Homeleigh

Updated 29 April 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

This inspection was completed by one inspector.

Service and service type

Homeleigh is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Homeleigh is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

On the first day of our inspection the registered manager was working their notice period. A new manager was already in post and working at the service.

Notice of inspection

This inspection was unannounced.

Inspection activity started on 22 March 2022 and ended on 31 March 2022. We visited the service on 22 March 2022 and 31 March 2022.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with five people about their experience of living at the service. We observed staff interactions with people in communal areas. We spoke with five members of staff including the registered manager, manager, deputy manager, senior support worker and support worker.

We reviewed a range of records. This included two people’s care plans and all the medication records. We looked at two staff files in relation to recruitment. A variety of records relating to the management of the service, including checks and audits.

Updated 29 April 2022

About the service

Homeleigh is a residential care home providing personal care to up to 18 people who have mental health needs in one adapted building. At the time of our inspection there were 17 people living at the service.

People’s experience of using this service and what we found

People told us they were happy and felt safe living at the service and staff supported them in the way they preferred.

People received their medicines as prescribed and improvements had been made in the management of people’s medicines. Staff worked with other healthcare professionals to make sure people received the support they needed to live their lives to the fullest.

Potential risks to people’s health and welfare had been assessed and there was guidance in place for staff to reduce the risks. People were supported to take positive risks, people decided when they needed staff to support them when they went out.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

There was enough staff, who had been recruited safely, to support people with their needs. People had been involved in decisions about the service including infection control and how they could support each other to remain safe. Staff understood how to keep people safe from discrimination and abuse.

Checks and audits had been effective in monitoring the quality of the service. Action had been taken when shortfalls had been found to rectify them.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 8 April 2018). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 21 March 2019. A breach of legal requirements was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Homeleigh on our website at www.cqc.org.uk.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.