Loidis Care Services (Leeds)

At our last inspection, we made a recommendation in relation to the management of medication. At this inspection, we found improvements continued to be required in the recording of 'as and when required' medication, although the other areas of medicines management were safe.

Staff had been trained in safeguarding adults and were able to identify signs of abuse and neglect. During this inspection we had to ask the registered manager to make a safeguarding referral due to one allegation made by a relative of unsafe moving and handling manoeuvre performed by staff. There had been one safeguarding incident the registered manager had not reported to the Care Quality Commission in line with their responsibilities. We made a recommendation for the registered manager to review the relevant guidance.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People's nutritional and hydration needs were met appropriately and in accordance with people's choices.

Staff felt well supported by the registered manager and there were systems in place to ensure staff were inducted into their jobs, trained, monitored and supported regularly.

People and relatives told us staff were kind and the registered manager approachable.

People's care was planned in a person centred way and staff knew people well. People's diverse needs and preferences were considered and respected.

There were quality assurance policies and procedures in place and these were followed.

The registered manager was supportive and actively collaborated with the inspection process and either took immediate action to address the issues found or told us about their plans to improve. People, relatives and staff shared positive feedback about the management of the service.

Rating at last inspection We completed a focused inspection on this service on 2 and 3 September and 7 October and we found the safe domain was requires improvement and the well led domain was good, but we did not award an overall rating to the service.