Libertatem Healthcare Group Ltd Head Office

On this page

• 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

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question outstanding. At this assessment the rating has remained the same. This meant people’s outcomes were consistently better than expected compared to similar services. People’s feedback described it as exceptional and distinctive.

This service scored 88 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider always made sure people’s care and treatment was effective by thoroughly assessing and reviewing their health, care, wellbeing and communication needs with them.

The registered manager demonstrated an exceptional commitment to assessing people’s needs in a person-centred, proactive, and holistic manner. Assessments were not only thorough and timely but also tailored to reflect the unique preferences, histories, and aspirations of each person. For example, we saw how 1 person required staff to support them with clinical and social aspects of their care, but also help them engage with day-to-day activities which they had expressed interest in. This was something the person could no longer complete independently and what other people may take for granted.

From the initial point of contact, the provider ensured assessments were co-produced with people and their families, involving them as equal partners in the process. For example, 1 relative spent time explaining how the staff team not only supported their family member but supported them as a family so they could still do things that were important to them. They said, “I cannot fault the staff in the slightest. I just don’t know what I would do without them supporting us all.” Staff took time to understand each person’s physical, emotional, cultural, and social needs, often going beyond standard requirements to ensure that care plans were truly reflective of the individual.

People consistently told us they felt listened to and respected. A relative told us, “It is not just support and companionship, there is a totally different dynamic with them. They just understand [persons] needs.” The person went on to explain to us how the staff ensured they assessed the person each day, to make sure they were promoting their independence and choice, and not just assuming they could not complete tasks for themselves. This approach empowered people and promoted autonomy and dignity.

The provider demonstrated innovation in their assessment practices. For example, digital tools were used to enhance communication with people who had sensory impairments or cognitive difficulties, ensuring no one was excluded from fully participating in their care planning. For example, we saw how 1 care plan was put together using images such as emojis and familiar cartoon characters and digital tools, such as an iPad, to help the person be more involved in the assessment process.

The provider always planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation. They worked to develop evidence-based good practice and standards.

Care plans were developed using robust assessment tools and were regularly reviewed to incorporate new evidence and recommendations. The provider maintained a comprehensive library of clinical resources and legislation and ensured staff had access to up-to-date training on emerging care models, particularly in areas such as dementia care, end-of-life support, and falls prevention and specialist care such as tracheostomy and bowel care. Staff not only went through clinical competencies and training, but went through additional supportive coaching and mentoring by highly qualified members of the team. This was to ensure care and support was bespoke to each package. People told us the support from staff meant they could live independently in their homes and feel safe and secure.

People using the service benefited from care that was not only compassionate but also clinically informed. For example, 1 relative told us, “Having a team of staff who are clinical professionals really makes a difference. We know staff are well trained and assessed as competent before they do anything.”

The provider actively monitored outcomes and used data to drive improvements. Evidence-based interventions were tracked for effectiveness, and adjustments were made swiftly when needed. This proactive approach ensured care remained responsive and aligned with best practice.

Staff worked collaboratively with healthcare professionals, including GPs, district nurses, and specialists, to ensure continuity of care and adherence to clinical pathways. Feedback from external professionals highlighted the provider’s strong clinical governance and commitment to quality improvement. For example 1 stakeholder told us, "I do feel confident that the care provided is safe. To my knowledge, the care staff undergo regular training, clinical supervision, and competency assessments.”

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. We saw examples and received positive feedback from stakeholders involved in people’s care regarding the joined up approach from Libertatem Healthcare. One stakeholder said “I’ve found the team leader to be highly proactive and often one step ahead in anticipating and addressing the client’s needs.”

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. People received personalised care packages that were thoughtfully designed around their abilities and the areas where they required support from Libertatem Healthcare. For instance, 1 person preferred to go out alone at times to maintain their independence, without staff accompanying them. The provider had identified creative ways to offer support, always with the person’s consent and involvement, ensuring they could remain independent while knowing that staff were available if needed.

The provider monitored all people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent, and they fully met both clinical expectations and the expectations of people themselves.

Systems were in place to track, evaluate, and improve the quality of care, with a strong emphasis on achieving meaningful outcomes for individuals. For example, care plans included clearly defined goals tailored to each person’s preferences, health conditions, and lifestyle aspirations. These goals were regularly reviewed in collaboration with the person, their families, and relevant professionals. People and their relatives told us they felt empowered by this process. One relative said, “I feel the care is completely tailor made to suit [family member] it is absolutely extraordinary how they have it spot on, we are very much involved.”

The provider used a combination of digital tools, such as real time tracking logs and manual audits to monitor progress against people’s outcomes month to month. This included tracking improvements in people’s mobility, emotional wellbeing, medicine adherence, and social engagement. Staff were highly skilled in identifying changing needs and acted swiftly to reassess and adapt care plans. This responsiveness was particularly evident in how the provider supported people with complex or deteriorating conditions, ensuring continuity of care and avoiding unnecessary hospital admissions. For example, 1 person was living was a potentially a life-threatening condition if early detection to signs and symptoms were not picked up by staff. The person’s care plan was exceptionally detailed. Not only did it contain information specific to their condition but also specified how staff notice and understand what the condition means to the person and how it affected them.

Data collected from outcome monitoring was used not only to improve individual care but to inform service-wide improvements. The provider analysed trends and shared insights with staff during regular quality meetings, fostering a culture of continuous learning and accountability.

External professionals praised the provider’s outcome-focused approach. The organisation’s commitment to evidence-based outcome tracking also supported effective multidisciplinary working and ensured people received the right care at the right time. Some of the feedback we received from stake holders included, “I currently work with them on a highly complex care package where maintaining consistent and effective communication is essential to keeping the client safe within the community.” Another stakeholder told us, “On the whole Libertatem have a fantastic reputation for providing complex care packages. I find their team to be responsive to queries in a timely manner and responsive to matters of safety or incidents.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. For instance, all the care plans we reviewed included clear information about consent and decision-making. People had been actively consulted on matters such as the use of their images on social media and whether they wished to receive personal care from staff. The provider followed the principles of the Mental Capacity Act to assess individuals’ capacity to make specific decisions and choices.