Lago Homecare - Yarm Office

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's needs were assessed in a person-centred manner, with comprehensive initial assessments and regular reviews used to ensure care and support reflected their individual preferences, goals and changing needs. People told us they were actively involved in the assessment and care planning process and were given opportunities to discuss how they wished to be supported.

One person told us, "I was able to explain my needs so they could put a plan of care together.” A relative also confirmed they had been involved in planning their family member's care from the beginning. This helped to ensure care plans accurately reflected people's needs, preferences and desired outcomes, enabling staff to deliver personalised care and support.
 

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.

Staff delivered care in line with recognised good practice and up to date guidance. Care plans reflected people’s assessed needs and included information based on clinical recommendations. Staff received regular training to make sure they were kept updated with best practice guidance. The registered manager reviewed care plan records to identify concerns or shortfalls.
 

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.

Management and staff worked collaboratively to meet people's needs and deliver consistent care and support. The provider had effective communication systems in place to ensure important information was shared promptly and that staff remained informed about any changes to people's needs, preferences or risks.

Staff spoke positively about the support they received from both management and colleagues and described a strong sense of teamwork across the service. This helped to promote continuity of care and ensure people received coordinated support from staff who were aware of their individual needs and circumstances.
 

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 were supported by staff to manage their health and wellbeing whilst maintaining their independence wherever possible. People and their relatives told us they were involved in regular reviews of health and wellbeing needs, helping to ensure care remained appropriate, person-centred and responsive to changes in circumstances.

Care records contained information about people's healthcare needs, dietary requirements and any support required to maintain their wellbeing. Guidance was available for staff on how to support people safely and consistently, including information relating to nutrition, hydration and any specific dietary needs or preferences. This helped to ensure people received care and support that reflected their individual needs and promoted positive health outcomes.
 

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 routinely monitored people’s care and treatment to support continuous improvement, ensuring outcomes met both clinical expectations and people’s experiences. This was supported through regular reviews, audits and ongoing communication, with staff recording and reporting changes so care plans could be updated accordingly.

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

People received care in line with the principles of the Mental Capacity Act 2005 (MCA). The management team understood the procedures to follow should there be any doubt about a person’s capacity to make an informed decision about their care, including requesting that a mental capacity assessment is carried out.

Staff completed MCA training. They understood the importance of gaining people’s consent on a day-to-day basis, and that consent could be provided in a variety of ways.