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The Leylands - Residential Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 12 February 2020

The Leylands Residential Care Home is a care home providing personal care and accommodation to 18 older people. Care is provided on two floors, with bedrooms and communal areas on both floors. Some of the people are living with dementia. The service can support up to 21 people.

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

The care people received was not always responsive to their needs as staff offered an inconstant approach to how behaviours of concern were managed. When people were living with dementia their communication needs and how they could make choices were not always fully considered. Medicines were not always securely stored.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible; the policies and systems in the service did not support this practice. Improvements were needed to ensure staff had received training and had an understanding in some key areas such as management of behaviours.

There was a lack of governance in the service and the provider did not have effective systems in place to monitor the home or use the information to drive improvements.

People were supported in a safe way. There were enough staff available for people. Risks to people were considered and reviewed and some lessons learnt when things went wrong. People were supported by staff they were happy with. People were encouraged to remain independent and their privacy and dignity was maintained.

People had access to health professionals when needed. They were supported to maintain healthy diets and enjoyed the food on offer. People's preferences were taken in to account. They had the opportunity to participate in activities they enjoyed. There was a complaints procedure in place which was followed when needed

Staff felt supported and listened to. People and relatives were happy with the care they received.

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 Good. (Published 15 July 2017)

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to the governance systems in the home as systems and audits were not always in place to identify areas of improvement.

Follow up

We will continue to monitor information we receive about the service until we 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 12 February 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 12 February 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 12 February 2020

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 12 February 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 12 February 2020

The service was not always well-led.

Details are in our well-led findings below.