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Lester Hall Apartments Requires improvement

We are carrying out a review of quality at Lester Hall Apartments. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 5 February 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 and there were 26 people living in the service at the time of inspection.

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

Poor infection prevention and control processes and practice placed people at risk of harm. During a recent outbreak of COVID-19 government guidance on how to work safely in care homes was not always followed. The service did not always follow their policy on how to safely manage an outbreak of COVID-19. This included safe use and disposal of personal protective equipment (PPE) and not effectively using cohorting and zoning of people and staff to reduce the risk of infection spread. It also included not adhering to their policy in areas such as laundry and uniform processes.

Management oversight of infection prevention and control processes required urgent improvements. Quality assurance processes had not identified the widespread concerns in this area found during the inspection. There were not always enough domestic staff on shift to do all necessary cleaning tasks to help reduce the spread of infection. Improvements were required to the environment to support good infection prevention and control.

Rating at last inspection

The last rating for this service was requires improvement (published 19 October 2020).

After the last inspection the provider completed an action plan which outlined their planned improvements and timescales to achieve these. A t this inspection not enough improvement had been made and the provider was still in breach of regulations.

You can read the report from our last inspection, by selecting the 'all reports' link for Lester Hall Apartments on our website at www.cqc.org.uk.

Why we inspected

As part of CQC’s response to care homes with outbreaks of coronavirus, we are conducting reviews to ensure that the Infection Prevention and Control practice was safe and the service was compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place.

This inspection took place on 14 December 2020 and was announced shortly before entering the building. A follow up unannounced visit took place on 21 December 2020.

We have found evidence the provider needs to make improvements. Please see further detail in the Safe section of this report.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified a breach of regulations in relation to infection prevention and control which meant people's safety could not be assured.

Follow up

We will monitor information which the provider will send weekly to CQC updating us of the actions they are taking to make improvements. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 5 February 2021

Further information is in the detailed findings below.

Effective

Good

Updated 5 February 2021

Caring

Good

Updated 5 February 2021

Responsive

Good

Updated 5 February 2021

Well-led

Requires improvement

Updated 5 February 2021