Leafield Care Home is a residential care home without nursing that offers a service for up to 24 older people. Some people may suffer from varying types and degrees of dementia. At the time of our visit 21 people were using the service.
This was an unannounced inspection which took place on 27 July 2015. During our last inspection in October 2013 we found the provider did not satisfy the legal requirements in the areas that we looked at. A follow up to this inspection was carried out in September 2014 and we were satisfied that the home had taken the appropriate action surrounding our concerns.
A registered manager was employed by the service. 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 service did not always manage the administration of people’s medicines safely. There were not always photographs on people’s medicine administration records. This protocol is designed to ensure that medicines are being given to the right person.
People were not always protected from untoward events and emergencies, we observed on the day of our inspection evacuation plans were not easily accessible.
The adaption and design of the service did not always meet people needs. Where people were living with dementia the home was not decorated in a way which followed good practice guidance for helping people to be stimulated and orientated.
Staff were able to explain their understanding of how to gain consent to care and treatment. However, consent to care was not always sought before staff assisted people.
During our inspection we observed positive and caring interactions between staff and people. People, relatives and professionals said that the home was caring. However the home was not always responsive to people’s needs and preferences.
Staff protected people from the risks associated with their care. There were enough staff deployed to meet people's needs. People told us they felt safe in the home, staff had a good understanding of safeguarding and the service took appropriate action to deal with any concerns or allegations of abuse.
Staff were aware of their roles and responsibilities. Newly appointed care staff went through an induction period. Staff received the core training required by the provider, such as safeguarding, infection control, manual handling and health and safety.
Staff gave people the time to express their wishes and respected the decisions they made. Staff also ensured that people’s dignity and privacy were respected.
There was a procedure in place which outlined how the provider would respond to complaints. People and their relatives told us they knew what to do to make a complaint, and everyone we spoke with said they felt comfortable speaking with the managers. The registered manager had systems in place to monitor the quality of the service.
People and their family were regularly involved with the service and their feedback was sought by the provider and the registered manager. People’s opinions were sought via satisfaction surveys which were carried out every six months.
We found one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of this report.