first do f(a+h)-f(a)
[tex] \frac{5a+5h}{a+h-1} - \frac{5a}{a-1} [/tex]
make the denominators the same and simplify:
[tex] \frac{(5a+5h)(a-1)}{(a+h-1)(a-1)} - \frac{5a(a+h-1)}{(a+h-1)(a-1)} [/tex]
expand: [tex] \frac{5a^2-5a+5ah-5h-(5a^2+5ah-5a)}{(a+h-1)(a-1)} [/tex]
simplify: [tex] \frac{-5h}{(a+h-1)(a-1)} [/tex]
now divide it by h, you have: [tex] \frac{-5}{(a+h-1)(a-1)} [/tex]