Homewards Limited - 48 Leonard Road

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 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.

Relatives told us they were involved in the referral process and involved throughout planning of care but would like to see the care plan. A relative said, “I’m involved, but funnily enough I haven’t seen the care plan.”

Records confirmed that care was regularly reviewed with up to date information to show people’s needs were continually being assessed. Within assessments it made it clear that staff were to explain to people what was happening to support effective communication and joint working with people to help them understand.

Health professionals were in regular contact with the home to support the assessment process, records confirmed this. Peoples, health, physical and social needs were part of the assessment. Plans were put in place to support positive behaviour, this was worked on in partnership with health professionals.

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 were supported to have enough to eat and drink. People made their own choices in what they wanted during mealtimes, and they were encouraged to have a healthy and nutritious diet.

The provider and staff were aware of the principles of right care, right support, right culture. Care was planned and delivered to ensure people understood what was happening at any given time. For example, staff knew to check routines before telling people to avoid causing anxiety and triggering behaviours, as stated within their care plans.

Staff received training to support people with a learning disability and autistic people, this helped them to understand the needs of the people at the home in line with recognised guidelines and best practices.

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 told us communication and information sharing was effective. Staff shared information with each other regularly during the shift and at shift handovers. The provider and home manager asked for updates during the day and people’s well-being was documented. Information was shared with people’s health professionals to support prompt health decisions and promote good health outcomes.

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.

Records showed people were supported to attend health appointments with their GP and local learning disability team, which the home had built a long-standing working relationship.

Records confirmed people were booked to receive annual health checks which included visits with the optician and oral health checks.

Relatives were aware their family member was encouraged to be healthy and more active. A member of staff told us they took people to the gym to support in taking action to become healthier and lose weight. The provider said, “[Person] goes to the gym, we promote health eating choices, with passage of time its in [person’s] mind. The family always supports us with this."

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.

Care plans made it clear the positive outcomes people would receive from completing their activities and with staff support. For example, people were able to enjoy the local community which included local cafes and restaurants. People were also supported to take part in leisure activities such as swimming, using the gym and attending farms. This had a good impact on people’s wellbeing as activities people wanted to participate in and the home ensured this was facilitated.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

People were asked for their permission before care and treatment was provided. Care plans showed where people were unable to sign, the provider had acted on their behalf in their best interests.

Care plans made it clear where people needed support with different daily activities and certain decisions and where they were independent to make their own choices, this helped staff empower people to make their own decisions where possible and seek extra support as necessary. People’s relatives were consulted about health appointments where they also lacked capacity, this meant appropriate arrangements could be made to make decisions in people’s best interests with health professionals and family involvement.