Background to this inspection
Updated
15 December 2023
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection team consisted of 1 inspector, 1 regulatory coordinator, 1 medicines SpA and 1 Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
248 Lidget Lane- Leeds Jewish welfare board is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced. Inspection activity started on 7 November 2023.
During the inspection
We met 5 people who lived in the home and 1 relative who was visiting on the day of inspection. We spoke with 6 staff and the registered manager. We reviewed 2 people's care records including risk assessments and 3 staff files in relation to recruitment. We also reviewed a range of management records including staff training, quality audits, medicines, and service user feedback. After the inspection we spoke with 4 relatives.
Updated
15 December 2023
About the service
248 Lidget Lane- Leeds Jewish welfare board is a 5- bedded care home for people with learning disabilities and autistic people. On the day of our visit there was 5 people living in the home.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
People's experience of using this service and what we found
Right Support:
Staff supported people to access health and social care support in the community. They supported people being involved in maintaining their own health and wellbeing where possible. Staff communicated with people in ways that met their needs. 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.
Right Care:
The service worked together with healthcare professionals to ensure people's needs could be met. Care was person-centred and promoted people's dignity, privacy and human rights. Staff understood how to protect people from poor care and abuse. Staff were appropriately trained on how to recognise and report abuse and they knew how to report safeguarding concerns. Relatives told us their loved ones were safe living at the service, however we received mixed feedback from relatives regarding appropriate care, with some stating they felt their relative was receiving the right care and others that there had been gaps, relatives told us this had started to improve for one person where concerns had been raised regarding encouragement to eat and weight loss. This had been addressed and the person had recently gained weight and lessons had been learnt regarding how to support the person when eating and drinking. Care records contained risk assessments with clear guidance for staff to follow. Medicines were not always managed to ensure complete safety. Staff had not always been recruited as required. Issues raised had been identified by the registered manager and were being actioned prior to inspection. The premises were clean and well maintained.
Right Culture:
The registered manager promoted a person-centred environment and people experienced good outcomes. Relatives spoke positively about the new management team and staff. People received good quality care, and support because staff knew them well and could meet their needs and wishes. Staff understood people's needs in relation to their strengths, impairments or sensitivities people with a learning disability and/or autistic people may have. One relative felt that staff did not have appropriate training on how to support autistic people, however the staff training matrix evidenced that this had been undertaken and when asked staff had a good understanding. Under new management this previous gap in training and knowledge has been addressed. This enabled people to receive compassionate and empowering care that was tailored to their needs.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
More information is in the full report.
Rating at last inspection
At the last inspection we rated this service as good (published on 21 September 2018).
Why we inspected
We inspected due to the length of time since the last inspection.
This report only covers our findings in relation to the Key Questions Safe and Well Led.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our inspection programme. If we receive any concerning information, we may inspect sooner.