CQC report explained · a residential care home
What the CQC found at Levina House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home used PPE safely, supported testing, managed infection risks and followed visiting guidance. They were also told that measures were in place to reduce the effect of COVID-19-related staffing pressures.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Good
- Are people treated with kindness and dignity?
- Responsive?
- Good
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, January 2022
Inspected but not rated; inspectors found good infection control and visiting arrangements during the pandemic.
The home supports up to six people with learning disabilities. Six people were living there when inspectors visited on 14 January 2022.
This was a targeted, announced inspection with just under 24 hours’ notice. Inspectors looked at infection prevention and control, visiting arrangements and staffing pressures linked to COVID-19.
Inspectors were assured that the home used PPE safely, supported testing, managed possible outbreaks and followed current visiting guidance. Staff helped people understand the pandemic and made social contact possible where this could be done safely.
The home was inspected but not rated. This report does not give an overall rating or ratings for the other areas of care.
Support with PPE
Staff explained the pandemic and found creative ways to help people feel comfortable using PPE. Some people began using PPE themselves.
“Staff had found creative ways to make people feel comfortable with the use of personal protective equipment (PPE).” from the report
Safe social contact
The home maintained social distancing where possible and found ways for people to spend time together safely.
“Where possible, social distancing was maintained and the staff team had found innovative ways of making sure people could spend time with each other in a safe way.” from the report
Consistent staff team
Management supported staff wellbeing, which helped the home retain staff during the pandemic.
“The management team had supported the wellbeing of staff. This had led to good staff retention over the pandemic” from the report
Infection control
Inspectors were assured that the home had suitable arrangements for PPE, testing, hygiene, visiting and managing outbreaks.
“We were assured that the provider's infection prevention and control policy was up to date.” from the report
Inspectors raised no specific concerns in this report.
- 01How are COVID-19 or other infection control arrangements being managed now?
- 02How do you help people who find PPE uncomfortable or difficult to understand?
- 03What happens when a resident or staff member tests positive for an infection?
- 04How are visits arranged, and what would happen if infection risks increased?
- 05How do you manage staffing pressures and maintain a consistent staff team?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it did not rate the service or assess the other care areas. This explanation was written from the published report of 28 January 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, March 2018
Levina House was rated Good; inspectors found safe, kind and personalised care, with improvements since the previous inspection.
The inspection was unannounced and took place on 24 January 2018. One inspector spoke with four people living at the home, observed people and staff, and spoke with managers and care staff. They reviewed three care plans, medicines records, incident records, meeting minutes, audits and safety checks.
Inspectors found enough staff, safe recruitment, suitable medicines arrangements and systems to protect people from abuse and harm. Staff supported people to stay healthy, make choices and access work, healthcare, activities and the community. People were treated with kindness, dignity and respect.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. The previous inspection had also rated it Good. The report says earlier concerns about responding to feedback and keeping care plans up to date had improved, and it found no serious risks or concerns.
Safe staffing
Inspectors found enough staff to support people safely and observed staff helping people with shopping and family visits. Recruitment checks were also in place.
“There were enough staff to ensure that people's needs were met safely.” from the report
Kind relationships
People described staff as kind and supportive. Inspectors saw staff treating people with respect and adapting their communication to their needs.
“People had caring, kind supportive relationships with the staff who supported them.” from the report
Active lives
People were supported to go out, work, take holidays, meet relatives and join activities such as discos, craft sessions and meals out.
“People had busy, active lives. Some people were able to choose to go out independently and plan their own time.” from the report
Improvements made
The home had acted on the previous inspection's concerns about feedback and care plans. Inspectors found care plans were now regularly reviewed and up to date.
“At this inspection we found that this had improved.” from the report
Inspectors raised no specific concerns in this report.
- 01How are risk assessments updated when a person's behaviour, needs or usual routines change?
- 02How do you decide whether to give as-required medicines to help someone calm, and how do you record the other steps tried first?
- 03Can you show how people's views from the weekly Speak Up meetings have changed the home or their care?
- 04What activities, work opportunities and support to go out are available to people now?
- 05What arrangements are in place if someone needs end of life care, given that this was not inspected in the report?
This was an unannounced inspection of all five quality areas, but end of life care was not inspected because nobody was receiving it at the time. This explanation was written from the published report of 7 March 2018 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 Levina House
2 rated inspections over 2 years: the service has held its Good rating throughout.
- January 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- March 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- December 2013
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.
- July 2011
Registered with the Care Quality Commission on 4 July 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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90 live-in carers within about an hour of Nottingham
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Most charge £980 to £1,270 a week. 73 can care for a couple. 11 years' experience on average.
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