Look Ahead Domiciliary Care (Hertfordshire)

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

Responsive – this means we looked for evidence that the provider met people’s needs.At our last inspection we rated this key question good. At this inspection the rating has changed to requires improvement. This meant people’s needs were not always met.

This service scored 62 (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 have a proactive and positive culture of safety based on openness and honesty. Lessons were not always learnt to continually identify and embed good practice.

There was not always consideration when mitigating risks of closed cultures. For example, we found in some homes restrictions that had been imposed by the staff team, there was no rationale as to why this was in place. People were not able to move around their home freely.

People were supported by the provider to have links with the local health professionals where they needed it. Staff explained how they have been individual’s advocates when they required support relating to health and wellbeing.

The provider did not always have a proactive and positive culture of safety based on openness and honesty. Lessons were not always learnt to continually identify and embed good practice.

There was not always consideration when mitigating risks of closed cultures. For example, we found in some homes restrictions that had been imposed by the staff team, there was no rationale as to why this was in place. People were not able to move around their home freely.

People were supported by the provider to have links with the local health professionals where they needed it. Staff explained how they have been individual’s advocates when they required support relating to health and wellbeing.

The provider made sure that people could access the care, support and treatment they needed when they needed it.

Staff and leaders did not always actively listen to people who are most likely to experience inequality in experiences. People told us and our observations confirmed there to be an inequality in some case with how staff communicated and supported people.

People were not supported to plan for important life changes, so they could have enough time to make informed decisions about their future, including at the end of their life. Care plans and discussions had not taken place to discuss people’s wishes.