Meridian Health and Social Care - Leeds

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 newly registered provider. 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 to ensure safe and effective care delivery.

Assessments were comprehensive and included physical health, mental health, cognitive needs and communication requirements. This included consideration of changes in cognition and the need for staff to adapt communication approaches accordingly.

Staff accessed care information through electronic systems and were able to describe how they used this to understand people’s needs. One staff member told us, “All the information is on the phone and updated regularly.”

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 followed care plans that reflect the person’s assessed needs, professional recommendations, and evidence‑based interventions.

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.

The provider demonstrated effective joint working across teams and services to support people.

Staff consulted with families, GPs, district nurses, social workers, and occupational therapists to ensure assessments, interventions, and updates were shared promptly.

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.

Staff supported people with nutrition and hydration needs and followed guidance from healthcare professionals. One staff member told us, “We make sure they eat well and follow any guidance.”

People described positive outcomes from the care provided. One person said, “I have improved due to the staff,” while another explained, “I couldn’t manage without them.” A relative told us, “It’s taken the pressure off me, I used to be [person’s] carer, now I am [person’s] wife.”

This demonstrated that the service supported both physical health and overall wellbeing, including reducing the impact on family carers.

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. There was a clear and structured processes for monitoring and improving outcomes, with staff recording detailed daily notes covering food and fluid intake, mood, mobility, and catheter outputs.

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

People were supported to give consent and make decisions about their care.

Staff demonstrated a good understanding of consent and the principles of the Mental Capacity Act. One staff member told us, “We always ask before doing anything and respect [people’s] choices.”

People told us staff generally sought consent before providing care. One person said, “They always ask and explain what they’re doing.” However, some inconsistency was noted, as another person shared, “Most of the time, I correct them if they don’t.”