Leigh House

Updated 28 June 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 Care Act 2014.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

One inspector carried out the inspection.

Service and service type

Leigh House 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 service had a manager registered with the Care Quality Commission. 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.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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.

This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We communicated with three people who used the service and three relatives about their experience of the care provided. People who used the service used different ways of communicating including eye movements, single words or sounds and body language.

We spoke with four members of staff including the acting team leader. We also spoke with the registered manager and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed a range of records. This included three people’s care records and three medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at the providers polices and training information.

Updated 28 June 2022

About the service

Leigh House is a residential care home providing personal care to four people at the time of the inspection. One of the people was receiving respite care. Leigh House accommodates up to five people in one adapted building. People have their own bedrooms and there are shared communal areas including a lounge, dining room and kitchen. There is a private garden at the front of the property.

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

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Based on our review of safe and well-led the service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right Support

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. Staff focused on people’s strengths and encouraged them in their individual interests. The home environment was clean and well equipped to meet people’s needs. Where people benefited from a change in the environment, or specific adaptions, these were made in accordance with people’s changing needs. People received support from staff who had up to date information about them, which meant their needs were met.

Right Care

People were supported by a staff team who knew them and their personalities well. People received support that was caring, compassionate and respectful of their privacy and dignity. Staff knew how to protect people from harm and felt able to raise concerns for people’s safety and well-being. Staff advocated for people and worked effectively with other agencies to ensure people’s needs were met. Staff understood people’s individual communication needs and worked in partnership with families to support people.

Right Culture

Staff were trained to meet people’s individual needs and were passionate about people receiving good quality care and support. People were supported by staff to take part in significant family events. People and their families were involved in planning their care. The registered manager worked alongside families to improve the care people received.

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

Rating at last inspection

The last rating for this service was good (published 13 February 2020).

Why we inspected

We undertook this inspection to assess that the service is applying the principles of Right support right care right culture. We received concerns in relation to the actions of the registered manager. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well led sections of this full report.

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 not changed and has remained good, based on the findings of this inspection.

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

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.