Leazes Hall Care Home

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 good. At this assessment the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (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 made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. People’s needs were assessed prior to them starting to live at the home.

Information was gathered from people and, where appropriate, their families. This information was used to develop care and support plans that reflected people’s needs and preferences. Staff reviewed care plans regularly and updated them when people’s needs changed.

The provider 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 and current evidence-based good practice and standards.

People’s needs were assessed using recognised tools, for example, for risks associated with nutrition, falls and pressure damage. This information was used to make timely referrals to healthcare professionals and supported safe and effective co-ordinated care delivery. We saw staff supporting people as outlined in their care plans.

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.

Staff knew people well and worked effectively with health professionals such as GPs and advanced nurse practitioners to manage people’s health needs. Staff acted on advice given by specialist health professionals. A health professional said, “Staff always know what is going on with everyone. If I give staff specific instructions to follow for someone’s care it is always followed. I never have to ask why something hasn’t been done. Instructions are always meticulously followed, so I never have any concerns about this home.”

Staff were well-informed and up to date about people’s individual needs. The management team held regular team meetings, daily handovers and briefings.

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.

Staff supported people to access a range of support around nutrition, hydration, lifestyle choices and emotional well-being. Care records gave staff detailed information about people’s health conditions, how these might affect the person and when staff should raise concerns. Staff recognised the importance of good oral health to people’s overall wellbeing, and care plans clearly detailed how people were supported with their oral health needs.

A person told us, “When I came here, I was poorly. I hadn’t been eating and looking after myself. I owe them everything because I think I would have died without them.”

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

The provider had effective systems in place to monitor and improve outcomes for people. Staff regularly assessed and reviewed the effectiveness of care and support, focusing on people’s health, wellbeing and quality of life. Effective working relationships had been developed with health professionals so any concerns were escalated and addressed promptly. For example, if people had suffered unexpected weight loss or staff had concerns about people’s skin condition.

Consistent and detailed records were not always in place, where people lacked capacity to make specific decisions. We spoke with the registered manager about this, who assured us plans would be reviewed and improvement action taken.

Where people had capacity to make their own decisions, for example about their data or having their photograph taken, this was captured appropriately in care records. Staff understood the importance of ensuring that people fully understood what they were consenting to and the importance of obtaining consent before they delivered care or treatment.