Updated 22 June 2021
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
The inspection was carried out by two inspectors.
Service and service type
Leighton House Private Nursing Home 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 the inspection
We reviewed information that we had received about the service since the last inspection. We sought feedback from the local authority. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
We used all of this information to plan our inspection.
During the inspection-
We spoke with seven people who lived at the service and three family members about their experience of the care provided. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We spoke with the clinical lead who was in charge on the day of inspection and three members of staff including the activity co-ordinator. The registered manager was on leave on the day of inspection.
We reviewed a range of records. This included four people’s care and medication records. We looked at four staff files in relation to recruitment and supervision. We looked at policies and procedures and other records relating to the management of the service, such as maintenance, training, and governance audits.
After the inspection
We spoke with the registered manager, and continued to seek clarification from the provider to validate evidence found. We looked at audits of incidents and accidents, complaints and compliments, and maintenance audits and related action plans. We spoke with health professionals who regularly visit the service.