Care at home

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Summary of report content

This project was a follow up to the homecare surveys that we carried out in early 2016. Following the previous homecare report key areas for improvement were identified and recommendations made to address these. Healthwatch Leeds worked in partnership with Leeds City Council (LCC) to repeat the telephone surveys to see what changes had been made and if things had improved for service users and their families. Healthwatch Leeds spoke to 134 service users and/or their families about the homecare service that they received. Healthwatch Leeds recognise that the previous year was a period of transition and change for the homecare providers and service users. It is important to note that this can have an additional impact on people's experiences of the service that they receive. We received a mixed response to the questions. Many people talked of the positive experience of the care they received and how well they were treated by the carers. However we also received comments about areas which need addressing and improving such as communication with the care agencies Listed are a summary of the key findings of this survey: Many respondents had praise for the care workers, but criticised the agency management as being unresponsive, poor at communication and disorganised; respondents valued the positive relationships built up with their regular care staff; there is a lack of consistency in the quality of care provided and this can be dependent on which carers are in attendance; many respondents' experiences are negatively affected by having so many different carers; some respondents reported issues with carers running late or rushing, which had an impact on the quality of their care; there were issues with service users having to fit in with what was available to them rather than accessing a service that is planned with their needs and preferences; agencies do not always appear to have an effective procedure for checking that the planned care is provided; some family members report feeling obliged to fill in and do the job themselves, as a result of variability in care; the quality of care provided can be dependent on service users and families being capable of challenge and questioning the service provision; the vast majority of people told Healthwatch Leeds they felt they were treated with dignity and respect by most of their carers. The report includes 5 recommendations.

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General details

Report title 
Care at home
Local Healthwatch 
Healthwatch Leeds
Date of publication 
Wednesday, 1 February, 2017
Date evidence capture began 
Wednesday, 1 February, 2017
Date evidence capture finished 
Wednesday, 1 February, 2017
Type of report 
Report
Key themes 
Communication between staff and patients
Continuity of care
Quality of staffing
Support
Healthwatch reference number 
Rep-1076

Methodology and approach

Was the work undertaken at the request of another organisation? 
Yes
What type of organisation requested the work 
CCG
If this work has been done in partnership, who is the partner? 
Leeds City Council
Primary research method used 
Survey
How was the information collected? 
Survey
If an Enter and View methodology was applied, was the visit announced or unannounced? 
N/A

Details of health and care services included in the report

Social care services 
Home care / domiciliary care

Details of people who shared their views

Number of people who shared their views 
134
Age group 
Not known
Gender 
Not known
Ethnicity 
Not known
Sexual orientation 
Not known
Does the information include public's views? 
Yes
Does the information include carer's, friend's or relative's views? 
No
Does the information include staff's views? 
No
Does the information include other people's views? 
No
What was the main sentiment of the people who shared their views? 
Mixed

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Yes
Does the information contain a response from a provider? 
No
Is there evidence of impact in the report? 
No
Is there evidence of impact external to the report? 
No

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
 
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
 
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.