CQC report explained · a residential care home
What the CQC found at Leigham Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough staff, suitable risk assessments, safe medicines administration, safeguarding arrangements and effective infection prevention measures. They also found that the home learned lessons when things went wrong.
- Effective?
- Good
- This key question was not inspected during this visit. Its previous rating was carried forward.
- Caring?
- Outstanding
- This key question was not inspected during this visit. Its previous rating was carried forward.
- Responsive?
- Good
- This key question was not inspected during this visit. Its previous rating was carried forward.
- Well-led?
- Good
- Inspectors found a positive and supportive culture, clear management arrangements and audits that identified and addressed issues. Staff and relatives said management was supportive and responsive.
What inspectors found, December 2022
Leigham Lodge is Rated Good; inspectors found safe, person-centred care, with some communal areas needing redecoration.
The unannounced inspection took place on 22 November 2022. One inspector visited, contacted three relatives and three healthcare professionals, and reviewed care plans, staff recruitment files, medicines records and management records.
The home was rated Good for Safe and Well-led. Inspectors found enough staff, suitable risk assessments, safe medicines systems, infection control measures and appropriate safeguarding arrangements. Staff supported people with communication, choice, independence and community activities.
The overall Good rating did not change from the previous rating published in November 2017. This visit only examined Safe and Well-led. The other key question ratings were carried forward from the earlier inspection.
Safe medicines
Medicines records were accurate, medicines were stored securely and audits were used to address problems quickly.
“We reviewed the medicines administration records and found these were completed accurately with no gaps or omissions.” from the report
Staffing and activities
Inspectors found enough staff, including one-to-one support so people could take part in activities and visits when they wanted.
“The service had enough staff, including for one-to-one support for people to take part in activities and visits how and when they wanted.” from the report
Independence
People were supported to express their views, try new experiences, develop skills and become more independent.
“People had the opportunity to try new experiences, develop new skills and gain independence.” from the report
Positive leadership
The management team promoted a supportive culture and had systems for checking quality and acting on issues.
“There was a positive and supportive culture within the service.” from the report
Communal areas need redecoration
minorSome communal areas looked dated and needed redecoration. The manager knew about this and said renovations were ongoing, with further monitoring planned.
“During the inspection we identified the environment in some communal areas required redecoration as it looked dated.” from the report
- 01Which communal areas are being renovated, and when do you expect the redecoration work to be completed?
- 02How will you support my relative to communicate in their preferred way and make their own choices?
- 03How do you make sure there are enough staff for one-to-one activities, visits and community access?
- 04How do staff recognise when my relative may be in pain and decide whether as-needed pain relief is appropriate?
- 05How are my relative's goals and concerns discussed through keyworker sessions?
This was an unannounced focused inspection of Safe and Well-led; the other key question ratings and the overall rating were carried forward from the previous inspection. This explanation was written from the published report of 31 December 2022 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, November 2017
Rated Good overall, with Outstanding caring; inspectors found safe, personalised support and strong respect for people's dignity.
This was an unannounced, comprehensive inspection on 25 October 2017. The inspector and an expert-by-experience spoke with people, a relative, staff and managers. They also reviewed care plans, medicine records, staff files and other records, and observed how staff supported people.
The home was rated Good for safe, effective, responsive and well-led care. Caring was rated Outstanding. Inspectors found robust safeguarding and risk arrangements, enough staff, safe medicines practice, suitable training, personalised care and activities that included the local community.
People were treated with exceptional kindness, dignity and respect. Staff understood people's communication, needs and preferences well. The home remained Good overall, as at the previous inspection, while caring improved from Good to Outstanding.
Kind and respectful care
Inspectors saw staff showing exceptional compassion and encouraging people to do as much as possible for themselves.
“Staff demonstrated exceptional compassion towards people they supported and spoke of them both with dignity and respect.” from the report
Understanding communication
Staff knew people's individual ways of communicating. They also researched one person's first language to support communication and reduce anxiety.
“Staff had taken it upon themselves to research one person's first language in order to enable the person further means by which to communicate.” from the report
Safe medicines practice
Medicines were given as prescribed, with clear records and regular checks. Inspectors found no omissions or errors in the records reviewed.
“Records confirmed people received their medicines as prescribed, for example, the right medicine at the right time in the right way.” from the report
Personalised activities
People were supported to choose activities that suited their interests and needs, including music, shopping, meals out and community activities.
“People continued to be encouraged to participate in a wide range of activities that met both their needs and preferences.” from the report
Listening and improvement
The home gathered views from people and relatives and used audits and action plans to address issues.
“Where feedback noted issues, an action plan was then devised and action taken to address those issues.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you currently help people choose their meals, especially if they cannot communicate verbally?
- 02How do you make sure changes agreed at care plan reviews are put into daily care?
- 03How do you understand and respond to my relative's gestures, body language or first language?
- 04What activities and community visits are available now, and how are people's choices recorded?
- 05Who is the registered manager now, and how are relatives involved in quality checks and feedback?
This was an unannounced comprehensive inspection covering all five key questions, with no areas excluded or carried forward. This explanation was written from the published report of 30 November 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 Leigham Lodge
3 rated inspections over 7 years: the service has held its Good rating throughout.
- December 2022Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
- November 2017Goodstayed GoodSafe: GoodWell-led: Good
- November 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2014
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- June 2012
Report published without a new overall rating.
- December 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 2 December 2010.
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 Lambeth
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 £1,250 a week. 76 can care for a couple. 11 years' experience on average.
“She cared for my mum with Alzheimer's with endless patience and kindness, always arriving with a smile and a positive attitude”
“She is just one of those people that looks around, sees what needs to be done and does it.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.