Lionheart Domiciliary Care Services Limited - Deptford

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 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 made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

The provider carried out needs assessments with people and their families and planned their care and support with themin line with legislation. The provider regularly reviewed people’s needs, care and support with them.

The issues we found with medicines administration were medicines management and record keeping issues, people’s needs had been appropriately assessed.

A person’s relative told us, “A risk assessment was completed last week and they [the service] keep this up to date.”

The provider did not always deliver people’s care and support in line with evidence-based best practice.

The provider had not followed NICE guidelines for ‘Managing medicines for adults receiving social care in the community’.

However, we found no evidence anyone had been harmed.

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.

Although we found issues with the moving and handling of 1 person, the person had not been harmed and staff worked well together in all other areas of the person’s care, and with all other people using the service.

The provider shared information about people’s needs and care and support with local authorities and healthcare professionals, which supported people to access other services easily and in a timely manner.

A person’s relative said, “They [the service and staff] seem to communicate well and there is usually a good handover [between staff].”

A member of staff told us, “We [the service] have a social media group, we [staff] can chat about work stuff, you can share your challenges, and somebody can help you out” and “The office staff are nice people, they help me out a lot.” Another staff member said, “We [staff] have good morale.”

The registered manager said, “I feel it is really important that staff have good working relationships. During induction we talk with them about our expectations, including professionalism and caring. The staff have respect for each other. I let them know I have an open-door policy, and they can approach me regarding any issues.”

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.

A person’s relative told us, “They ask if [she/he] has taken their medicine and make sure [she/he] has.” Another person’s relative said, “They get [her/his] food for her and warm it up in the microwave.”

The provider 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.

Staff completed daily records of the care and support they provided to people and the provider carried out spot-checks in people’s homes to ensure good care was being provided.

There were food and fluid charts and repositioning charts in place for people that required them.

Staff checked and monitored people’s skin integrity when providing them with personal care.

A person’s relative told us, “They [the service and staff] do go and check [her/him].”

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

The provider followed the Mental Capacity Act 2005 when providing people with care and support.

A member of staff said, “Ialways ask people for permission before I do any task, and I let them know what I am going to do before I do it.” Another staff member told us, “I ask for consent from people.”