Leggyfield Court (Care Outlook)

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 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 did not always make sure people’s care and treatment were effective because they did not always check and discuss people’s health, care and wellbeing needs with them.

The majority of the providers pre-assessments for people’s needs had identified their needs and guidance had been created and transferred to their care documents for staff to follow. However, we identified occasions where the pre-assessment process had not always identified people’s known risks and guidance for staff to follow at the point of care had not been created in a timely manner.

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 care plans contained details about their communication, mobility and strengths. Staff worked with healthcare professionals to support people to access the equipment they needed to maintain their independence, mobility, and promote their wellbeing. A professional told us, “The staff at Leggyfield Court provide a high standard of care and demonstrate a positive, patient-centred approach in their work. Staff have responded promptly and appropriately, demonstrating both competence and a clear understanding of safe 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 supported people to access specialist teams when they needed them, including the Speech and Language Therapy team (SaLT). Where the SaLT team provided guidance to reduce risks around eating and drinking this was transferred into people’s care documents for staff to follow. The onsite catering company who provided people with food was also made aware of people’s specific dietary requirements.

People could access other professionals when they needed, such as GPs, occupational therapists and district nurses. A professional told us, “The team at Leggyfield Court have consistently shown themselves to be helpful, professional, and resourceful.” Another professional described how their experience around communication with the staff team had improved since the implementation of a peripatetic quality manager. They said, “Since [they] came into post, communication and joint working with the provider for a person was considerably easier and more effective. They have been consistently proactive, reflective, responsive, and supportive in coordinating matters.”

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’s independence was promoted throughout their care documents with an emphasis on their strengths, and staff supported people to contact the relevant health professionals when needed. A person told us how their independence had improved whilst living at Leggyfield Court due to the support they received from the care team to improve their daily life skills. A professional said, “They are proactive in ensuring that patients receive appropriate care.”

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.

People described the support they received as meeting their needs. One person said, “I can tell the staff if I need to see a doctor and they’ll help arrange it.” For the majority, staff knew the people they were supporting and were able to describe how they supported people around their daily life to promote their individual goals. A professional said, “Staff are proactive in ensuring that patients receive appropriate care and are willing to assist in facilitating the best possible outcomes.”

The provider did not always ensure people’s rights were upheld through consistent application of the Mental Capacity Act (MCA). The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

Staff understood the need to seek people’s consent before providing care. One staff member said, “If there is doubt around a person’s capacity, they will have a mental capacity assessment [for that specific decision] and if they have capacity, they can make an unwise decision.” Another staff member said when describing consent, “We tell people what we are going to do and gain their consent first before we provide them support.”