CQC report explained · a nursing home
What the CQC found at Leycester House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home was using protective equipment safely, carrying out testing, managing visitors and admissions, and preparing for infection outbreaks.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Outstanding
- 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 2021
Inspected but not rated; inspectors found good infection-control measures and ways for residents to keep in touch with family.
Inspectors visited the home on 22 December 2020. This was an announced, targeted inspection during the coronavirus pandemic. It looked at infection prevention and control, rather than the home’s overall quality.
Inspectors were assured that the home was managing visitors, distancing, admissions, protective equipment, testing, hygiene and outbreaks safely. Staff had infection-control training and were shown how to use protective equipment.
The home provided several ways for residents to see or contact relatives during visiting restrictions. These included a separate visiting building, garden gazebos, video calls and telephone calls.
The home was inspected but not rated. This means the report does not give an overall quality rating or full ratings for the other areas of care.
Visitor safety
Visitors were given masks and aprons, had their temperatures taken and completed a health declaration. Signs explained the home’s safety procedures.
“Face masks and aprons were provided to visitors and their temperatures taken on arrival.” from the report
Safe visiting arrangements
The home used a separate chalet-style building for indoor visits. It had separate entrances, sanitising equipment and a partition.
“This had two separate entrances, an automatic sanitising system and was partitioned, which provided a safe and warm area for visits all year round.” from the report
Family contact
Residents were supported to keep in touch with relatives through video calls and telephone calls. Relatives also received regular updates.
“People were supported to stay in touch with their families through face time and telephone calls during visiting restrictions.” from the report
Staff training
Staff received training in infection control and the safe use of protective equipment. The manager also held workshops about testing and vaccinations.
“Staff were trained in infection control and how to use PPE safely.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection-control and visiting arrangements are in place now?
- 02How do you check that staff use protective equipment safely and consistently?
- 03How often are residents and staff tested, and how are test results managed?
- 04What happens if there is an infection outbreak in the home?
- 05How can residents keep in touch with relatives if normal visits are restricted?
This was a targeted inspection of infection prevention and control only; the service was inspected but not rated and the report does not give ratings for the other areas. This explanation was written from the published report of 12 January 2021 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 2020
Rated Good overall; inspectors found exceptionally caring support, with a few safety and mealtime records needing improvement.
This was a planned inspection on 28 and 30 January 2020. The first day was unannounced and the second was announced. Inspectors spoke with people, relatives and staff, and reviewed care, medicines and management records.
The home was rated Good for Safe, Effective, Responsive and Well-led. It was rated Outstanding for Caring, which means inspectors found people were exceptionally well treated, respected and supported as individuals.
Inspectors found enough staff, safe medicines practices, suitable training and good support with health, food, activities and end of life care. They also found a strong sense of community and positive leadership.
There were some issues during the inspection. Records for pressure-relief mattresses were not always correct, one falls risk measure was missing, checks on medicine patches were not recorded daily, and some people waited too long for lunch. The manager took immediate action on these points.
Kind and personal care
Staff took time to know people as individuals and supported their wellbeing, dignity and independence. People and relatives were very positive about the care.
“People and their relatives were extremely positive about the caring attitude of staff and how it impacted on their sense of wellbeing.” from the report
Strong community
The home encouraged people, relatives and local visitors to spend time together. Inspectors saw an inclusive atmosphere with regular social activities.
“There was a buzz and a real sense of communal spirit in the bistro throughout the day.” from the report
Staff skills and support
Inspectors found staff had the training, skills and experience needed to support people. New staff received induction and experienced staff provided support.
“People and relatives thought staff were trained and knowledgeable to meet their needs.” from the report
Good involvement in care
People and relatives were involved in decisions about care, routines and end of life wishes. Care plans recorded personal preferences and communication needs.
“People and relatives felt involved and listened to when it came to making decisions about their care.” from the report
Learning from incidents
The manager recorded and reviewed accidents and incidents, and used them to reduce future risks. Staff were encouraged to discuss mistakes openly.
“The registered manager encouraged a culture where staff could learn from their mistakes.” from the report
Medicine patch checks
needs fixingThere was no daily recorded check to confirm that medicine patches stayed in place. A checking system was introduced immediately.
“However, there was no system of daily recorded checks to ensure the patches remained in place.” from the report
- 01What checks are now used to make sure pressure-relief mattresses are recorded and monitored correctly?
- 02How do you make sure sensor mats and other falls equipment are in place as set out in each person's risk assessment?
- 03How are medicine patches checked each day, and where are those checks recorded?
- 04What changes were made to prevent long waits and ensure everyone is offered a choice of drink at mealtimes?
- 05How do you provide one-to-one activities for people who do not enjoy group activities or who live with dementia?
This was a planned inspection covering all five key questions, the premises and the care provided; the previous overall rating was Good and the Caring rating improved from Good to Outstanding. This explanation was written from the published report of 26 February 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.
Every inspection of Leycester House
2 rated inspections over 3 years: the service has held its Good rating throughout.
- January 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- February 2020Goodstayed GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
- April 2017GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2019
Registered with the Care Quality Commission on 19 December 2019.
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 Warwickshire
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Most charge £950 to £1,260 a week. 77 can care for a couple. 11 years' experience on average.
“If you bump into her in the night on her way to the bathroom she will still inquire how you are and if everything is alright.”
“I have never met a person who is so kind and thinks about others before himself to such an extent as Chris Malagala.”
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