Archived: 27 Ledston Avenue

Updated 26 November 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 the coronavirus pandemic we are conducting a thematic review of infection control and prevention measures in care homes.

The service was selected to take part in this thematic review which is seeking to identify examples of good practice in infection prevention and control.

This inspection took place on 4 November 2020 and was announced.

Updated 26 November 2020

27 Ledston Avenue is a care home and provides rehabilitative support for up to two people with an acquired brain injury.

The service operates alongside a sister organisation and shares staff, management and governance systems with that service. At the time of our inspection there were two people using the service.

There had been changes to the management team over the past 12 months and at the time of our inspection an experienced manager from another of the provider's services was in the process of applying to be registered with the Care Quality Commission.

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.

At our last inspection we rated the service Good. At this inspection we found the service remained Good. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The service employed enough, competent staff to support people with their rehabilitation goals and staff understood their responsibilities to keep people safe from harm. Recruitment continued to be robust. The premises were well-maintained and good infection control practices were followed. Medicines were stored and administered safely and the service learnt lessons where shortfalls were identified.

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. People were involved in the development of their care plans and rehabilitation programmes. We saw people were supported to shop and cook their own meals and to maintain a healthy and balanced diet.

Staff told us they felt supported, well informed, that they were trained appropriately, supervised and appraised. We saw records that regular staff meetings had been held.

We noted the knowledgeable and caring nature of staff and witnessed people being supported to be as independent as possible.

We received positive feedback about the management of the service. People were supported to access the local community and told us they felt included in the running of the home.

Further information is in the detailed findings below.