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Lever Edge Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 6 June 2019

About the service:

Lever Edge Care Home is a residential care home that is registered to provide personal care and support for 81 people and is divided into three units. On the day of the inspection there were 68 people living at the home. On Turton unit there were 26 people living with dementia and on Smithills unit there were 18 people also living with dementia. Rivington unit cared for people who required help and support with care and 24 people were living on this unit.

Since our last inspection the registered manager had left the service in February 2019. The home is currently being managed by the regional manager with the support of the regional director.

People’s experience of using this service:

Staff knew how to keep people safe from abuse and policies and procedures were in place to identify, investigate and report suspicions of abuse. People told us they felt safe.

Some areas of potential risk were identified, assessed and planned for to help keep people safe. We found some environmental risk assessments were in place. However, some minor concerns were raised about fire safety issues following an inspection by Greater Manchester Fire and Rescue service. This was found to be a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. These are detailed in the safe domain on this report.

Staff recruitment was satisfactory and staff rotas looked at on the day of the inspection accurately reflected the numbers of staff on duty. From our observations and from comments made by people who used the service, staff and relatives we recommend that staffing levels and the deployment of staff be reviewed. It was clear that the deployment of staff was raised as a concern.

We recommend that staffing levels and the deployment of staff be reviewed.

Staff training was ongoing, and staff confirmed they had recently attended some training in medication and dementia care.

The majority of people spoken with said they were well cared for. People were supported to have choice and control of their lives and staff supported this in the least restrictive way possible. Policies and procedures were in place to support this practice. People received a healthy diet in line with their assessed needs. People had access to health care as required.

Care plans and assessments were in place which identified the areas of support people wanted and needed. However, we found the initial assessment were at times contradictory in parts. This meant that staff may struggle to understand people’s needs. Suitable arrangements were in place to respond to any complaints and concerns.

People’s views and opinions were sought on the service and staff and resident/relatives’ meetings were held. The service had a complaints policy and people we spoke with knew how to make a complaint.

Systems and procedures were in place to monitor the quality and effectiveness of the service. The regional manager had already completed some audits to identify areas of good practice and issues for improvement.

Rating at last inspection: Inadequate and the last report was published 16 November 2018. For more information details, please see the full report which is on the CQC website at www.cqc.org.uk

The last inspection of Lever Edge took place on 04 September 2018. There were four breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 identified. These were in relation to failure to provide person centred care, dignity and respect, medication and governance. The overall rating for this service was ‘Inadequate’ and the service was placed in ‘Special measures’.

Why we inspected:

Services in special measures are kept under review are required to inspected again within six months. A comprehensive inspection was undertaken on 06 March 2019 to ensure that improvements had been made by the provider.

The service was currently without a registered manager. People confirmed that the interim manager

Inspection areas

Safe

Requires improvement

Updated 6 June 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Requires improvement

Updated 6 June 2019

The service was not always effective

Details are in our Effective findings below.

Caring

Requires improvement

Updated 6 June 2019

The service was not always caring

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 6 June 2019

The service was not always responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 6 June 2019

The service was not always well-led

Details are in our Well-Led findings below.