# Leabrook Lodge Limited

Leabrook Lodge Limited is a CQC-regulated home-care agency in Oswestry.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Requires improvement |
| Safe | Requires improvement |
| Effective | Good |
| Caring | Good |
| Responsive | Good |
| Well-led | Requires improvement |

Rating published: 19/05/2023

## Practical info

- Postcode: SY10 7HD
- Registered manager: Lerint, Livia
- Local authority: Shropshire
- Region: West Midlands
- City: Oswestry
- Last CQC check: 19/May/2023 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Management team maintained good links with local healthcare professionals including GP practices and district nurse teams.
  - Published: 2023-06-10
- Finding
  - Evidence: Staff had received infection prevention and control training and had access to appropriate PPE.
  - Published: 2023-06-10
- Finding
  - Evidence: The service was working within the principles of the Mental Capacity Act 2005.
  - Published: 2023-06-10
- Finding
  - Evidence: Staff had received training to recognise and respond to safeguarding concerns.
  - Published: 2023-06-10
- Finding
  - Evidence: The provider followed safe recruitment checks including DBS checks.
  - Published: 2023-06-10
- Finding
  - Evidence: Staff arrived when expected and stayed for the agreed length of time.
  - Published: 2023-06-10
- **person_centred_care** _(minor)_
  - Evidence: The provider had yet to formally introduce systems where they could gather and act on people's experiences of care and make improvements based on the responses.
  - Published: 2023-06-10
- **safeguarding** _(moderate)_
  - Evidence: The provider did not make information available to people, staff or relatives on how to report any concerns.
  - Published: 2023-06-10
- **supervision_appraisal** _(moderate)_
  - Evidence: There was a lack of formal one-to-one with staff members or staff meetings. Staff believed they received information on an "ad-hoc" basis with no formal process.
  - Published: 2023-06-10
- **leadership** _(moderate)_
  - Evidence: The provider did not have a manager registered with the CQC at the time of the inspection.
  - Published: 2023-06-10
- **governance** _(critical)_
  - Evidence: The provider did not have effective quality monitoring systems. There was a lack of checks to ensure people received good care.
  - Published: 2023-06-10
- **incident_learning** _(moderate)_
  - Evidence: The provider did not effectively review all incidents, accidents or near misses to see what could be done differently to minimise the risk of reoccurrence.
  - Published: 2023-06-10
- **staff_competency** _(moderate)_
  - Evidence: Although staff had received training in the safe use of medicines, they did not receive any spot checks or assessments of competency to ensure they followed safe processes.
  - Published: 2023-06-10
- **care_planning** _(critical)_
  - Evidence: Staff members were not given current or accurate information on how to safely support people in their own homes as risk assessments had not been completed.
  - Published: 2023-06-10
- **medication_management** _(critical)_
  - Evidence: The provider did not have guidelines in place for staff to safely support people with 'when required' medicines including the maximum dosage within a 24-hour period to keep people safe.
  - Published: 2023-06-10
- **medication_management** _(critical)_
  - Evidence: The provider did not complete risk assessments associated with people's medicines. The provider did not have assessment in place for the safe storage of medicines including any medicines which were temperature sensitive.
  - Published: 2023-06-10

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2023-06-10
- Finding
  - Staffing and recruitment
  - Published: 2023-06-10
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-06-10
- Finding
  - Learning lessons when things go wrong
  - Published: 2023-06-10
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-06-10
- Finding
  - Using medicines safely
  - Published: 2023-06-10

### well_led

- Finding
  - Continuous learning and improving care
  - Published: 2023-06-10
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2023-06-10
- Finding
  - Managers and staff being clear about their roles and understanding quality performance, risks and regulatory requirements
  - Published: 2023-06-10

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-112970933

HomeCare Compass is an independent guide and is not affiliated with the CQC.