Following a focused inspection prompted by safeguarding concerns, Littleton House improved from requires improvement to good overall, with safe and well-led both rated good. The previous breach of Regulation 17 was resolved through strengthened governance, risk assessment, medicines management and infection control.
Strengths
· Improvements made to care records and risk assessments clearly outlining people's support needs
· Staff received medication training and underwent competency checks; medicines managed safely
· Safe recruitment with DBS checks completed prior to staff commencing work
· Sufficient staffing levels secured through working with the local authority
· Improved analysis of trends in incidents and accidents on a monthly basis
Quality-Statement breakdown (9)
safe: Assessing risk, safety monitoring and management; Using medicines safely
Good
safe: Staffing and recruitmentGood
safe: Systems and processes to safeguard people from the risk of abuse; Learning lessons when things go wrongGood
safe: Preventing and controlling infectionGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Continuous learning and improving care; Working in partnership with othersGood