Lomack Healthcare

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• 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

As part of this assessment, we looked at 2 quality statements for the key question of effective. These were ‘assessing needs and consent to care and treatment.’ People’s needs, preferences and choices were assessed prior to them receiving care and support. The provider carried out a comprehensive assessment with people and their relatives to ensure they could meet their needs. People's capacity to make decisions was assessed and best interest decisions were made with the involvement of appropriate people such as relatives and staff.

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.

People’s needs, preferences and choices were assessed prior to them receiving care and support. The provider carried out a comprehensive assessment with people and their relatives to ensure they could meet their needs. A relative said, “We worked with the staff to make sure [family members] move went as smooth as possible. They always involve us and call us twice a week to let us know what they have been doing.”

People’s communication needs were assessed to ensure their needs could be fully met. The manager told us how staff used signs language, pictures and recognised peoples body language and facial expressions to enable them to understand and support people with their needs.

We did not receive any negative feedback from partners. The providers quality team told us they did not have any concerns.

People’s needs, preferences and choices were assessed prior to them receiving care and support. The provider carried out a comprehensive assessment with people and their relatives to ensure they could meet their needs. Processes were in place to assess people’s needs when they started living at the service. Assessments focused on people’s preferences likes and dislikes, communication needs, independence as well as their physical support needs. People’s support plans covered their diverse needs, for example, their religion and wishes for their end of life.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

People's capacity to make decisions was assessed and best interest decisions were made with the involvement of appropriate people such as relatives and staff. A relative commented, “We see the managers a lot and have attended best interest meetings for our [family members].”

The registered manager was aware of the process to follow to make formal decisions in people's best interests. The registered manager told us that there was mental capacity assessments and best interest meetings for when decisions needed to be made for people.

Staff had received training and had a good understanding of the principles of the Mental Capacity Act 2005 (MCA). Training records confirmed this. There was an emphasis on enabling people to make their own choices wherever possible and care plans described how people were supported to make decisions and choices. Where people could not make decisions and consent to their care, processes were in place to make sure any decisions would be made in their best interests.