Leda Homecare

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

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 requires improvement. At this assessment the rating has changed to 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, well being and communication needs with them.

People’s needs were discussed with them or their relatives before the service started supporting them, to ensure staff had the knowledge and skills to meet their needs and keep them safe.

This initial information and further discussions with people and relatives were used to create care plans, which guided staff on how to support people in a way which reflected their needs, risks and abilities. These were reviewed regularly. Any changes to people’s needs were assessed promptly, their care documentation was updated, and staff were informed to ensure people continued to receive appropriate care.

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.

People were involved in planning their care, so that staff and management knew what was important to them. People and relatives were happy with the care and support provided by the service. A person told us “They are fantastic. They have helped me so much. They have been so good to me.” A relative commented, “They are all very nice girls and [family member] is very pleased with them all.”

The registered manager ensured staff had the knowledge to support people in a way which was safe and reflected good practice. Staff completed the provider’s required training before supporting people, which included health and safety, food hygiene, fire safety and moving and handling training. Staff performance was monitored during regular supervision and observations and staff kept up to date with good practice through staff briefings and regular staff meetings.

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.

Most people were supported by a small group of regular staff who were familiar with their needs, risk and preferences. When people’s needs or risks changed, staff were updated promptly, to ensure people continued to receive appropriate care. One staff member told us, “Any changes in people’s needs are communicated via the app (electronic care record system). We also get updates by email and texts.”

We saw evidence of referrals to community agencies when people needed additional or specialist support or equipment to meet their needs and keep them safe. Staff and management communicated well with community professionals involved in people’s care, including GPs, community nurses and social workers. This helped to ensure people received effective, joined up care.

The provider supported people to manage their health and well being 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 monitored people’s healthcare needs. The registered manager ensured that when people needed additional support to improve or maintain their health, community professionals such as GPs and community nurses were contacted.

People’s care documentation included detailed information about their healthcare needs, medical history and any allergies, to guide staff on how to support them to improve their wellbeing or remain well.

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.

People’s care needs were discussed with them or their relatives. Where there were any changes, their care documentation was amended and staff were updated, so they could continue to provide care which reflected people’s needs and risks.

Staff monitored people’s health and well being during their visits. If people became unwell or their condition deteriorated, staff escalated their concerns to the registered manager, sought additional support and shared updates with any professionals involved in their care.

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

The registered manager ensured that people’s consent was sought before the service started supporting them. When people were unable to consent to their care, their relatives or representatives were consulted to ensure any decisions made were in their best interests and reflected what they would want.

Staff sought people’s consent during visits before they supported them. Staff described how when people had a cognitive impairment and were reluctant to accept support with personal care for example, they encouraged them and asked again later during the visit. When people continued to decline support, staff accepted their decisions, documented this and escalated it when appropriate.