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CQC report explained · a residential care home

What the CQC found at Leeds and Morley

Goodpublished 27 July 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 people were protected from abuse and avoidable harm. Medicines, staffing, recruitment, risk management and infection control were managed safely.
Effective?
Good
Staff had good knowledge, training and support. People were helped with food, healthcare, independence and decision-making under the Mental Capacity Act.
Caring?
Good
Staff treated people with kindness, dignity and respect. People were involved in decisions and encouraged to be independent.
Responsive?
Good
Care plans were individual and updated when people's needs changed. The home supported communication, relationships, activities and people's personal preferences.
Well-led?
Good
Inspectors found approachable management, good teamwork and an open culture. The home used incidents, complaints and quality checks to learn and improve.
The latest report, explained

What inspectors found, July 2019

Heathcotes (Morley) is rated Good; inspectors found safe, kind and person-centred care, with only minor issues noted.

This was an unannounced inspection on 16 July 2019. Inspectors spoke with two people using the service, one relative and seven staff. They reviewed care plans, medicines records, staff files and management records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines systems, clear care plans and good support from trained staff.

People were supported to make choices, build independence, take part in activities, keep relationships and access healthcare. The inspection was partly prompted by information suggesting the rating might have fallen, but inspectors found no evidence that people were at risk of harm.

What inspectors praised
  • Kind and respectful staff

    Staff knew people well and supported them in a warm, respectful way. Inspectors saw positive relationships and an inclusive atmosphere.

    “We observed staff consistently treated people with a very kind and compassionate manner.” from the report
  • Choice and independence

    People were supported to make everyday choices and work towards personal goals, including cooking, cleaning, gardening and moving on to greater independence.

    “The service was highly effective at promoting people's independence.” from the report
  • Safe care and medicines

    Inspectors found clear risk assessments, safe staffing and recruitment, secure medicines and regular checks of medicines systems.

    “Medicines were managed in a safe and proper way. People received their medicines as prescribed and clear records were kept.” from the report
  • Individual support

    Care plans reflected people's needs, communication methods, preferences and changes. Staff worked with healthcare professionals and used accessible information where needed.

    “Care plans were very individual to each person and were updated when there had been any changes” from the report
  • Active lives and relationships

    People were supported with work, activities, community access and relationships with family and friends.

    “People were empowered to live full and active lives.” from the report
What inspectors were concerned about
  • Service size

    minor

    Thirteen people were using the service. The report says this is larger than current best practice guidance, although the building design and local setting were said to reduce any negative impact.

    “Thirteen people were using the service. This is larger than current best practice guidance.” from the report
  • Medication box photographs

    minor

    Inspectors suggested adding photographs of people to stocked medication boxes to reduce the risk of errors. The home completed this on the day of inspection.

    “This was completed the same day of inspection.” from the report
Questions to ask them, based on this report
  1. 01How will you support my relative to make choices and become more independent?
  2. 02How do you make sure medicines are safely managed, especially if my relative wants to manage them independently?
  3. 03How do staff use individual communication methods, accessible information and behaviour support plans?
  4. 04How would you support my relative to take part in work, activities, community events and family relationships?
  5. 05How do you make sure staffing levels and one-to-one support remain safe when people's needs change?

This was an unannounced inspection covering all five CQC questions, and the report says both the care provided and the premises were looked at. This explanation was written from the published report of 27 July 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.

An earlier report, explained

What inspectors found, January 2019

Heathcotes (Morley) was rated Good; inspectors found safe, kind and person-centred care.

Inspectors visited on 14 and 18 December 2018. The first day was unannounced and the provider was told about the second visit. They spoke with people, staff, managers, relatives and a health professional. They also reviewed care records, medicines records, training, recruitment and how the service was managed.

Inspectors found that people were safe and treated with kindness and respect. Staff were trained, there were enough staff, medicines were managed safely and care plans gave staff guidance. People were supported to make choices, build independence, keep active and maintain relationships.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This was an improvement from the previous overall rating of Requires Improvement, published on 29 December 2017.

What inspectors praised
  • People felt safe

    Relatives told inspectors they had no safety concerns and felt their family members were well cared for.

    “People were protected from abuse and avoidable harm.” from the report
  • Kind and respectful staff

    Inspectors saw warm and friendly interactions. People said staff respected their privacy and supported them to do things for themselves.

    “Our observations during both days of the inspection were that staff were warm, kind and friendly in their interactions with people.” from the report
  • Personalised support

    Care plans included people's preferences and goals. Staff helped people make progress with activities, work, confidence and independence.

    “People received personalised care that was responsive to their needs.” from the report
  • Good leadership

    Managers were visible and approachable. Staff said they felt listened to and could raise concerns or suggestions.

    “There was an open and transparent culture where people were empowered to raise concerns if they felt this was necessary.” from the report
  • Safe medicines management

    Medicines were stored and given safely. Records showed people received medicines as prescribed, and checks were carried out.

    “Medicines were safely stored and administered.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How would you record and review my relative's personal goals and preferences?
  2. 02How do you decide how many staff are needed for each person's support, including transport and one-to-one support?
  3. 03How would you support my relative to manage medicines independently, if this was appropriate?
  4. 04How are relatives involved in care planning and regular reviews?
  5. 05What support is available if my relative finds appointments, personal care or other activities difficult?

This was a planned inspection of the care home that assessed all five CQC questions and the overall rating; the previous overall rating was Requires Improvement. This explanation was written from the published report of 25 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 Leeds and Morley

3 rated inspections over 2 years: the service has improved, from Requires improvement to Good.

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

    Read what inspectors found at Leeds and Morley →

  2. January 2019Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Leeds and Morley →

  3. December 2017Requires improvement
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. August 2016

    Registered with the Care Quality Commission on 15 August 2016.

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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Care at home

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Most charge £980 to £1,250 a week. 89 can care for a couple. 11 years' experience on average.

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