CQC report explained · a nursing home
What the CQC found at Leonard Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention and control, including visitors, PPE, testing, admissions, hygiene and outbreak management.
- Effective?
- Good
- This area was not assessed in this targeted inspection.
- Caring?
- Good
- This area was not assessed in this targeted inspection.
- Responsive?
- Good
- This area was not assessed in this targeted inspection.
- Well-led?
- Good
- This area was not assessed in this targeted inspection.
What inspectors found, December 2020
Inspected but not rated; inspectors found good infection prevention and control practices during a targeted coronavirus review.
This was an announced, targeted inspection on 25 November 2020. Inspectors checked infection prevention and control arrangements because of coronavirus outbreaks in care homes.
The home was caring for 45 people, although it could accommodate up to 60. Inspectors found effective controls for visitors, personal protective equipment, testing, social distancing, admissions, cleaning and managing outbreaks.
The home was assured to meet good infection prevention and control guidelines. This inspection did not give an overall rating or new ratings for the other areas of care.
Visitor safety
The home had a clear process for visitors entering. It used separate clean and used pens to reduce the risk of cross infection.
“Robust procedure for visitors entering the service was in place.” from the report
Separated work areas
Care staff could not enter the kitchen and laundry areas. Inspectors said this helped keep these areas sterile and reduced the risk of infection spreading.
“Care staff were not permitted to access the back area of the service including the kitchen and laundry areas.” from the report
Infection controls
Inspectors were assured that the home had good infection prevention and control arrangements, including PPE, testing, hygiene and outbreak planning.
“We were assured that this service met good infection prevention and control guidelines” from the report
Inspectors raised no specific concerns in this report.
- 01How have your infection prevention and control arrangements changed since the inspection on 25 November 2020?
- 02How do you now manage visits and reduce the risk of infection being brought into the home?
- 03How often are people living here and staff tested for infections?
- 04What is your current process for admitting a new resident safely?
- 05How do you manage an infection outbreak, and what information would you give families?
This was a targeted inspection of infection prevention and control practices only; the service was inspected but not rated overall and the other areas were not assessed. This explanation was written from the published report of 9 December 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, February 2019
Leonard Lodge was rated Good overall; inspectors found kind, safe care, with some records needing more detail.
This was an unannounced planned inspection on 10 January 2019. Two inspectors, a nursing specialist adviser and an expert by experience spoke with people, relatives and staff. They reviewed care files, medicines records, staff files, complaints, training and quality checks, and observed care.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines management, good training, kind interactions and personalised care. People had access to healthcare professionals, activities and support with food and drink.
There were two areas where records could be better. ABC charts about behaviour were not always properly completed or analysed. For one person receiving medicine for agitation, the records did not explain the signs of agitation or other approaches to try first. The report made a recommendation about ABC charts, but did not record any breach of regulations.
Enough staff
People, relatives and staff told inspectors there were enough staff to meet people's needs. Inspectors also found recruitment and agency worker checks were robust.
“People relatives and staff told us that there was enough staff on duty to meet people's needs.” from the report
Kind and respectful care
Inspectors saw staff spending time with people, communicating well and responding quickly when people were anxious. People's privacy, dignity and personal preferences were respected.
“During the inspection we observed many warm and caring interactions between staff and people and there was evidence of appropriate touch.” from the report
Personalised support
Care plans included people's backgrounds, preferences and individual support needs. Staff could explain how they adapted care for people's abilities and wishes.
“Care plans contained detailed information to enable staff to provide personalised care and were reviewed regularly.” from the report
Good access to healthcare
Records showed that a range of health professionals visited when needed. Staff monitored people's health and relatives said they were kept informed.
“People were supported to be as healthy as possible and received healthcare assistance from professionals when they needed it.” from the report
Active quality monitoring
The home used audits, meetings and regular reviews to check care quality and respond to people's views. Staff were positive about the leadership.
“There were systems in place to effectively monitor the quality and safety of the service.” from the report
Behaviour records were not always complete
needs fixingABC charts were not always completed or analysed well enough to identify patterns or what a person's behaviour might be communicating. Inspectors recommended reviewing this process.
“However, we did find that ABC charts were not always completed appropriately or analysed to identify any themes or trends or what people might be communicating.” from the report
End-of-life wishes not recorded for everyone
minorEnd-of-life wishes were recorded in most care plans, rather than all of them. Staff said they would revisit these discussions where decisions had not yet been made.
“People's end of life wishes were discussed with them and their families and recorded in most care plans.” from the report
- 01How are ABC charts now completed and reviewed when a person's behaviour changes?
- 02For medicines used for agitation, what signs must staff record before giving the medicine?
- 03What non-medical approaches are tried before medicine for agitation is used?
- 04How will you make sure every person's end-of-life wishes are discussed and recorded?
- 05How will you keep our relative and family informed about changes in health or care needs?
This was an unannounced planned inspection covering all five CQC questions and the overall rating; the report says the previous overall rating was Good in 2016. This explanation was written from the published report of 9 February 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.
Every inspection of Leonard Lodge
3 rated inspections over 3 years: the service has improved, from Requires improvement to Good.
- December 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- February 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: Requires improvementResponsive: GoodWell-led: Good
- November 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- August 2014
Report published without a new overall rating.
- April 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- July 2013
Report published without a new overall rating.
- September 2012
Report published without a new overall rating.
- April 2012
Report published without a new overall rating.
- February 2011
Registered with the Care Quality Commission on 15 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.
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