Lydia Rose Care

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. This is the first assessment for this service. This key question has been rated good.

This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (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 told us staff understood their needs well and provided care in ways that reflected what was important to them. Families told us they were involved in discussions when people’s needs changed and felt their knowledge of the person was listened to and used to inform the planning of care.

Care records showed people’s needs were assessed and reviewed, and care plans reflected individual preferences, routines and abilities. These included how people communicated, what supported their independence, and how staff should support them safely, for example with mobility or personal care.

One person told us, “I don’t know how they remember everything about me, it staggers me,” which reflected how well staff knew people and responded to their needs.

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 views and preferences were considered as part of care planning, and families told us they felt listened to and involved.

Where the service supported a person with a learning disability, staff recognised the importance of maintaining relationships that were important to the person’s wellbeing. Families told us staff encouraged regular contact and supported communication in ways that worked for the individual.

This included using digital technology, such as video calls, to help people stay in touch with family members. One family member said this helped the person feel “reassured and connected,” supporting emotional wellbeing as part of effective care.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing assessments of need when people moved between different services.

People and families told us staff worked well together and that communication was clear. Families described good coordination with health professionals when needed, which helped ensure people received consistent care. Leaders told us, “We have really good relationships with the physiotherapist, district nurses and GP, and feedback is always welcomed,” which supported joined‑up working.

Care records showed relevant information was shared which meant staff were aware of people’s needs and any changes. Where people received input from other professionals, such as physiotherapists or district nurses, this was clearly documented in care plans, so staff understood how to support people safely and consistently.

A family member told us communication helped care feel “reassuring and well organised.”

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 and families told us staff were attentive to people’s wellbeing and recognised changes in behaviour, mood or presentation that could indicate distress or a change in health. Families said staff could tell when their relative was becoming anxious or unsettled and responded promptly.

Leaders described how health concerns were identified and acted on quickly. One leader told us about a concern regarding a person’s medication, “the family were contacted and the GP was involved straight away,” helping ensure the person received timely and appropriate support.

Staff supported people to access healthcare when needed and adjusted help people attend appointments in ways that worked for them. Families also felt confident that staff would act appropriately to seek urgent or emergency healthcare if required, ensuring people could access timely support.

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.

Leaders and staff used care planning, regular checks and day‑to‑day oversight to understand how care was working for people and whether it continued to meet their needs.

People were involved in discussions about their care, and families were included where appropriate. This helped ensure care continued to reflect what mattered to people, including their comfort, wellbeing and day‑to‑day experience. Leaders described using feedback alongside care records to understand outcomes and identify any emerging concerns.

Leaders told us that incidents and concerns were rare and said there were “very few accidents and incidents.” Where issues did occur, leaders described responding promptly and said learning was “dealt with in a timely manner and cascaded to the team.” This helped ensure improvements were embedded and care remained consistent.

Staff monitored people’s comfort and involvement and responded when needs or preferences changed.

Leaders described how monitoring was not limited to records but also involved regular contact with people and families to gain reassurance about outcomes. This helped the service identify early when care needed to be adjusted and provided confidence that people were receiving safe, effective and supportive care.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People told us staff respected their choices and involved them in decisions about their care. Families told us staff explained what they were doing and checked people were comfortable before providing care.

Care records showed that consent was considered as part of care planning. One person told us staff “make sure I understand and agree before they do anything,” which supported informed consent and helped people feel involved and respected. Care records showed consent was consistently considered and reviewed as part of care planning and delivery.