CQC report explained · a residential care home
What the CQC found at 20 Leonard Road
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, November 2020
Inspected but not rated; inspectors found enough staff, suitable safety checks and good infection control, while the previous Good ratings were not changed.
This was a targeted inspection on 9 September 2020. The CQC was checking concerns about staffing, risk management, safeguarding, and accident and incident records. Two inspectors visited, reviewed records and spoke with the manager, staff and a relative.
The inspectors found no evidence that people were at risk of harm from the concerns they checked. They found enough staff, regular risk assessments, suitable recruitment checks and systems for reporting accidents, incidents and safeguarding concerns.
The home was clean and staff had enough protective equipment. The manager and staff were described positively, and the service carried out checks on areas such as infection control.
This inspection was not rated. The previous overall rating and the Safe and Well-led ratings remained Good from the last comprehensive inspection, published in 2017, because this visit only looked at specific concerns.
Staffing
The inspectors found enough staff to meet people's needs. Staff absences were covered by regular agency staff, and recruitment checks were carried out.
“Records showed there were enough staff on duty to meet people's needs.” from the report
Risk management
People had risk assessments covering risks such as self-harm, absconding, offending and health conditions. These assessments were regularly reviewed.
“People had risk assessments to reduce the risks of harm they may face and these were regularly reviewed.” from the report
Infection control
The home was clean, had a cleaning schedule and had an up-to-date infection control policy. Staff had enough masks and gloves.
“The premises were clean and free from malodour. There was a cleaning schedule in place.” from the report
Management oversight
Staff and a relative spoke positively about the management. The service carried out infection control audits and found no concerns in the records reviewed.
“Regular checks were carried out. For example, we reviewed infection control audits carried out in July, August and September which included checks on the cleaning and saw no concerns were identified.” from the report
Inspectors raised no specific concerns in this report.
- 01How are staffing levels currently checked, and how are staff absences covered?
- 02How often are my relative's risk assessments reviewed and updated?
- 03How are accidents, incidents and safeguarding concerns recorded and followed up?
- 04What infection control checks are carried out now, and how are any problems dealt with?
- 05When is the next comprehensive inspection expected, and what will it cover?
This was a targeted inspection of specific parts of Safe and Well-led, including staffing, risk management, safeguarding, reporting and infection control; it did not reassess all five key questions. This explanation was written from the published report of 25 November 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, October 2017
Rated Good; inspectors found safe, kind and personalised care, with a recommendation about controlled drugs.
The inspection took place over two days. The first day was unannounced. Inspectors spoke with the person living there, staff, managers and a health and care professional. They observed care and checked records.
The home supported one person with learning disabilities and autism who had complex needs. Inspectors found that staff understood the person's needs, respected their choices and provided personalised care. They found enough staff, suitable training, safe recruitment and good support with food, health care and activities.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The home had also been rated Good at the previous inspection, so this inspection found that it remained Good.
Medicines were generally managed safely, but a controlled drugs register was not being used during the inspection. The home provided evidence that this had been put in place afterwards. Inspectors recommended referring to national guidance on controlled drugs.
Personalised care
Care plans included the person's life story, needs, preferences and ways to communicate. Staff knew the person's likes and dislikes.
“People's care plans were person-centred and included information on their life stories and individual needs and preferences.” from the report
Kind and respectful staff
Inspectors saw calm, reassuring interactions. Staff respected the person's privacy, dignity, choices and personal space.
“We observed good interactions between staff and the person using the service.” from the report
Staff training and support
Staff had regular supervision and training, including specialist training for autism, learning disabilities and positive behaviour support.
“Staff completed training in areas relevant to their role, such as infection control, first aid, food safety, fire prevention in a care home and health and safety.” from the report
Good planning and oversight
The home used care reviews, staff meetings, audits and checks to monitor care and keep staff up to date.
“Systems were in place to ensure the quality and delivery of the service was maintained.” from the report
Controlled drugs records
needs fixingA controlled drugs register was required but was not being used during the inspection. The home provided records showing that a register was put in place afterwards.
“Although a controlled drugs register was required this was not being used.” from the report
Communication and responsibilities
minorA health and care professional said communication could be improved. They also said management responsibilities should be clearer, including for responding to emails and reporting incidents.
“However, they also commented that although the provider was responsive, communication could be improved and lines of management responsibilities made clearer” from the report
- 01How is the controlled drugs register being checked and kept up to date now?
- 02Who is responsible for responding to emails and reporting incidents?
- 03How are changes in the person's needs recorded and shared with all staff?
- 04How will you involve our relative and family in care reviews and decisions?
- 05How do you check that staff continue to follow the person's communication and positive behaviour support plans?
This was a planned inspection of the overall quality and safety of the service, covering all five rating areas. This explanation was written from the published report of 31 October 2017 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of 20 Leonard Road
2 rated inspections over 2 years: the service has held its Good rating throughout.
- November 2020Inspected but not ratedcurrent ratingSafe: Inspected but not ratedWell-led: Inspected but not rated
- October 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2014
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- November 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 11 January 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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At least 100 live-in carers within about an hour of Waltham Forest
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,200 a week. 77 can care for a couple. 11 years' experience on average.
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