Leda Homecare

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

This means we looked for evidence that the provider met people’s needs.

At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good. This meant people’s needs were met through good organisation and delivery.

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 were at the centre of their care and treatment choices, and they decided, in partnership with people, how to respond to any relevant changes in people’s needs.

People were involved in discussions about their care through initial assessments and regular reviews. They were supported by regular staff who knew them and could provide them with care which reflected their needs, risks, abilities and routines. A community professional told us the service worked flexibly and adopted a person-centred approach to ensure people received care which remained appropriate when their needs changed.

People’s care documentation included detailed information about their needs, risks and preferences, so staff knew how to provide them with individualised care. Changes in people’s needs were discussed with them or their relatives, so that decisions could be made in partnership about any action to be taken, including referrals to community agencies for additional support or equipment.

The provider understood the diverse health and care needs of people and their local communities, so care was joined-up, flexible and supported choice and continuity.

People’s care documentation included information about their diverse backgrounds and health and care needs. Staff provided support which reflected those needs and they encouraged people to make choices about their day-to-day care when they could.

When people’s needs changed or additional support or equipment was needed to keep them safe and well, this was arranged. This helped to ensure people received joined up care which reflected their wishes and enabled them to remain safe in their home.

The provider supplied appropriate, accurate and up-to-date information in formats that were tailored to individual needs.

People’s care documentation included information about how they communicated and any support they needed from staff to meet their communication needs. Staff were able to give examples of people’s individual communication needs and how they supported them.

Documentation, including the provider’s service user guide, was available in a variety of formats, including electronically, large print and easy read (simple words, short sentences, and pictures to make it easier to understand). The registered manager told us information could also be provided in other formats or languages if needed.

The provider made it easy for people to share feedback and ideas, or raise complaints about their care, treatment and support. Staff involved people in decisions about their care and told them what had changed as a result.

People’s care needs were discussed with them or their relatives regularly to ensure it continued to reflect what they wanted and needed. Any changes in their needs were addressed with them, with joint decisions made about possible referrals to community agencies or any potential changes to their support, such as additional visits.

People and relatives told us they felt able to raise any concerns with staff or management and were confident they would be listened to. The registered manager sought feedback from people and relatives about the support provided, through regular reviews, spot checks and satisfaction questionnaires.

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

People and relatives told us staff visited when they should and provided the support that had been agreed, which reflected people’s needs and wishes.

When there were changes in people’s needs or a deterioration in their health or well being, appropriate action was taken and additional support was arranged. This included contacting GPs, community nurses or reviewing the level of support they received. When people experienced barriers to accessing appropriate care or equipment, the registered manager advocated on their behalf. This helped ensure people were supported to access the care and support they needed when they needed it.

Staff and leaders actively listened to information about people who are most likely to experience inequality in experience or outcomes and tailored their care, support and treatment in response to this.

People’s care needs were discussed with them, so their support could be tailored to their individual needs. Care documentation was detailed and person centred and guided staff on how to provide people with support which reflected what mattered most to them. People and relatives were happy with the care provided by the service.

The registered manager sought feedback from people and relatives through reviews, spot checks and satisfaction surveys. The most recent satisfaction surveys completed in 2025, showed people experienced a high level of satisfaction with the care provided. This included staff approach, the timing of visits, feeling safe when being supported and staff competence.

People were 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.

The registered manager ensured people’s end of life care wishes were discussed with them so the care they received when they reached that stage of their life would reflect what was important to them. When people were unable to discuss their wishes, their relatives were consulted, so any decisions made would reflect people’s best interests and what they would have wanted.

People’s end of life care documentation included detailed information about their wishes, including resuscitation, funeral arrangements and who should be involved in any decision making.