We carried out a review of the data available to us about Leymar Healthcare on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Leymar Healthcare, you can give feedback on this service.
People’s experience of using this service and what we found
People were supported to take their medicines safely by trained staff. Staff were recruited safely, and people were supported at their preferred time by staff who knew them well. Staff understood how to safeguard people from the risk of harm and abuse. Incidents were investigated and acted upon in a timely manner. Risks were assessed in people's homes to ensure they could be supported safely. Infection control measures were in place to protect people from the risk of infection.
The registered manager had systems in place to ensure care was delivered safely. The management team completed monthly audits to ensure any issues could be identified and improvements could be made. People told us and records showed people and their relatives were involved in planning their care. Staff felt confident in management and told us the culture was open and honest.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was requires improvement (published 7 November 2020).
Why we inspected
We undertook this inspection as part of a random selection of services. We undertook a focused inspection to review the key questions of safe and well-led only.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Leymar Healthcare Limited on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.
People’s experience of using this service and what we found.
Risks to safety had been assessed and measures were in place to reduce risk. But they were not person-centred or always recorded to ensure the care would be effective.
Medicines were not administered or handled in a safe way.
Staff were knowledgeable about the risk of abuse and how to report this however there were concerns that not all incidents would be reported especially to outside agencies.
Staff were given training for the role, they shadowed other staff and had competencies signed off for each child/young person they were caring for.
Systems were in place to ensure people were protected against the spread of infection, they were following GOV.uk guidelines for COVID 19.
Staff were recruited safely.
Systems in place to learn lessons if things went wrong and to improve safety within the service.
Quality monitoring systems and processes were in place to monitor and improve the service.
Feedback from staff and families was collected and used to improve the service.
Staff received supervision, and the service had various methods of communicating with staff in order to keep staff updated and informed
People and staff told us support from management was good.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good(published 06 December 2017).
Why we inspected
The inspection was prompted in part due to concerns received about medicines. A decision was made for us to inspect and examine those risks.
We have found evidence that the provider needs to make improvements. Please see the safe sections of this full report.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Leymar Healthcare on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
The service had a manager in place at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons.’ Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People continued to receive safe care. Risks to people’s health and wellbeing were assessed and plans were in place to monitor people and to assist them in a safe manner. The staff understood how to protect people from harm and were confident that any concerns would be reported and investigated by the manager. Some people received assistance to take medicines and records were kept to ensure that this was done safely. There were safe recruitment procedures in place to ensure new staff were suitable to work with people.
People continued to receive effective care. Staff were supported and trained to ensure that they had the skills to support people effectively. People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible. People were able to make decisions about how they wanted to receive support to ensure their health needs were met. When people required assistance to eat and drink, the provider ensured that this was planned to meet their preferences and assessed need.
The care people received remained good. People had a small team of staff who provided their support and had caring relationships with them. Care was planned and reviewed with people and the provider ensured that people’s choices were followed. People’s privacy and dignity were respected and upheld by the staff who supported them.
The service remained responsive. People had care records that included information about how they wanted to be supported and this was reviewed to reflect any changing needs. There was a complaints procedure in place and any concern received were investigated and responded to in line with this policy.
The service remained well led. People were asked for their feedback on the quality of the service and their contribution supported the development of the service. Quality assurance systems were in place to identify where improvements could be made and the provider worked with other organisations to share ideas and to develop the service. The manager promoted an open culture which put people at the heart of the service.
This inspection took place on 22 and 27July 2015. Leymar Healthcare is a small domiciliary care service which provides personal care and support to people in their own homes. On the day of our inspection five people were using the service.
The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. On the day of our inspection the registered provided assisted us with the inspection process.
People felt safe whilst receiving care from staff. We found staff had received training to ensure they had the knowledge and skills to care for people effectively and they understood their responsibilities in protecting people from the risk of abuse.
People received the support required to safely manage their medicines and people received the support they required to have enough to eat and drink.
Risks to people’s health and safety were managed and people were supported by a sufficient number of staff.
The Care Quality Commission (CQC) monitors the use of the Mental Capacity Act 2005 (MCA).
We found the registered provider was aware of this legislation and ensured it would be used correctly to protect people who were not able to make their own decisions about the care they received.
People were treated with kindness by staff who had developed caring relationships and people old us they were treated with dignity and respect. People were also encouraged to be involved in the planning and reviewing of their care package to ensure their care package was responsive to their changing needs. Staff helped people to maintain any hobbies and interests within their home and the community when able.
People could make comments on the quality of the service and there were effective systems in place to monitor the quality of the service. The culture of the service was open and honest and the registered provider encouraged open communication. People also felt able to make a complaint and felt any complaints would be taken seriously.