Background to this inspection
Updated
16 February 2022
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 how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on 26 January 2022 and was announced. We gave the service 24 notice of the inspection.
Updated
16 February 2022
This inspection took place on the 23 October 2018 and was unannounced.
19 Leicester Villas is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. Care and support is provided for up to five for people with a learning disability or autistic spectrum disorder. At the time of the inspection three people were living in the service. The service is situated in a residential area with easy access to local amenities and transport links.
At our last inspection on 25 April 2016 we rated the service Good. At this inspection we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
Staff spoke of a difficult period over the last year where they had been supporting one person to remain in the service with end of life care. At this inspection we found some audit systems, building checks, staff training updates and paperwork had not been fully maintained. To maintain the right level of staff support and a safe service support to maintain staffing levels there was a high use of the provider’s bank staff. However, the bank staff had worked in the service for a long time and knew people well. These were areas in need of improvement. However, these shortfalls had been identified and an action plan drawn up which staff were following to address the identified issues.
People remained protected from the risk of abuse because staff understood how to identify and report it. A relative told us they had continued to feel involved and listened to. The culture of the service was open and inclusive and encouraged staff to see beyond each person's support needs. The registered manager worked with care staff to develop the service with people at the heart of the service. Care staff had received regular supervision and appraisal.
People continued to live in a service with a relaxed and homely feel. They were supported by kind and caring staff who treated them with respect and dignity. They were spoken with and supported in a sensitive, respectful and professional manner. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. Staff had a good understanding of consent.
Medicines continued to be stored correctly and there were systems to manage medicine safely.
All three people had lived in the service a long time, and care staff knew them well. The registered manager monitored people’s dependency in relation to the level of staffing needed to ensure people’s care and support needs were met. Care and support was person centred and the wellbeing of people supported through purposeful activity and involvement in the service, such as helping with housework and rubbish recycling. People could join in a range of meaningful activities outside of the service.
People continued to be supported with their food and drink and this was monitored regularly. People were supported to maintain good health and access healthcare professionals when needed.
Staff told us the registered manager was always approachable and had an open-door policy if they required some advice or needed to discuss something. Procedures were in place for people and their relatives and their representatives to raise any concerns. People and their relatives were regularly consulted about the care provided through reviews and by using quality assurance questionnaires. A relative told us staff kept in touch with them.