Leighton Rose Care Home

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture. This is the first assessment for this newly registered service. This key question has been rated good. This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centred care.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider had a shared vision, strategy and culture. This was based on transparency, equity, equality and human rights, diversity and inclusion, engagement, and understanding challenges and the needs of people and their communities. The provider promoted a positive culture focused on supporting people to achieve good outcomes. Staff spoke positively about the service and described leaders as approachable and supportive. Organisational values were evident in day-to-day practice and staff demonstrated a commitment to person-centred care.

The provider had inclusive leaders at all levels who understood the context in which they delivered care, treatment and support and embodied the culture and values of their workforce and organisation. Leaders had the skills, knowledge, experience and credibility to lead effectively. They did so with integrity, openness and honesty. Leaders were visible within the service and maintained positive relationships with staff and people using the service. Staff told us they felt comfortable approaching managers for guidance or support. Leaders demonstrated openness throughout the assessment and responded positively to feedback.

The provider fostered a positive culture where people felt they could speak up and their voice would be heard. Staff felt able to raise concerns and share ideas for improvement. People described leaders as approachable and supportive. The provider had systems available to support confidential reporting and staff feedback, helping to promote an open culture. A relative said, “If I go and speak to the nurse or manager they would action my concerns.”

The provider valued diversity in their workforce. They worked towards an inclusive and fair culture by improving equality and equity for people who worked for them.The provider promoted an inclusive workplace culture and valued staff contributions. Staff described positive working relationships and told us they felt treated fairly. Leaders supported staff wellbeing and engagement through a range of initiatives and support processes.
 

The provider did not always have effective governance systems to identify, monitor and address risks to people’s health, safety and wellbeing. Whilst audits and oversight processes were in place, these had not consistently identified concerns found during our assessment. This included safeguarding concerns which had not been recognised, escalated or reported appropriately. There were also missed opportunities to identify and respond to concerns regarding staffing consistency, end of life planning and people's experience of the service. Some relatives told us they did not always receive timely or well-communicated responses to concerns they had raised. Leaders were open and responsive during the assessment and took action when issues were highlighted. The provider told us the service has regular oversight from regional and quality teams through visits, care observations, and feedback from people and relatives which would continue to support and drive improvement in the service.

The provider worked effectively with healthcare professionals, relatives and other organisations to support people's needs. Relatives were encouraged to be involved in care planning and reviews and people benefited from collaborative working across services.

The provider demonstrated a commitment to learning and continuous improvement. Leaders used incidents, complaints, audits and feedback to identify opportunities to improve care. Innovative approaches were being explored, including a research project relating to nurse prescribing and reducing risks associated with taking multiple medications at the same time. This can be risky because taking several medicines at the same time increases the chance of side effects, harmful drug interactions, medication errors, and problems such as falls, confusion, or hospital admissions.