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Lester Hall Apartments Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 17 October 2020

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 individual apartments within an adapted building.

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

Identified areas of risk in relation to people’s support needs did not always have supporting risk assessments in place to keep them safe. One person did not have detailed plans of care telling staff how to keep them safe from harm. People’s risk assessments had not always been reviewed and updated regularly. This was being addressed by the compliance manager.

Quality assurance systems were not always effective at identifying any areas of concern for example, they had not identified and addressed the missing risk assessments and person-centred care plan for one person using the service. People’s views about their care and the running of the service were sought through meetings and satisfaction questionnaires. This needed to be strengthened so the provider could demonstrate that changes had been taken to address concerns raised.

People and their relatives felt Lester Hall Apartments was a safe place to live. Staff we spoke with had completed training in safeguarding vulnerable people from abuse and understood how to recognise abuse.

Sufficient staff were available to provide a timely response to people and provide safe care. Staff had been employed following robust recruitment checks. The provider had followed their recruitment procedures to ensure staff were recruited safely.

The service had sufficient and safe infection prevention and control measures in place. Government guidance in relation to COVID 19 had been followed by staff. People’s medicines were safely managed, and they received their medication as prescribed. The provider ensured that lessons were learned when things went wrong, so that improvements could be made to the service and the care people received.

There were two registered managers in place, one of whom was also the registered provider. People and staff felt confident about the leadership of the service and described both registered managers as respectful, professional and responsive. Staff felt well supported and able to raise any concerns they may have. They were confident that any concerns raised would be dealt with appropriately.

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 Requires Improvement. (published 21/11/2019)

Why we inspected

We received concerns in relation to people’s care and support needs. As a result, we undertook a focused inspection to review the key questions of Safe and Well-led only.

We have found evidence that the provider needs to make improvements. Please see the Safe and Well-led sections of this full report.

We reviewed the information we held about the service. No immediate areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has remained Requires Improvement. This is based on the findings at this inspection.

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 request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. 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 17 October 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 17 October 2020

Caring

Good

Updated 17 October 2020

Responsive

Good

Updated 17 October 2020

Well-led

Requires improvement

Updated 17 October 2020

The service was not always well-led.

Details are in our Well-Led findings below.