You are here

The Leylands - Residential Care Home Inadequate

Inspection Summary


Overall summary & rating

Inadequate

Updated 14 April 2021

About the service

The Leylands is a residential care home providing personal and nursing care to 17 people at the time of the inspection. The service can support up to 21 people.

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

People were not safeguarded from potential harm, abuse and neglect. People were not supported by staff who were effectively trained and had guidance in place to meet their needs. Medicines were not consistently stored safely and people did not always have guidance in place where they were prescribed medicines on an 'as required' basis. People were not supported by staff who were working in line with the government COVID-19 guidance on isolating following a positive COVID-19 test.

People were not supported in a consistent way during periods of anxiety or distress. People were not supported to have maximum choice and control of their lives and the systems in the service supported this practice. People and those important to them were not involved in the planning of their care.

People and their relatives felt able to feedback about their care. However, feedback was not consistently acted on to ensure improvements were made. People were not supported to communicate in line with their preferences. People's care plans did not contain information about their preferences.

The provider had failed to ensure there were effective quality assurance and oversight at the service to identify where improvements were required and to ensure these are embedded within the service.

People were supported to have choice around their meals. People were supported by staff who were recruited safely. People had access to activities they enjoyed. People and their relatives felt able to complain.

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 12 February 2020). The service remains rated requires improvement. This service has been rated requires improvement for the last two consecutive inspections.

The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection enough improvement had not been made and the provider was still in breach of regulations.

Why we inspected

The inspection was prompted in part due to concerns received about the quality of care and oversight at the service. As a result, we undertook a focused inspection to review the key questions of safe, effective, responsive and well-led only. We did not review the key question of caring as this had previously been rated as good. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

We have found evidence that the provider needs to make improvements.

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 breaches in relation to people’s safe care and treatment, safeguarding people from potential abuse and neglect, compliance with the MCA, staff having sufficient and effective training, the leadership and governance of the service, failure to have a registered manager in place and failing to notify us of accidents

Inspection areas

Safe

Inadequate

Updated 14 April 2021

The service was not safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 14 April 2021

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 14 April 2021

Responsive

Requires improvement

Updated 14 April 2021

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Inadequate

Updated 14 April 2021

The service was not well-led.

Details are in our well-Led findings below.