Archived: Leyton Lodge

Updated 25 October 2018

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 2 October 2018 and was announced. We gave the service 24 hours' notice of the inspection visit to ensure the registered manager was at the location to facilitate our inspection.

The inspection was carried out by one adult social care inspector.

Prior to our inspection, we reviewed information we held about the service, including notifications sent to us at the Care Quality Commission. A notification is information about important events which the service is required to send us by law. Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. This inspection was informed by the feedback from the funding local authorities and healthcare professionals.

During the inspection visit, we spoke to two people who used the service, the registered manager, the nominated individual and the director, and a senior care staff member. We reviewed three people's care plans, risk assessments, daily care logs and medicines administration records. We looked at three staff files including recruitment, training, supervision and appraisal records, and records related to the management of the service.

Following the inspection, we spoke to one care staff member. We reviewed documents provided to us after the inspection including policies and procedures, training matrix, residents’ and staff meeting minutes.

Updated 25 October 2018

The inspection took place on 2 October 2018 and was announced. We informed the provider 24 hours in advance of our visit that we would be inspecting. This was to ensure the registered manager was at the location to facilitate our inspection. The service was last inspected in November 2014 where it was rated good. The service had closed in June 2016 following a fire incident for refurbishment work. The service reopened in May 2018.

Leyton Lodge is run by Leyton House Community Care Limited. Leyton Lodge is registered to provide accommodation and personal care support to five people who have a mental health condition. Leyton Lodge is a terraced house and accommodation is provided over three floors. The ground floor communal areas comprise of a sitting room and an open plan kitchen and dining room. All bedrooms are of single occupancy and have ensuite facilities. At the time of inspection, five people were living at the home.

Leyton Lodge is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

There was a registered manager in post. 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 with staff and trusted them. The provider had processes and systems in place to safeguard people against harm and abuse. Staff knew the risks to people and how to support them safely. They were provided with sufficient information in the form of risk assessments on how to mitigate risks to people’s needs. Suitable and sufficient staff were employed to meet people’s needs. Staff followed safe medication management practices. Appropriate infection control practices were followed to control the spread of infection. There were processes in place to learn and share lessons from incidents.

People’s individual needs were thoroughly assessed before they moved to the service. They told us their needs were met by staff who knew their abilities and healthcare needs. Staff received regular and sufficient training and supervision to provide effective care. People were happy with the food and they told us their dietary needs were met. They were supported to access healthcare services. Healthcare professionals told us staff worked well with them to ensure people’s needs were met effectively. Staff had a good understanding of the principles of Mental Capacity Act and Deprivation of Liberty Safeguards.

People told us staff were caring and treated them with dignity and respect. Staff met people’s cultural and religious needs. People told us they were encouraged to learn independent living skills and felt more independent after moving to the service.

Staff knew people’s likes and dislikes. People’s care plans were personalised and they told us they received person-centred care. People were encouraged to raise concerns and they told us they knew how to make a complaint. Staff encouraged and assisted people to participate in activities. There was an end of life care policy in place and staff were appropriately trained.

People, staff and healthcare professionals spoke highly of the management and they told us the service was well-led. There was robust monitoring, auditing and evaluating systems and processes in place to ensure the quality and safety of the service. The registered manager worked with several services to improve the care delivery and people’s experiences.