Old Leigh House

Updated 5 March 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 service was inspected by one inspector.

Service and service type

Old 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 the inspection

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

During the inspection

We spoke with three people who used the service about their experience of care provided. We spoke with the registered manager, regional director and four members of care staff. We reviewed a range of records. This included care records, medication records and staff recruitment folders.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We reviewed audits and quality assurance records.

Updated 5 March 2021

About the service

Old leigh House is a care home with nursing providing support for up to six people. The service provides care and support to people with mental health or learning disability and complex needs. Care is provided in a large adapted building close to all amenities in the local community. At the time of our inspection five people were using the service.

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

People were positive about their experiences at the service. From surveys we saw relatives were happy with the care their loved ones were receiving.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, 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 providing support to people with a learning disability and/or autistic people.

The service was able to demonstrate how they were meeting underpinning principles of Right support, right care, right culture. Staff promoted people’s independence and care was personalised to each individual person’s needs and goals. Staff supported people to develop their skills and confidence to live full lives.

Care was person centred and delivered in a way that was intended to ensure people's safety and welfare. People were cared for safely by staff who had been recruited and employed after appropriate checks had been completed. Staff had received appropriate training. There were systems in place to minimize the risk of infection and to learn lessons from accidents and incidents. Medicines were dispensed by staff who had received training to do so.

The registered manager and provider had good oversight of the service, they had encouraged a culture of learning and development. There were systems in place to monitor and review care and people's experience at the service.

Rating at last inspection: The last rating for this service was requires improvement published 20 March 2020 and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.

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

Updated 20 March 2020

See below for details.