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CQC report explained · a residential care home, run by Leeds Jewish Welfare Board

248 Lidgett Lane

248 Lidgett Lane, Leeds, LS17 6QH

Goodpublished 15 December 2023, 2 years ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People were protected from avoidable harm. Risk assessments, staffing levels, infection control and safeguarding arrangements were found to be suitable, although medicines management and some recruitment checks were not always fully safe.
Effective?
Good
This key question was not assessed in this inspection.
Caring?
Good
This key question was not assessed in this inspection, although inspectors described care as person-centred and respectful in the overall findings.
Responsive?
Good
This key question was not assessed in this inspection, although the report describes support tailored to people's needs, wishes and cultural requirements.
Well-led?
Good
The manager and staff promoted a person-centred culture. There was a clear management structure, regular audits and an improvement plan, although communication with relatives was not always consistent.
The latest report, explained

What inspectors found, December 2023

Rated Good; inspectors found people were safe and well supported, but medicines checks and some staff recruitment records needed improvement.

This was an unannounced inspection on 7 and 8 November 2023. Inspectors met all five people living in the home, spoke with staff, the manager and relatives, and checked care records, medicines, training, recruitment and management information.

The home was rated Good overall, with Safe and Well-led also rated Good. Inspectors found suitable staffing, clear risk assessments, good infection control and respectful, person-centred support. People were supported with their health, choices, culture and community access.

There were some weaknesses. Medicines booking information was not always correct, medicine storage temperatures were not recorded, and some recruitment checks were incomplete before staff started. The manager had identified these issues and was taking action before the inspection.

What inspectors praised
  • Risk management

    People had detailed risk assessments covering areas such as health, nutrition, choking, community access and emergencies. These were reviewed and updated.

    The risks to people's safety and wellbeing were assessed, monitored and managed.from the report
  • Person-centred support

    Staff knew people well and supported their choices, independence, health needs and cultural or spiritual preferences.

    This enabled people to receive compassionate and empowering care that was tailored to their needs.from the report
  • Leadership and improvement

    The new manager had introduced changes, identified areas for improvement and used audits, meetings and reviews to improve the service.

    There was a clear structure of governance in place.from the report
  • Infection control

    The home had cleaning schedules, staff training, audits and appropriate arrangements for preventing and managing infection outbreaks.

    There were appropriate systems for preventing and controlling the spread of infection.from the report
What inspectors were concerned about
  • Medicines checks

    needs fixing

    Medicines were usually given safely and as prescribed, but booking information was sometimes wrong and storage temperatures were not recorded. Audits had not identified all the issues.

    Medicines were not always managed to ensure complete safety.from the report
  • Staff turnover

    minor

    There had been a large turnover of staff, which relatives said affected continuity for some people. Inspectors said this had improved recently.

    There has been a large turnover of staff, however this has improved recently.from the report
  • Communication with relatives

    minor

    Relatives gave mixed feedback. Some said they were kept updated, while another had not received updates for several weeks and suggested a communication book.

    Another relative felt that communication could be better, saying, "Im getting some updates, or I was, they come by email, but I haven't had any for a few weeks now.from the report
Questions to ask them, based on this report
  1. 01How are medicines booking errors now checked and corrected?
  2. 02How are medicine storage temperatures recorded and reviewed?
  3. 03What checks are completed before a new staff member starts work?
  4. 04Has staff turnover remained improved since the inspection?
  5. 05How will you keep relatives updated consistently about changes and concerns?

This inspection only assessed the Safe and Well-led key questions; Effective, Caring and Responsive were not assessed. This explanation was written from the published report of 15 December 2023 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.

The story over the years

Every inspection of 248 Lidgett Lane

4 rated inspections over 9 years: the service has held its Good rating throughout.

  1. December 2023Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at 248 Lidgett Lane

  2. February 2022Inspected but not rated
    Safe: Inspected but not rated

    We are reading this report · the original is on cqc.org.uk

  3. September 2018Goodup from Requires improvement
    Safe: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. July 2017Requires improvementdown from Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. March 2015Good
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  6. September 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. February 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. January 2011

    Registered with the Care Quality Commission on 12 January 2011.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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