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Lester Hall Apartments Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 17 March 2021

About the service

Lester Hall Apartments is a residential care home providing accommodation and personal care for people

living with mental health needs, including those living with dementia. The service can support up to 33

people in one adapted building.

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

Staff were not always safely recruited into their roles. Some staff did not have risk assessments in place where there had been information of concern on their police Disclosure and Barring Service (DBS) check. The provider took immediate action to rectify this.

The culture of the service was not fully person-centred as some people had a perception that some staff were employed as ‘security staff’. This could cause some people to feel fearful or uncomfortable and could have a negative impact upon their mental well-being. We have made a recommendation about embedding a person-centred culture for everyone living in the service.

Not everyone who showed distressed behaviours had a positive behaviour support plan in place but care files were person centred and people had a range of care plans in place which were reviewed regularly. Staff had guidance on how to provide safe support to meet people’s needs.

Care staff and one to one workers received appropriate training for their roles to ensure they could fulfil their roles and responsibilities.

People who received one to one support spoke positively about the care they received. We observed positive relationships and interactions between people and staff.

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.

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

Rating at last inspection

An inspection to examine infection prevention and control took place in December 2020 which led to a rating of inspected but not rated. The previous rating was requires improvement (published 17 October 2020.)

The overall rating for this service remains requires improvement.

Why we inspected

We undertook this targeted inspection to check a specific concern about whether all staff were trained appropriately for their roles. The overall rating for the service has not changed following this targeted inspection and remains requires improvement.

CQC have introduced targeted inspections to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.

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

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Lester Hall Apartments 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 priorities. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 17 March 2021

At our last inspection we rated this key question inspected but not rated. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.

Effective

Good

Updated 17 March 2021

Caring

Good

Updated 17 March 2021

Responsive

Good

Updated 17 March 2021

At our last inspection we did not inspect this key question. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.

Well-led

Requires improvement

Updated 17 March 2021