Archived: Leycester House

Updated 26 April 2017

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.

The inspection took place on 22 March 2017 and was unannounced. The inspection was undertaken by two inspectors and a specialist advisor. A specialist advisor is a qualified health professional.

We reviewed the information we held about the service. We looked at information received from relatives, the local authority commissioners and the statutory notifications the registered manager had sent us. A statutory notification is information about important events, which the provider is required to send to us by law. Commissioners are people who work to find appropriate care and support services, which are paid for by the local authority. The Commissioners did not share any concerns with us.

We spoke with 10 people and one relative about what it was like to live at the home. We spoke with the deputy manager, two nurses, three care staff and three support staff about what it was like to work at the home. We spoke with the registered manager and a director from the provider company about their management of the service. We observed care and support being delivered in communal areas and we observed how people were supported at lunchtime.

We reviewed four people’s care plans and daily records to see how their care and treatment was planned and delivered. We checked whether staff were recruited safely, and trained to deliver care and support appropriate to each person’s needs. We reviewed the results of the provider’s quality monitoring system to see what actions were taken and planned to improve the quality of the service.

Updated 26 April 2017

This inspection took place on 22 March 2017 and was unannounced.

Leycester House is registered to provide accommodation with nursing and personal care for up to 78 people. Leycester House is a new, purpose built home in which care is provided across three floors. Residential care is provided on the ground floor, nursing care on the first floor and the second floor is for people living with dementia. The home opened in September 2016 and at the time of our inspection visit there were 19 people living there. This was the first inspection of the service.

The service had a registered manager. 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.

People told us they felt safe and secure living at Leycester House. Staff understood their responsibilities to keep people safe, and were encouraged and supported to raise any concerns about people’s health or wellbeing. Risks to people’s safety had been identified and assessed and care plans contained risk management plans for staff to follow to keep people safe.

There were enough staff on duty to keep people safe and be responsive to their physical, social and emotional needs. Staffing levels allowed people to make full use of all the facilities the home had to offer, and go out on trips in groups or individually. The provider’s interview and recruitment process ensured risks to people’s safety were minimised, and that staff with the right skills, knowledge and values were brought in to work at the home. Staff received the right training and support to carry out their roles effectively.

The registered manager and staff were clear about their responsibilities to comply with the requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). Staff recognised the importance of respecting people’s right to make their own decisions.

People were supported to eat and drink enough for their needs. People enjoyed the quality of the food and said they always had a choice of a meat, fish and vegetarian option at lunchtime. People’s records included a nutritional assessment and care plan for those identified as at risk.

People were supported to maintain good health and to access healthcare services when needed. Records showed that medicines were managed and stored safely and people received their medicines as prescribed.

People told us all the staff were kind, sensitive and caring in their approach. People had developed friendly relationships with each other and staff played an integral part in ensuring they were happy, supported and well cared for. People valued the staff and staff evidently cared about people and enjoyed working in the home. Staff respected people’s right to privacy and dignity.

The provider’s philosophy was to create a friendly, welcoming environment for the people who lived in the home, as well as their family and friends. Visitors could share meals at no extra cost and told us they always felt welcomed by the staff.

Each person had a care plan which was detailed and written around their individual needs and contained valuable person centred information. Staff understood people’s needs and preferences and were interested in them as individuals.

People were supported to take part in activities they found meaningful and fulfilling and were given opportunities to develop new interests. People were offered regular entertainment and people from the local community were invited to attend, as well as family and friends. Activities and entertainment had a positive effect on keeping people motivated and socially involved.

The provider’s vision and values to provide high quality care was understood and shared by staff. All staff had a sense of pride and ownership about providing a high standard of care within the home.

The provider recognised that an essential ingredient of delivering good care was a consistent staff team who knew people well. They offered an enhanced remuneration package to recruit and retain staff with the required skills and values. Staff had confidence in the provider and management team because they were approachable and valued their opinions.

The provider was confident that the processes and procedures that had been implemented would continue to support the delivery of high quality of care as the home scaled up to full capacity.