Right at Home North Leeds, Otley and Wetherby

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. We saw comprehensive assessments completed prior to care delivery, ensuring individual needs are identified and met. A relative told us, “They always want to know how they are, to see if there is anything new, they should know, and they always check the notes system so that they are up to speed. Once they have done what they need to do they always ask if there is anything else they can do. I usually decline but sometimes I have said yes, and they have always happily done whatever I have asked. “

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.

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 received ongoing training and supervision to maintain competence and deliver effective care. One staff member told us, “Always excellent communication between management and within teams. We communicate daily within our WhatsApp group regarding [names] and general information we need to know, we have team meetings, and the office is always open for us. For example, if one of my colleagues has been to visit a person, they will pass on information in our chat to ensure the next care giver has any updated information they need for the next visit. We share relevant information with doctors for example, and anyone involved in peoples care to ensure the best care possible is provided to people. “

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 dietary needs were assessed and met. People were encouraged and supported to engage in physical activities. One staff member told us, “As a care giver I try to encourage people to do things for themselves whilst still offering support. If they are able, I might suggest we could do tasks together like washing up, baking or cleaning. Some of people might need prompting or reminding to do something, it is always personalised to suit their needs and what is best for them and based on their care plan the level of support they require.”

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. Systems were in place to monitor outcomes through audits and reviews, ensuring care remained effective and responsive. A relative told us, “The [registered] manager has supported me to get in touch with professionals involved in [name’s] care.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Care records included documented consent forms and evidence of discussions with individuals about their preferences and choices. Staff demonstrated understanding of the principles of consent and the Mental Capacity Act 2005, including how to assess capacity and act in a person’s best interests when required. A relative told us, “Consent is always asked at the beginning of care.” A staff member told us, “Making sure I have explained in detail what they are agreeing to, and we can respect their decision.”