• Care Home
  • Care home

Archived: Lee Beck Mount

Overall: Good read more about inspection ratings

108 Leeds Road, Lofthouse, Wakefield, West Yorkshire, WF3 3LP (01924) 824065

Provided and run by:
Advitam Limited

Latest inspection summary

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Background to this inspection

Updated 11 June 2021

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC's response to the COVID-19 pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.

This inspection took place on 14/05/2021 and was announced.

Overall inspection

Good

Updated 11 June 2021

About the service

Lee Beck Mount is situated in the Lofthouse area, near Wakefield and provides care and support for up to 13 people with learning disabilities. Local shops and community facilities are a short distance away. Accommodation is provided over two floors and with single occupancy rooms.

The service has not been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

The service was a large home, bigger than most domestic style properties. It was registered for the support of up to 13 people. Eleven people were using the service at the time of our inspection. This is larger than current best practice guidance. However. the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area and the other large domestic homes of a similar size. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

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

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure people who used the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence. The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

Medication management was safe and people received their medication as prescribed. Although, some minor issues with some people’s medication records were noted and addressed by the registered manager on day one of our inspection. People were supported safely and protected from harm. There were systems in place to reduce the risk of abuse. Risks to people's health, safety and welfare were assessed and mitigated. There were sufficient numbers of staff deployed to meet people’s care and support needs. Staff recruitment policies and procedures in place and were followed.

People were supported in a safe, tidy and clean environment. The home was well maintained, and people’s bedrooms and communal areas were homely. There was access to a large safe outside space.

Staff received appropriate training and induction to enable them to deliver effective care and support. Staff had received an annual appraisal. Although, a formal supervision had not been completed, staff were able to speak with the registered manager at any time.

People and relatives said staff were kind and caring and treated people with dignity and respect.

Staff were very knowledgeable about people’s needs, care and support was person-centred and inclusive. 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. Policies and systems in the home supported this practice. People received appropriate social stimulation and accessed the community.

Care plans were person-centred and contained sufficient information for people’s care and support needs to be met. Healthcare professionals supported people's health needs, when required. People received support with eating and drinking, when needed and were involved with weekly menu planning and shopping. The service was not supporting anyone who was at the end of their life.

People were listened to and complaints were appropriately dealt with and resolved. Accidents and incidents were monitored, however, an analysis of these had not been documented. The registered manager addressed this during our inspection.

The service was well managed. Staff said the registered manager was approachable and available to provide support and guidance. Quality monitoring was carried out using various audits. The service promoted an open, inclusive and positive culture. The registered manager worked in partnership with other services to support people’s care and quality of life.

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

Rating at last inspection (and update)

The last rating for this service was Requires Improvement (report published 11 October 2018) and there was a breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

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.

Thematic review

The Secretary of State has asked CQC to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with or who might have mental health problems, learning disabilities and/or autism.

Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers of improvement.

As part of thematic review, we carried out a survey with the registered manager at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people.

The service used positive behaviour support principles to support people in the least restrictive way. No restrictive intervention practices were used.