• Care Home
  • Care home

Archived: Leyton Lodge

Overall: Good read more about inspection ratings

233 High Road, Leyton, London, E10 5QE (020) 3859 7352

Provided and run by:
Leyton House Community Care Ltd

All Inspections

2 October 2018

During a routine inspection

The inspection took place on 2 October 2018 and was announced. We informed the provider 24 hours in advance of our visit that we would be inspecting. This was to ensure the registered manager was at the location to facilitate our inspection. The service was last inspected in November 2014 where it was rated good. The service had closed in June 2016 following a fire incident for refurbishment work. The service reopened in May 2018.

Leyton Lodge is run by Leyton House Community Care Limited. Leyton Lodge is registered to provide accommodation and personal care support to five people who have a mental health condition. Leyton Lodge is a terraced house and accommodation is provided over three floors. The ground floor communal areas comprise of a sitting room and an open plan kitchen and dining room. All bedrooms are of single occupancy and have ensuite facilities. At the time of inspection, five people were living at the home.

Leyton Lodge is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People told us they felt safe with staff and trusted them. The provider had processes and systems in place to safeguard people against harm and abuse. Staff knew the risks to people and how to support them safely. They were provided with sufficient information in the form of risk assessments on how to mitigate risks to people’s needs. Suitable and sufficient staff were employed to meet people’s needs. Staff followed safe medication management practices. Appropriate infection control practices were followed to control the spread of infection. There were processes in place to learn and share lessons from incidents.

People’s individual needs were thoroughly assessed before they moved to the service. They told us their needs were met by staff who knew their abilities and healthcare needs. Staff received regular and sufficient training and supervision to provide effective care. People were happy with the food and they told us their dietary needs were met. They were supported to access healthcare services. Healthcare professionals told us staff worked well with them to ensure people’s needs were met effectively. Staff had a good understanding of the principles of Mental Capacity Act and Deprivation of Liberty Safeguards.

People told us staff were caring and treated them with dignity and respect. Staff met people’s cultural and religious needs. People told us they were encouraged to learn independent living skills and felt more independent after moving to the service.

Staff knew people’s likes and dislikes. People’s care plans were personalised and they told us they received person-centred care. People were encouraged to raise concerns and they told us they knew how to make a complaint. Staff encouraged and assisted people to participate in activities. There was an end of life care policy in place and staff were appropriately trained.

People, staff and healthcare professionals spoke highly of the management and they told us the service was well-led. There was robust monitoring, auditing and evaluating systems and processes in place to ensure the quality and safety of the service. The registered manager worked with several services to improve the care delivery and people’s experiences.

17 November 2014

During an inspection looking at part of the service

We inspected Leyton Lodge on 17 November 2014. This was an unannounced inspection which meant the staff and the provider did not know we would be visiting. At the last inspection in May 2013 the service was found to be meeting the regulations we looked at.

Leyton Lodge is a care home providing personal care and support for people with mental health needs. The home is registered for five people. At the time of the inspection they were providing personal care and support to five people.

There was a registered manager at the service at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service and has the legal responsibility for meeting the requirements of the law; as does the provider.

We spoke with all five people who used the service and they told us they felt safe and were happy with the care and support provided. We found that systems were in place to help ensure people were safe. For example, staff had a good understanding of what constituted abuse and the abuse reporting procedures. People’s finances were managed and audited regularly by staff.

Some staff demonstrated minimal understanding of Deprivation of Liberty Safeguards (DoLS). The registered manager told us staff had not received training on DoLS, but training for all staff was planned for in the coming weeks. After the inspection the senior support worker told us and we saw records that all staff had been enrolled on training for DoLS and this would be completed by 05 December 2014.

There were few examples of written person centred support planning in terms of supporting people to pursue particular interests or achieve ambitions and aspirations. From the care plans it was difficult to know much about the person for example what they liked and didn’t like. However from talking to the staff and people it was clear that they did know the people well and were supporting them in reaching their goals. We saw staff had built up good working relationships with people who lived at Leyton Lodge. There were enough properly trained and well supported staff working at the home to meet people’s needs.

People were involved in developing care plans. We found that people were supported to access the local community and wider society. This included education opportunities. People using the service pursued their own individual activities and interests, with the support of staff if required.

There was a clear management structure in the home. People who lived at Leyton Lodge and staff felt comfortable about sharing their views and talking to the manager if they had any concerns. The registered manager demonstrated a good understanding of their role and responsibilities, and staff told us the manager was always supportive. There were systems in place to routinely monitor the safety and quality of the service provided.

15 May 2013

During a routine inspection

We saw people were engaged in activities on the day of the inspection, one person was getting ready to go to work and another person was cooking their own lunch.

We saw that people at the service were given the opportunity to consent at each stage of their treatment from the time they arrived at the service to determining who could see their information.

The service recorded when people had attended appointments and when they had refused. The service worked well with other providers and documented interaction with other services so that it was clear who had been involved in people's care.

We looked at three care plans and saw that people received care that was holistic and person centred. People were supported to engage in the community and obtain employment if they wished. People were also supported by the service to maintain family relationships.

On the day of the inspection we spoke to a relative who was visiting and they told us that they are happy with the service and if they had any concerns they would raise them with management.

5 December 2012

During a routine inspection

Leyton Lodge currently has two residents. We were told by them that they were happy with the support they received and made positive comments about the service and the staff. One of them told us that 'Staff always talk to me when I feel down.' The other one summarised their experiences at Leyton Lodge as 'Everything is ok.'

We found that people who use the service understood the care and support choices available to them and received appropriate care and support that met their needs.