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CQC report explained · a residential care home

What the CQC found at Leafield Residential Care Home

Goodpublished 30 January 2019, 7 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors found that risks were assessed and updated, staff knew how to report safeguarding concerns, and medicines were given safely. People said there were enough staff and that staff were available when needed.
Effective?
Good
Care was based on people's needs and choices. Staff supported nutrition, hydration and special diets, received relevant training, and worked with GPs, district nurses and other professionals.
Caring?
Good
People and relatives described kind, respectful care and meaningful relationships with staff. Inspectors found that privacy, dignity, confidentiality, independence and people's choices were respected.
Responsive?
Good
Care plans reflected people's wishes and were reviewed regularly. Activities were flexible, complaints were dealt with promptly, and staff responded when people's needs changed.
Well-led?
Good
The home was described as open and well managed. Audits covered areas such as medicines, care planning, infection control and accidents, and the management team acted when improvements were identified.
The latest report, explained

What inspectors found, January 2019

Leafield Residential Care Home was rated Good; inspectors found kind, safe and responsive care, with some end-of-life records improved during the inspection.

This was an unannounced routine inspection on 7 December 2018. One inspector observed care, spoke with six people, two relatives and a health or social care professional, and reviewed care, medicines, staffing and management records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough consistent staff, safe medicines practice, suitable care plans and good links with health professionals.

People and relatives described kind and respectful care. Staff supported people's choices, privacy, independence, nutrition and activities. The home had systems for complaints, audits and learning from incidents.

The inspection found that end-of-life records could be clearer. The management team responded by developing a new system to record people's wishes and needs.

What inspectors praised
  • Kind and respectful care

    People and relatives described caring relationships with staff. Inspectors observed respectful interactions and found that privacy, dignity and independence were promoted.

    “People complimented the support received and told us they formed meaningful, caring relationships with the staff.” from the report
  • Safe staffing and medicines

    People said staff were available and care was not rushed. Inspectors found that medicines were stored and given safely by trained staff.

    “People were supported by consistent staff and in unhurried manner.” from the report
  • Personalised support

    Staff knew people's needs, choices and preferences. Care plans were reviewed, and activities could be adapted to what people wanted.

    “People's care plans reflected people's wishes, choices and preferences on how they like to be cared for and were reviewed regularly.” from the report
  • Open management

    People, relatives and staff felt listened to. The management team used audits and feedback to identify and address improvements.

    “The provider's quality assurance processes were effective and there was a focus on continuous improvement.” from the report
What inspectors were concerned about
  • End-of-life records

    minor

    An audit found that records about end-of-life care could be clearer so people's wishes and needs were fully captured. The management team developed a new recording system in response.

    “records could be improved to ensure peoples wishes and needs were met.” from the report
Questions to ask them, based on this report
  1. 01How are care plans reviewed when a resident's needs, choices or health conditions change?
  2. 02How do you make sure medicines are given safely and records remain accurate?
  3. 03What staffing levels are normally in place, and how do you maintain consistent staff cover?
  4. 04How are a resident's end-of-life wishes and needs recorded and kept up to date?
  5. 05What activities are available, and how are they adapted to each resident's interests and choices?

This was an unannounced routine inspection that looked at the overall service, including accommodation and care, and rated all five key questions. This explanation was written from the published report of 30 January 2019 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.

The story over the years

Every inspection of Leafield Residential Care Home

3 rated inspections over 3 years: the service has improved, from Requires improvement to Good.

  1. January 2019Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Leafield Residential Care Home →

  2. August 2016Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. October 2015Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. November 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. February 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. May 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. November 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. February 2011

    Registered with the Care Quality Commission on 11 February 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.

Next steps

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