Homewards Limited - 20 Leonard Road

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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

The home was effective. People’s needs were assessed before they began to use the service and their needs were regularly monitored and reviewed. Consent to care and treatment was requested. Where people could directly provide their written or verbal consent, the home followed the principles of the Mental Capacity Act and held best interest meetings involving people, families and health professionals.

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.

Leaders within the home were fully aware of the processes to follow when supporting people to make decisions. Staff completed appropriate training in mental capacity and this area was regularly discussed during staff meetings.

People’s relatives and health professionals confirmed needs were assessed. A relative told us they were asked to provide information to support the assessment. They confirmed staff listened to those suggestions.

People’s care records showed their needs were assessed before they began to use the service. Ongoing monitoring of needs was evident and health professionals and relatives were actively involved in providing information to support the assessment of needs with the home.

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.

We observed staff ask people for their permission before caring out tasks to support them. People were seen to be comfortable and relaxed when having their needs attended to.

There were effective systems in place to follow decision making principles on behalf of people who lacked capacity. Staff received training in the mental capacity act and demonstrated a good understanding of supporting people to make informed decisions. Where people living at the home were unable to make their own decisions, records of best interest meetings and specific decisions were in place.

The deputy manager told us they assessed people at the home to see if they had capacity to make decisions. The deputy manager told us they did not assume people did not have capacity. Where people did not have capacity, this was recorded and appropriate decisions made in people’s best interest. The deputy said, “We fully involve people to make basic decisions, but we follow best interest process for more important decisions.” The advocate confirmed they had been invited to provide information for best interest meetings.