Leymar Healthcare, a domiciliary care agency supporting 37 people, improved its overall rating from Requires Improvement to Good following a focused inspection of safe and well-led key questions. The service demonstrated safe staffing recruitment, effective medicines management, robust safeguarding processes and improved governance, with only a minor concern noted around travel time between care calls.
Concerns (1)
minorStaffing levels: “other staff we spoke with told us, they did not always have enough travel time between calls. The registered manager acknowledged recruitment continued to be difficult”
Strengths
· People received their medicines as prescribed and staff had medicine administration training and competency assessments.
· Staff were recruited safely with robust DBS checks and references in place.
· Safeguarding concerns were investigated and immediate action taken to reduce risk of reoccurrence.
· Risks were assessed, managed and monitored including falls, mobilising and environmental risks.
· Infection prevention control measures were in place including PPE use and up-to-date infection control policy.
Leymar Healthcare, a domiciliary care agency serving 31 people, was rated Requires Improvement overall, with failures in safe medicines management and person-centred risk assessment posing risks of harm. Well-led was also rated Requires Improvement due to generic, non-individualised risk assessments and the absence of the registered manager on the day of inspection.
Concerns (8)
criticalMedication management: “the service had started filling multi-compartment aids for service users during the covid-19 pandemic...this puts people at risk of receiving incorrect medication”
criticalCare planning: “two different people had identical home risk assessments in place. This places people at risk; risk assessments should be person centred”
moderateMedication management: “Staff were not always provided with instructions on how and where to apply prescribed creams, this puts people at risk of creams being applied incorrectly.”
moderateCare planning: “people with the condition of diabetes. There was no risk assessment if the person was to have high or low blood sugars.”
moderateSafeguarding: “Staff were unable to tell us how they would raise concerns outside the provider, we advised during the inspection to have local safeguarding details on display”
moderateGovernance: “The registered manager was unavailable on the day of the inspection...they were in the process of submitting a new application to be the registered manager.”
moderateRecord keeping: “not all known risks were recorded to identify how staff should support the person effectively”
minorInfection control: “the provider had an infection control policy in place although this had not been updated to reflect the current covid-19 pandemic”
Strengths
· Staff were recruited safely with safe recruitment checks in place.
· Staff received training on medication administration, infection control, and safeguarding, updated yearly.
· Systems were in place to learn lessons from incidents, with safeguarding referrals reported appropriately to local safeguarding teams.
· Quality monitoring systems including spot checks and staff supervision were in place.
· People told us they felt safe with staff and reported timekeeping was good.
Leymar Healthcare, a small domiciliary care service supporting five people, received a Good rating across all five key questions at its July 2015 inspection. The service demonstrated safe, person-centred care with well-trained staff, no missed calls, strong caring relationships, and effective quality monitoring led by an accessible and proactive registered provider.
Strengths
· People felt safe with staff and reported no missed or late calls; one person stated staff are 'always punctual and on time'
· Staff received appropriate training including medication management, safeguarding, infection control and fire safety, with competency assessments undertaken
· Strong caring relationships developed between staff and people due to small size of service; people described staff as 'so kind and considerate'
· Care plans were individualised, containing likes/dislikes and preferred routines, and were regularly reviewed with people's involvement
· Open and honest leadership culture with registered provider maintaining high visibility through regular home visits and unannounced spot checks
Leymar Healthcare, a small domiciliary care agency in Nottinghamshire, was rated Good across all five key questions at its November 2017 inspection, maintaining the rating achieved in 2015. The service demonstrated consistent, person-centred care delivered by a stable staff team, supported by robust governance, safe medicines management, and proactive engagement with external organisations to drive improvement.
Strengths
· People received care from a small, consistent team of staff they knew well and trusted, fostering strong caring relationships.
· Robust risk assessments including environmental, infection control, and equipment risks were completed and regularly reviewed.
· Medicines were managed safely with records kept and stored within people's homes.
· Safe recruitment procedures included references, DBS checks, and qualification verification.
· Staff received induction, shadowing, ongoing supervision, and nationally recognised vocational training including the Care Certificate.