- Homecare service
Adopt Healthcare Ltd
We imposed conditions on the providers registration on 8/7/2024 because they had not ensured service users received consistently safe care. Whilst some improvements were noted during the last assessment on 21 June 2024, there were no service users for us to robustly determine if risks to people were assessed and mitigated.
Report from 19 June 2024 assessment
Contents
On this page
- Overview
- Person-centred Care
- Care provision, Integration and continuity
- Providing Information
- Listening to and involving people
- Equity in access
- Equity in experiences and outcomes
- Planning for the future
Responsive
Responsive- This means we looked for evidence that the service met people’s needs. At the last inspection we rated this key question inadequate. At this assessment the rating has improved to requires improvement. Staff were able to demonstrate their understanding of person-centred care, and the provider had effective processes in place to ensure they provided and shared information safely and securely.
This service scored 50 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.
Person-centred Care
There were no service users in receipt of regulated activity during this assessment, therefore we were unable to gain feedback for this quality statement. However, during our review of care documentation we found the provider had implemented a person-centred care plan which was inclusive of the person and their representatives.
Staff were able to explain and show their understanding of person-centred care and provided examples of their working practice. As there were no service users at the time of the assessment, we were unable to review the effectiveness of this practice to understand service users’ experiences of the care provided.
Care provision, Integration and continuity
There were no service users in receipt of regulated activity during this assessment, therefore we were unable to gain feedback for this quality statement. However, during our review of care documentation we found the last service user had moved into a care home from receiving care by the provider. The provider had worked with and shared all information on the person with the new service to ensure a smooth transition into their service.
The registered manager explained how they will work with other professionals and external stakeholders to secure new service users. The provider has a business continuity plan in place and has ensured they have a recruitment plan in place which will support the slow admission of new service users to the service.
We have not received feedback from external stakeholders specifically relating to the evidence category. Therefore, we are unable to review the score for this quality statement.
The provider now has systems in place to log and monitor involvement of other professionals in people's care. Whilst there was no one at the time of assessment in receipt of regulated activity we were able to review the professional contacts log for the last service user since our last inspection. Processes are in place with a clear plan for managing new care packages.
Providing Information
There were no service users in receipt of regulated activity during this assessment, therefore we were unable to gain feedback for this quality statement. However, during our review of care documentation we found the provider had shared the care plan with the person and their representative and had providing specific information to other services and professionals where appropriate.
The registered manager explained how they ensure people have access to their care records, and how they will liaise with other professionals and share information where appropriate. As the provider did not have any service users at the time of assessment who were in receipt of regulated activity, we were unable to see how this was being implemented and monitored.
The provider has systems and processes in place to ensure people always have access to their care plans and documentation. Staff are also able to review people’s care plans and updates timely. During a recent transition from Adopt Healthcare to another service provider, the registered manager liaised clearly with the new provider and provided all the information required to ensure a smooth and safe transition.
Listening to and involving people
There were no service users in receipt of regulated activity during this assessment, therefore we were unable to gain feedback for this quality statement. Evidence gathered on this assessment did not contribute to this evidence category.
The registered manager detailed how they will get service user feedback through feedback forms which will be sent out to be completed regularly. They have stated people and relatives are included in the care plan process and review process. At this assessment we have not seen any service user feedback forms since the last inspection.
The provider had a clear and accessible complaints procedure but had not received any complaints since our last inspection. We found no evidence of people or relative surveys being completed to allow for people to give feedback on their care. As the provider did not have any service users at the time of the assessment, we were unable to see how the provider would use feedback to change and improve people’s care, or how this would be communicated with them.
Equity in access
There were no service users in receipt of regulated activity during this assessment, therefore we were unable to gain feedback for this quality statement. However, during our review of previous care documentation we saw care records contained professional contact information where the service had liaised with other professionals to ensure continuity of care and supported equity in the access of care services.
The registered manager explained a situation where a past service user whose health needs changed. The registered manager explained how the service provided effective care to this person, with no delay in accepting them back from hospital as they had trained their staff ready for the persons return home.
FEEDBACK FROM PARTNERS IS IN THIS DRAFT ON RP, BUT THIS IS NOT AN EC WHICH WAS ABLE TO BE CHOSEN IN THE AP, NOR IS THIS IN THE EVIDENCE CATEGORY GRIDS AS AN OPTIONAL EC. THEREFORE I BELIEVE THIS SHOULD NOT BE IN THE REPORT?
The provider did not have any service users in receipt of regulated activity at the time of this assessment, therefore we have been unable to gather information or evidence to review the score of the evidence category in this quality statement.
Equity in experiences and outcomes
There were no service users in receipt of regulated activity during this assessment, therefore we were unable to gain feedback for this quality statement. However, during our review of previous care documentation, we found the care plan appeared specific to the persons' needs and included details such as specific communication aids required by the person to increase their experience of care.
Staff were able to provide past examples of how they had improved people’s experience of care and responding to their changing outcomes. Staff told us, "The registered manager trained my colleagues and I on end-of-life cares, before [service user] returned from the hospital. Their care plan changed, and we were directed to read it thoroughly and follow it. We treated [service user] with compassion through their remaining days."
The provider did not have any service users in receipt of regulated activity at the time of this assessment, therefore we have been unable to gather information or evidence to review the score of this quality statement.
Planning for the future
There were no service users in receipt of regulated activity during this assessment, however we were able to review a compliment received by the provider from their most recent service user's family/representative. In this feedback they detail how the provider and staff supported their mum during and after their dad passed away, who was also receiving care from the provider prior to their death. We have reviewed documents and can see the provider has appropriate documents in place to capture end of life needs, wishes and preferences.
The provider did not have any service users in receipt of a regulated activity at the time of this assessment, therefore we have not been able to gather evidence for the evidence category under this quality statement.
The provider did not have any service users in receipt of a regulated activity at the time of this assessment, therefore we have not been able to gather evidence for this evidence category under this quality statements. This means we do not have evidence or information to review the score.