Lebrun House

Updated 2 July 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by two inspectors.

Service and service type

Lebrun House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Lebrun House is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

During the inspection we spoke with six people who used the service and six people’s relatives about their experience of the support provided. We spoke with eight staff which included the provider, registered manager, head of care, senior carers, carers and the chef. We spent time with people and observed their interactions with the staff team. We reviewed six people’s care plans and multiple medicine records. We looked at documents relating to the quality of the service and feedback from staff, people and relatives.

Updated 2 July 2022

About the service

Lebrun House is a residential care home providing accommodation and personal care to up to 20 people. The service provides support to older people and people living with dementia. At the time of our inspection there were 19 people using the service.

People’s experience of using this service and what we found

Aspects of people's care and support was not always embedded into person centred practice. The registered manager had identified areas for improvement and was working to improve things. We identified that some records needed to be improved. The registered manager was open and honest and actioned the issues we found during the inspection process.

Systems were in place to safeguard people and people were protected from harm and abuse by staff. Risks to people had been assessed and monitored and staff were aware of risks to people and how to minimise them. There were enough staff to support people and staff had been recruited safely. Medicines were managed safely. Staff followed infection prevention and control procedures in line with government guidance.

People's needs had been assessed in line with standards, guidance and the law. People were supported by experienced staff who were trained in areas that were relevant to the people they supported. People had enough to eat and drink and were involved in the creation of the home's menu. Where people had risks associated with eating and drinking, staff had identified these and knew how to support people safely. Staff worked with other agencies to provide effective support. People were involved in the decoration of the home and each person's bedroom was tailored to their preferences. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People were supported by staff that were kind and caring. We saw throughout our inspection staff speaking to people kindly and making people smile. Staff took the time to listen to people and to sit and speak to them. Staff were knowledgeable about people's emotional needs and knew what might upset someone and how they could cheer the person up. People were supported to be involved in decisions around their care. Staff were respectful of people and encouraged them to be as independent as possible.

People's care plans were person centred and had been created in partnership with the person and their family where appropriate. People's care plans included information on their end of life wishes. Staff knew how to communicate with people in their preferred way. People were provided with activities and staff took opportunities to spend time with people. Complaints received by the service were used as opportunities to improve.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Why we inspected

This service was registered with us on 13 February 2020 and this is the first inspection. The last rating for the service under the previous provider was good, published on 9 August 2019.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.