# Southlands Retirement Apartments with Care and Support

*Operated by Westward Care Limited.*

Southlands Retirement Apartments with Care and Support is a CQC-regulated home-care agency in Leeds.

## CQC Ratings

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

Rating published: 09/02/2024

## Practical info

- Postcode: LS8 2JU
- Registered manager: Larkin, Matthew
- Local authority: Leeds
- Region: Yorkshire & Humberside
- City: Leeds
- Last CQC check: 09/Feb/2024 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Care was personalised to individual needs and preferences, achieving good outcomes for people.
  - Published: 2024-02-09
- Finding
  - Evidence: The service worked in partnership with health and social care professionals including the district nursing team.
  - Published: 2024-02-09
- Finding
  - Evidence: Staff felt well supported by management and described an open, approachable leadership culture.
  - Published: 2024-02-09
- Finding
  - Evidence: Infection control was well managed with clean communal environments and staff trained in infection prevention.
  - Published: 2024-02-09
- Finding
  - Evidence: Safe recruitment practices were followed and a regular staff team provided consistent, person-centred support.
  - Published: 2024-02-09
- Finding
  - Evidence: Risks to people's care were well managed with assessments and actions in place; incidents were analysed and learning applied.
  - Published: 2024-02-09
- Finding
  - Evidence: People felt safe and provided positive feedback about the care received, with one stating 'I can't see room for improvement, it is an excellent service.'
  - Published: 2024-02-09
- **communication_with_families** _(minor)_
  - Evidence: One person felt that the management were not as proactive as they would like and felt that they had signed up to a different package to what was being delivered.
  - Published: 2024-02-09
- **governance** _(moderate)_
  - Evidence: Regular audits of the quality and safety of the service did not always take place as required. When these did take place there was occasional inconsistencies and gaps in records.
  - Published: 2024-02-09
- **medication_management** _(moderate)_
  - Evidence: Medicines audits of daily administration had been completed however audits on wider medicines management had not been completed since March 2023.
  - Published: 2024-02-09
- **medication_management** _(moderate)_
  - Evidence: The services medicines policy did not reflect the service provided, this meant that staff did not have a framework for safe medicines management.
  - Published: 2024-02-09

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2024-02-09
- Finding
  - Staffing and recruitment
  - Published: 2024-02-09
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2024-02-09
- Finding
  - Assessing risk, safety monitoring and management; Learning lessons when things go wrong
  - Published: 2024-02-09
- Finding
  - Using medicines safely
  - Published: 2024-02-09

### well_led

- Finding
  - Continuous learning and improving care; Working in partnership with others
  - Published: 2024-02-09
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2024-02-09
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2024-02-09
- Finding
  - Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirements
  - Published: 2024-02-09

## 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/1-119664848

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