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Leftwich Community Support Centre Good

Inspection Summary


Overall summary & rating

Good

Updated 13 August 2016

We carried out an unannounced inspection of Leftwich Community Support Centre on the 18 July 2016.

Leftwich Community Support Centre is a short stay and respite service, where people stay for a short period of time and do not live there permanently. They are registered to provide accommodation for persons who require nursing or personal care for up to 31 people. On the day of our visit, 20 people were staying at Leftwich.

The home is situated in its own grounds in a residential area of Leftwich, close to Northwich town centre.

The service had a registered manager. 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.

Records were not always consistently completed. These related to documents relating to consent, risk assessments and fluid charts. This demonstrated a potential flaw in the auditing of records which could have posed a risk to the wellbeing of people.

People told us they felt safe staying at Leftwich and were happy with the service they were provided with. They told us they felt cared about and were positive about the approach of the staff team.

Medication was well managed and promoted the health of people who used the service

People lived in an environment that was clean and hygienic. The environment was designed to enable people to move independently and remain safe.

The registered provider demonstrated that staff received up to date training on topics which related to the needs of people.

Staff demonstrated a good understanding of the Mental Capacity Act 2005 and associated safeguards.

We made a recommendation at our last visit about the activities programme. On that occasion we saw that there were no planned activities in place. We saw that improvements had been made with people who used the service telling us that there were planned activities in place which they could pursue if they wanted to. We saw evidence of a weekly activities programme as well as photographs of key events that had happened in Leftwich during the year.

Care plans were available and outlined each person’s health and social needs. Care plans were reviewed regularly.

People did not have any complaints but were aware of who to speak with if the need arose. A complaints procedure was in place and where complaints had been made; there was evidence that these had been investigated fully.

Our last visit noted that while a registered manager was in place, they were not in day to day control of the service. We concluded that the service was not well led as a result. Since our last visit, a new manager had been appointed. This person was also the nominated individual. Given this, a new manager had been appointed from within the service yet had yet to make an application with us to become registered. This new manager was working alongside the current registered manager. The staff team were complimentary about the management team and considered that the service was well led. Improvements made since our last visit indicated that the management team had taken their regulatory responsibilities into account.

The current registered manager undertook audits of medication, health and safety issues and care plans. The views of people were sought through a questionnaire. The results of these were available and indicated a positive view of the service that people had received.

Inspection areas

Safe

Good

Updated 13 August 2016

The service was safe.

People told us they felt safe staying at Leftwich.

Staff demonstrated an understanding of the types of potential abuse and how to deal with such incidents.

The premises were well maintained and clean.

Effective

Good

Updated 13 August 2016

The service was effective.

Staff received training relevant to their role and applied this training to their practice.

The registered provider put the Mental Capacity Act 2005 and associated safeguards into place where appropriate. Staff had an understanding of the Mental Capacity Act 2005.

The nutritional needs of people were taken into account although a recommendation was raised in respect of fluid intake and output records being kept.

Caring

Good

Updated 13 August 2016

The service was caring

People told us that staff cared about them.

People told us that they felt their privacy was always respected and that they were treated in a dignified manner.

People were given full information about their care.

The health needs of people were promoted.

Responsive

Good

Updated 13 August 2016

The service was responsive.

Care plans included details of how the health and social needs of people were to be promoted.

Care plans were reviewed on a regular basis.

The provision of activities had much improved since our last visit.

Complaints were investigated in a robust manner.

Well-led

Requires improvement

Updated 13 August 2016

The service was not always well-led.

Records were not maintained consistently.

The staff team considered the management team to be approachable and supportive.

The management team took account of their regulatory responsibilities.

and assessed the quality of the support provided.