CQC report explained · a residential care home
What the CQC found at 509 Leeds and Bradford Road
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Medicines, risk assessments, staffing and infection control were managed safely, although an issue from an older electrical test needed action and was addressed during the inspection.
- Effective?
- Good
- Staff had training, supervision and appraisals. People received support with nutrition, health appointments and changing needs, and staff understood consent and the Mental Capacity Act.
- Caring?
- Good
- People said staff were kind and caring. Staff respected privacy and dignity, offered choices and encouraged people to remain independent.
- Responsive?
- Good
- Care was personalised around people's preferences, communication needs and goals. People were supported to maintain relationships, use community services and take part in chosen activities.
- Well-led?
- Good
- The home had an open, person-centred culture. Managers used audits, meetings, surveys and feedback to monitor quality and improve the service.
What inspectors found, November 2019
SENSE - 509 Leeds and Bradford Road was rated Good; inspectors found safe, kind and person-centred care, with one electrical safety issue dealt with during the inspection.
This was a planned, announced inspection. One inspector visited on 20 and 23 September 2019. They spoke with two people, managers and staff, and reviewed care records, medicines records, staff files and quality checks.
The overall rating was Good. All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. People were supported safely, treated with respect and involved in choices about their care.
Inspectors found that staff understood people's needs and communication methods. People were supported with health appointments, meals, activities, relationships and independence. The home also used audits, feedback and incident reviews to improve care.
One electrical safety test from 2017 had identified issues that had not been addressed. The manager dealt with this promptly during the inspection. The previous overall rating was also Good, published on 21 March 2017.
Kind and respectful care
People described staff as kind and caring. Staff protected privacy and dignity and explained what they were doing.
“People and health care professionals told us staff were kind and caring.” from the report
Personalised communication
Staff used care plans, picture cards, simple language and people's body language to understand and support communication.
“Care plans provided staff with guidance on the most effective ways to support the person to communicate.” from the report
Choice and independence
People were supported to make decisions, prepare food, attend college and take part in activities that matched their interests.
“People were encouraged to have full control of their lives.” from the report
Good health support
Staff monitored health needs, arranged appointments and worked with health professionals to provide suitable support.
“The registered manager worked closely with health care professionals and arranged support for people when it was required.” from the report
Learning from incidents
The home recorded and reviewed accidents and incidents, looking for patterns so it could reduce future risks.
“The management team responded appropriately when accidents or incidents occurred and used any incidents as a learning opportunity.” from the report
Outstanding electrical safety action
needs fixingThe last electrical test, from 2017, had identified issues that had not been addressed. The manager dealt with the matter promptly during the inspection.
“However, the last electrical test from 2017 highlighted issues which had not been addressed.” from the report
- 01What electrical safety issues were identified in the 2017 test, and what action was taken during the inspection?
- 02How would you support my relative's particular communication needs if they cannot communicate verbally?
- 03How are medicines reviewed, and how would you support my relative if their medicines or behaviour changed?
- 04What activities, education or community opportunities would be available to my relative?
- 05How would you involve my relative and our family in care reviews and decisions?
This was a planned inspection covering all five CQC questions, including the premises and care provided; inspectors reviewed two people's care records and three medicine records. This explanation was written from the published report of 20 November 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.
What inspectors found, March 2017
SENSE - 509 Leeds and Bradford Road was rated Good; inspectors found safe, kind care and improvements since the last inspection.
The announced inspection took place on 25 and 30 January 2017. One adult social care inspector visited, reviewed records, observed care and spoke with people, staff and the manager. Three people were living in the home at the time.
Inspectors rated the home Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. They found enough staff, safe medicines systems, suitable training, good care plans and activities matched to people's interests.
The home had previously been rated Requires Improvement in March 2015, with three regulations breached. Inspectors found the earlier problems with the premises, medicines and management systems had been addressed.
Improved safety
The home had addressed the earlier problems with premises safety and medicines management. Inspectors found better storage, clearer guidance and more regular checks.
“At this inspection we found the provider had made improvements and addressed the issues identified at the last inspection.” from the report
Kind, knowledgeable staff
Staff understood people's histories, preferences and routines. Inspectors saw a happy, friendly atmosphere and people who were relaxed with staff.
“Staff spent time with people and it was clear they knew the people they were supporting well.” from the report
Personalised support
Care plans described how each person should be supported, including communication, preferences and daily routines. Activities reflected individual interests.
“Care plans contained good information which guided staff around how care should be delivered.” from the report
Strong quality checks
The home used safety checks, care reviews, audits and a service development plan to monitor and improve the service.
“The provider had effective systems in place to monitor the service.” from the report
Medicine guidance
needs fixingFor one person, the medicine guidance did not match the required instruction about giving it with food. The manager agreed to update the guidance.
“One person was prescribed a medicine that should be administered with food; however, guidance stated staff should offer the medicine before food.” from the report
Missed dental appointment
needs fixingA recommended dental appointment had not taken place. The manager said the health-record system would be reviewed.
“it had been recommended they attend a dental appointment in October 2016, however this had not happened” from the report
Unclear daily records
minorOne daily record did not make it clear whether a care task had been completed. The manager said this would be discussed with staff.
“the wording of the task was not clear so it was confusing whether staff had delivered the care.” from the report
- 01How do you check that medicine instructions, including whether medicines should be given with food, are accurate and up to date?
- 02How do you make sure recommended health and dental appointments are arranged and followed up?
- 03What changes have you made to daily records so staff clearly show whether care tasks were completed?
- 04How are people and their families involved in care reviews and decisions about activities and routines?
- 05How do your regular safety checks and audits lead to action when a problem is found?
This was an announced inspection of the whole service, covering all five ratings; inspectors had limited direct information from people because of the different ways they communicated. This explanation was written from the published report of 21 March 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 509 Leeds and Bradford Road
3 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- November 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2015Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- November 2013
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 29 November 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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Most charge £980 to £1,250 a week. 89 can care for a couple. 11 years' experience on average.
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