Background to this inspection
Updated
9 December 2020
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 care homes with outbreaks of coronavirus, we are conducting reviews to ensure that the Infection Prevention and Control practice was safe and the service was compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place.
This inspection took place on 25 November 2020 and was announced.
Updated
9 December 2020
About the service: Leonard Lodge is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. On the day of the inspection the registered manager informed us that 58 people were living at the service.
People’s experience of using this service:
Staff received safeguarding training and understood how to recognise signs of abuse and who to report this to both internally and externally if abuse was suspected. Risk assessments provided staff with information on how to support people safely. The registered manager used information from accidents and incidents as a learning tool to prevent reoccurrence in the future. Whilst we saw robust evidence for analysis of accidents and incidents we noted that ABC charts were not always included as part of this analysis.(ABC chart is an observational tool that allows staff to record information about a particular behaviour. The aim of using an ABC chart is to better understand what the behaviour is communicating). We have made a recommendation about incorporating these records in the overall analysis.
Staffing levels were sufficient to ensure people's safety. Medicines were administered and managed safely by trained and competent staff. Medication audits took place to ensure safety with medicines.
The staff team had the skills and knowledge required to effectively support people. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Staff monitored people's healthcare needs and people had access to a variety of healthcare professionals.
Staff were kind and caring. People and staff had a good relationship and we saw many examples of staff working with people in a friendly and caring way. People had their privacy and dignity respected.
The provider had effective systems in place that were used to regularly review people's care and support that had been provided. Activities were organised to provide stimulation for people.
The service was well-led, with checks and monitoring arrangements used to maintain the quality of the service provided. Staff were positive about the leadership and skills of the registered manager Required information was very well organised and easily available in the service.
Rating at last inspection: Rated Good (Report published 29 June 2016).
Why we inspected: This was a planned inspection based on the date and the rating of the last inspection. The rating continues to be good overall.
Follow up: We will continue to monitor the service through the information we receive.