Archived: Leycester House Residential Care Home

Updated 20 November 2015

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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 24 September 2015 and a further visit was made on 29 September 2015 to gather more information. Both visits were undertaken by one adult social care inspector.

Before the inspection we reviewed the information we held about the service. This included a review of any notifications sent to us about incidents in the home, which the service is required to send us by law.

We contacted Cheshire East Council who commission the service for some people living in the home. We used this information to plan what areas we were going to focus on during our inspection.

We also reviewed information from the local Healthwatch organisation. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.

At the time of the inspection there were 36 people resident at the home. During the inspection we spoke with twelve people who lived at Leycester House , six relatives, five care staff and the registered manager. We looked at all areas of the home, for example we viewed lounges, people’s bedrooms and communal bathroom/shower rooms.

We also looked at a range of documentation which included five care records, three staff files, medication records and audits of people’s life plans and risk assessments, audits of accidents and incidents in the home, environmental checks in relation to health and safety and audits and checks in relation to the staff team. Staff supervision, appraisal and training records were also looked at as were the complaints logged at the home. We spoke with people and relatives throughout the home and observed how support was provided to people during the two days of our inspection.

Updated 20 November 2015

We carried out an inspection over a period of two days 24 and 29 September 2015.The first day of the inspection was unannounced and the second day took place to gather additional information.

Leycester House Residential Care Home provides residential care and support for up to 40 people. The home is located in the town of Mobberley and is close to local amenities. Staff are on duty 24 hours a day to care for the people who live in the home.

The home had a manager in post who was registered with CQC. 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.

The last inspection took place on 12 November 2013 when the home was found to be meeting all the regulatory requirements which were inspected at that time.

During our inspection we saw that the relationships between staff and people living at the home were warm and caring. We saw people were treated with respect and dignity and there were plenty of smiles and laughter and hugs. Everyone in the service looked relaxed and comfortable with all of the staff.

We found the staff had a good understanding of supporting people when they lacked capacity, including the requirements of the Deprivation of Liberty Safeguards. Staff took appropriate actions to fully support people who lacked capacity to make decisions for themselves.

We found life plans looked at were detailed and focused on the individual person. They contained guidance to enable staff to know how to support each person’s needs and to care for people in the way that they wanted.

We saw that life plans and risk assessments were reviewed and people were referred to other services such as district nurses, tissue viability nurses and GPs in order to ensure people received the most appropriate care.

Staff spoken with had a good understanding and knowledge of each person’s preferences and people’s individual care needs.

We saw that the service had a complaints procedure and people and relatives we spoke with were confident that they could raise their opinions and discuss any issues with the registered manager or senior staff.

Leycester House had safe recruitment procedures in place which ensured that staff employed were suitable to work with people living at the home. Appropriate pre-employment checks were being carried out and application forms were robust to enable the registered manager of the home to have adequate information before employing staff.

Staff had received regular formal supervision, appraisals and training to assist them in their job roles and in their personal development. The training provided ensured staff fully understood the needs of the people living at the home.

Various audits were carried out on a regular basis by the manager to help ensure that appropriate standards were maintained throughout the home