Right at Home Solent

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• Overview
• Kindness, compassion and dignity
• Treating people as individuals
• Independence, choice and control
• Responding to people’s immediate needs
• Workforce wellbeing and enablement

People were supported to have maximum choice and control over their own care and to make decisions about their care and wellbeing. This often resulted in an enhanced quality of life for people. Staff supported people in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People were highly positive about the caring nature of staff. They felt staff really listened and understood them which enabled good collaborative working.

This service scored 95 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Kindness, compassion and dignity during this assessment. The score for this quality statement is based on the previous rating for Caring.

We did not look at Treating people as individuals during this assessment. The score for this quality statement is based on the previous rating for Caring.

Staff understood the importance of promoting people’s independence, so they had choice and control over their care. One care worker said, “It is very important for us to support people to do things themselves and maintain their routines for as long as possible. If people start struggling to not take over everything but make small tweaks so that they still maintain some autonomy.” Staff spoke about people with respect and sensitivity. They demonstrated how well they knew people and the actions they took to ensure people understood their rights about their care and support. Staff worked in a highly personalised way and told us how they took the time to understand what worked for each person and their family. For example, one care worker said, “We step back when [Person’s name] husband supports her. He is very much part of the care team, and he gives us and we him always a good handover.” A leader provided us with a case study where they had been successful in increasing a person’s independence which removed the need for additional services. This resulted in the person being able to use the money for other things to enhance their life and well-being.

The provider had effective policies and processes in place to ensure people’s independence, choice and control were promoted. Staff had a thorough understanding of what was expected of them in this respect and the provider ensured they had the time, training and resources to achieve this. There was a system in place where people were regularly consulted to gather their views and changes were made if needed. On occasion some areas of people’s care plans could be more detailed. The provider acknowledged this and began working on this promptly.

People and relatives told us they were supported to have choice and control over their care. People felt staff truly listened to them and acted accordingly. For example, one person told us, “I get a personal visit from the company who discuss my care plan and covers anything I want updating.” The provider ensured people could express their views in a variety of ways and this meant staff understood their choices, preferences and wishes. 1 person's independence was enhanced as the provider worked creatively with them so they could direct staff about their preferred routine and way of working. This included the use of equipment and technology. People and relatives also told us how the support of the service ensured people could live as they wished. They felt the support provided was personalised and adapted as their needs, life events and preferences changed. For example, a relative said, “[Person’s name] moved house quite recently and without the major support and the attention of the carers, this wouldn’t have been possible.” Relatives were highly involved where appropriate and were positive about how the service worked with them. It was clear from care plans how the joint work between relatives and staff in the service benefitted people. For example, 1 relative took the lead in relation to the support a person needed as they knew the person best. The plan was for staff to increase their involvement and support which was being carried out sensitively and collaboratively and in a way that would acheive excellent outcomes. People and their relatives felt staff in the service supported them to be as independent as possible. For example, a relative told us, “The carers will go the extra mile to enhance her social awareness and increase independence above and beyond duties.” We found for 1 person, staff went out of their way to support them to improve their mobility which in turn increased their independence and removed the need for additional services.

We did not look at Responding to people’s immediate needs during this assessment. The score for this quality statement is based on the previous rating for Caring.

We did not look at Workforce wellbeing and enablement during this assessment. The score for this quality statement is based on the previous rating for Caring.