Legacy Agency Limited

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

We looked at all the key questions in this domain. There were several quality assurance processes in place and some could have its effectiveness improved. There were systems and processes in place to support the managers and the staff team. Manager was capable to lead the service.

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 registered manager was involved in the delivery of care and knew about people's needs and preferences. They supported staff in delivering care that was centred around people's needs and preferences.

Staff meetings were taking place and relevant aspects about care were discussed. There was also clear direction given to staff which created a shared vision and culture of what good care looked like. Relatives shared positive feedback about the care received.

The registered manager was passionate about the care provided, was receptive to the inspection findings and acted on the issues found or told us the action they would take to address the issues identified.

The registered manager had a good oversight of the service. There was an improvement plan in place which included areas identified at this inspection as requiring further work, such as staff training compliance and a monthly audit framework. This shows the service had already identified and knew some of areas where improvement was required.

Staff told us they felt well supported by the registered manager, and they were confident to raise any issues.

Feedback from people, relatives and staff was sought and acted upon.

During this assessment, feedback from staff indicated they felt supported.

Staff were offered regular supervisions and spot checks. The registered manager also completed welfare calls focused on staff's wellbeing.

In our conversations with the registered manager, they told us they kept an oversight of the safety and quality of the service through their regular provision of care, audits and conversations with staff, people and relatives.

The quality assurance systems in place were proportional to the size of the service however these were not being completed every month and its effectiveness could be improved in relation to safe recruitment checks and care plans.

Relatives did not raise concerns about how the provider worked with other organizations to meet the needs of people.

The provider had established good working relationships with a range of stakeholders, including local authorities and commissioners.

We did not receive any feedback about this quality statement.

The provider had established good working relationships with a range of stakeholders, including local authorities and commissioners.

The registered manager told us about their plans to continue to develop the service.

The registered manager had an action plan in place that included areas for improvement that were identified during this inspection. This showed the provider was reflecting on how to improve and planning this.