Leigh House

Leigh House is a residential care home providing personal care to four people at the time of the inspection. One of the people was receiving respite care. Leigh House accommodates up to five people in one adapted building. People have their own bedrooms and there are shared communal areas including a lounge, dining room and kitchen. There is a private garden at the front of the property.

People’s experience of using this service and what we found

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.

Based on our review of safe and well-led the service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right Support

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. Staff focused on people’s strengths and encouraged them in their individual interests. The home environment was clean and well equipped to meet people’s needs. Where people benefited from a change in the environment, or specific adaptions, these were made in accordance with people’s changing needs. People received support from staff who had up to date information about them, which meant their needs were met.

Right Care

People were supported by a staff team who knew them and their personalities well. People received support that was caring, compassionate and respectful of their privacy and dignity. Staff knew how to protect people from harm and felt able to raise concerns for people’s safety and well-being. Staff advocated for people and worked effectively with other agencies to ensure people’s needs were met. Staff understood people’s individual communication needs and worked in partnership with families to support people.

Right Culture

Staff were trained to meet people’s individual needs and were passionate about people receiving good quality care and support. People were supported by staff to take part in significant family events. People and their families were involved in planning their care. The registered manager worked alongside families to improve the care people received.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 13 February 2020).

Why we inspected

We undertook this inspection to assess that the service is applying the principles of Right support right care right culture. We received concerns in relation to the actions of the registered manager. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well led sections of this full report.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has not changed and has remained good, based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Leigh House on our website at www.cqc.org.uk

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Leigh House is a residential care home providing personal and nursing care for up to five people with a learning disability and physical disabilities. The home was a residential property which had been adapted and met with the principles of registering the right support. There were three people living at the home during our inspection.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People’s experience of using this service and what we found

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

People were safeguarded from abuse and risks to their safety were minimised. Medicines were administered safely and people were protected from the risk of cross infection. People were supported by enough safely recruited staff. Where incidents happened there were systems in place to learn from these and prevent reoccurrence.

People had their needs assessed and plans put in place to meet them. People were supported to maintain a healthy diet and had consistent support including being referred to health professionals as needed. People had support from trained staff and lived in an adapted property to meet their individual 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.

People were supported by caring staff and were supported and empowered to make choices. People’s privacy and dignity was protected.

Staff understood people’s preferences and people were supported to access the community and do things they enjoyed. People had their communication needs assessed and staff understood how to support people.

There was a complaints procedure in place and the provider responded to people’s concerns. There were systems in place to monitor the service people received and the provider worked in partnership with other agencies. There was a culture of learning encouraged by the provider and the manager to promote delivery of person-centred care.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 7 September 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

People continued to receive safe care. There were enough staff to support them and they were recruited to ensure that they were safe to work with people. People were consistently protected from the risk of harm and received their prescribed medicines safely.

The care that people received continued to be effective. They were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Staff received training and support to be able to care for people well. They ensured that people were supported to maintain good health and nutrition.

People contined to have positive relationships with the staff who were caring and treated people with respect and kindness. There were lots of opportunities for them to get involved in activities and pursue their interests. Staff knew them well and understood how to care for them in a personalised way. Communication systems were developed to ensuer that people could communicate their choices. Relatives knew how to raise a concern or make a complaint and there was a procedure in place to manage any; however, no complaints had been received.

People, their relatives and staff were included in developing the service and found the manager approachable. There were quality systems in place which were effective in monitoring and improving the quality of the care that was provided.

Further information is in the detailed findings below