Leigh Court Centre, a domiciliary and supported living service for people with learning disabilities and autism, was rated Good across all five key questions at its July 2023 inspection. Minor shortfalls were identified in medicines record-keeping and pre-employment DBS checks, with a recommendation issued, but overall the service demonstrated strong person-centred practice, effective governance, and positive outcomes for the 16 people supported.
Concerns (4)
moderate
Record keeping
: “We found 2 missing entries on the persons monthly Medicines Administration Chart. We also found their topical cream charts were not always confirming the person had received their prescribed cream as required.”
minorStaff competency: “one member of staff had started employment prior to their Disclosure and Barring Service (DBS) check coming through.”
minorCare planning: “it was not always clear if they needed assistance or if they were independent with this equipment. We brought this to the attention of the manager so they could review and update this information.”
minorEnd-of-life care: “Care plans contained limited information in relation to people's future planning and end of life wishes. This was something that the service was looking to improve in the future.”
Strengths
· People were supported by enough staff who knew them well, with consistent agency staff booked regularly.
· Care plans were personalised, containing detailed risk assessments, individual routines, likes and dislikes.
· Staff promoted independence and used pictures and visual prompts to support people to make choices.
· Strong staff induction, training matrix with automated reminders, and monthly monitoring of mandatory training.
· People were supported to access the community, employment, hobbies, and social activities, reducing isolation.
Quality-Statement breakdown (25)
safe: Staffing and recruitmentGood
safe: Assessing risk, safety monitoring and managementGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
safe: Systems and processes to safeguard people from the risk of abuseGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies; supporting people to live healthier lives and access healthcareGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships and take part in activitiesGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Promoting a positive, person-centred, open, inclusive and empowering cultureGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Managers and staff being clear about their roles and understanding quality performance, risks and regulatory requirementsGood
well-led: Continuous learning and improving careGood
well-led: Working in partnership with othersGood
well-led: Engaging and involving people using the service, the public and staffGood