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Inspection Summary


Overall summary & rating

Inadequate

Updated 26 February 2020

About the service

Leighswood is a care home which provides support for up to 23 people in one building. At the time of our visit, 20 people were using the service, one person was in hospital. These were older people, most of whom were living with dementia.

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

Some repairs had recently been undertaken at the service, however we identified further areas of the environment which required improvement, and some equipment was broken. The rear garden of the home was not accessible for people and not a pleasant environment for people to use with rubbish and equipment left in it.

There were enough staff to ensure people were safe and meet their basic care needs. However, most people were living with dementia and staff did always have time to support people in the way they would like to.

Where risks associated with people's health and wellbeing had been identified, plans were in place to manage some of those risks. However, some information in relation to risks was missing, so staff were not able to always support people safely.

People received care which was not always responsive to their individual needs. People were supported with minimal social activities to keep them stimulated.

Care records provided staff with some information in relation to people’s backgrounds, interests and individual health needs.

Staff understood their responsibility to safeguard people from harm and knew how to report concerns.

Medicines were stored and administered correctly, and staff had received some training in relation to this.

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; systems supported this practice.

People told us staff were caring in their approach and had good relationships with people.

Staff encouraged people to maintain a balanced diet and understood people’s special dietary needs. The provider and staff team worked with external health professionals to ensure people's health and wellbeing was maintained.

A registered manager was in post. Positive feedback was received in relation to the registered manager.

People and relatives had limited opportunities to feedback about the running of the service.

The registered manager was not aware of the Accessible Information Standard.

Some basic quality checks were carried out to monitor the service, however these had not identified where some improvements could be made to care or the environment.

The correct rating was not displayed. The registered manager had informed us of some significant events at the service however was not always clear of other events we should be notified of.

We received some mixed feedback about the provider in relation to the support they provided.

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

Rating at last inspection

The service was rated as Requires Improvement (published 14 March 2019) and there was one breach of the regulation.

At this inspection, enough improvement had not been made and the provider was still in breach of this regulation and we found further breaches of the regulations.

Following our last inspection, a condition was placed on the provider’s registration for them to submit monthly reports to us to show actions taken to improve the service. We had not received all of these reports.

Why we inspected

This was a planned inspection based on the previous rating however was brought forward slightly following some feedback about some concerns received from the local authority.

You can see what action we have asked the provider to take at the end of this full report.

Enforcement

We have identified three breaches at this inspection:

Regulation 15 (1) Premises and equipment of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Regulation 9 (1) Person – centred care of

Inspection areas

Safe

Requires improvement

Updated 26 February 2020

The service was not always safe

Details are in our safe findings below.

Effective

Requires improvement

Updated 26 February 2020

The service was not always effective

Details are in our effective findings below.

Caring

Requires improvement

Updated 26 February 2020

The service was not always caring

Details are in our caring findings below.

Responsive

Inadequate

Updated 26 February 2020

The service was not responsive

Details are in our responsive findings below.

Well-led

Inadequate

Updated 26 February 2020

The service was not well-led

Details are in our well-led findings below.