Legacy Agency Limited

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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

We assessed all 6 quality statements in the effective. Consent was sought and respected, but this was not always documented consistently. We made a recommendation in this area. Staff worked well together to meet the needs of people. People's care was regularly reviewed.

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.

Relatives shared positive feedback about the care their loved ones received. One relative commented, "They give excellent personal care. They go above and beyond their care duties. In fact, the manager came to the hospital to pick [person] up.”

The registered manager told us they assessed people's needs before commencement of the care package.

Initial assessments were completed which showed people's needs and preferences were assessed before start of the care package.

Relatives told us their loved ones enjoyed the care they received and this met their needs and expectations. One relative told us, "[Person] is not just happy with the carers, [person] is absolutely delighted!."

The registered manager was able to describe us what good care looks like. However, we found inconsistency in how they used best practice guidance in areas such as consent, training and recruitment. We did not find evidence of his having any detrimental impact on the quality of care people received.

We found some areas of inconsistency in how the provider was delivering evidence based care. For example, although the provider was not caring for people with a learning disability at the time of our inspection, the service was registered for providing care to people with a learning disability and staff had not yet completed their training. We found also inconsistency in how the requirements of the mental capacity act were documented. In other areas, such as risk management and care planning, we found the provider was delivering care in line with best practice guidance.

Relatives told us they felt the team was knowledgeable. Comments included, "They are very well trained and well experienced."

Staff told us they worked well with the registered manager and they were supportive. Staff knew what to do to report concerns about people's health if this deteriorated or how to dealt with emergencies.

Partners did not raise concerns about the way the team worked together.

The registered manager was involved in delivering care and provided regular support and guidance to staff. Staff told us they worked well together as a team and it was easy to escalate any concerns to the manager.

Relatives shared positive feedback about the impact the care delivered had on people and their families. Their comments included, "They are very responsive to [person's] needs and the company is very responsive to the needs of the family as well. I know the manager and feel like family within this organisation."

The registered manager was passionate about the care provided and was directly involved in providing care to people. They gave us examples of how they supported people to lead healthier lives.

People's care was assessed and planned to ensure their needs were met.

Relatives told us they had been involved in designing the care plan and were in regular contact with the registered manager.

The registered manager monitored people's health and ensure their needs were met. Staff knew how to escalate any concerns linked to people's care.

People's care was reviewed.

Relatives did not raise concerns about consent and the provider were seeking and recording consent.

Staff told us how they sought people's consent before delivering care. A staff member described us how they would seek consent before offering personal care to a person "Ask for consent first, greet them in their house, engage in a conversation, being polite, make them to feel comfortable."

During our assessment we found records linked to consent to care and mental capacity assessments were not always clear. The registered manager understood the principles of the MCA and there was a mental capacity act policy and procedure in place. We recommend the provider reviews best practice guidance in the application of MCA.