and assessed on a continuous basis to check for changes to their needs. Their wellbeing was also monitored to maximise the effectiveness of people's care.

People were happy with the level of care they received. They told us their needs were assessed and discussed with them. They were able to request to see their doctor or other health professionals and staff assisted them to do this. Staff were also able to identify if people were not well and had the contact details of people's GPs so they could be called when needed so that people's health could be assessed. People confirmed this with us.

Processes were established to deliver good quality care to people that was in line with legislation and current evidence-based good practice and standards.

Staff and managers ensured they assessed people's needs and preferences so that they could plan and deliver care that provided positive outcomes to people. They involved people and their relatives. The registered manager said, "There is a care coordinator and field supervisor who assess people's needs and find the right carers for them."

People and relatives told us the service planned their care with them and consulted them on what was important to them. They felt there was a consistent level of service so that all staff understood their needs. A person said, "My regular carer always know how to support me and knows my likes and dislikes. If I have a replacement, they tend to shadow my regular carer."

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.

Staff and leaders could describe how they supported people to live healthier lives and maximise their independence. Staff confirmed they supported people with their food and drink to help maintain a balanced diet. Staff encouraged people to do things for themselves to promote their independence. They worked with other health professionals to make sure people's health and wellbeing was maintained.

People told us staff were kind and compassionate and supported them to be as independent as possible. They told us staff supported them to live as healthy lives as possible. For example staff were trained to support people with PEG tube (Percutaneous endoscopic gastrostomy) feeds and catheters. People confirmed this. One person told us, "My food is pureed and this is put into my tube by the carers. I also get medication placed into the tube daily." Another person told us they could see their doctor and staff would be able to support them to contact their doctor if they were not well. A person said, "The carers know my GPs number but have never needed to contact them."

There were care planning systems to ensure people's choices were respected so that person-centred care could be provided to them. People's independence and dignity were respected and their care needs were met.

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.

People told us staff asked for their consent when they provided people with care. A person said, "Yes my carer does ask me daily, even when they know my routine and likes and dislikes."

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. There was a consent policy in place to ensure people's capacity to make decisions for themselves was respected and understood.

Staff told us they understood the principles of the Mental Capacity Act (2005) and the requirement to tell people about their rights around consent. Staff respected people's decisions and told us they always sought people's consent to care when they supported them. A staff member said, "I ask my client's permission to start personal care."