Lyndale

Updated 11 November 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.

Inspection team

This inspection was carried out by one inspector.

Service and service type

Lyndale 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. Lyndale 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 provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there were two registered manager’s in post.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was because the service is small and people are often out and we wanted to be sure there would be people at home to speak with us.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and safeguarding teams. 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

We spoke with the person who used the service and their relative to gain feedback about their experience of the care provided. We spoke with the nominated individual, registered manager, deputy manager and support workers. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We made observations throughout the day of interactions between people and staff. We looked at the persons care and medication records. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 11 November 2022

About the service

Lyndale is a residential care home providing care and support for up to nine people. The service specialises in providing support to people who have mental health needs. At the time of our inspection there was one person receiving a regulated activity, this was support with their personal care.

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

Improvements had been made to the service and the systems and processes put into place following the last inspection had been sustained and embedded. Staff knew people well; this included any risks to their wellbeing and safety which had been assessed. The person told us they were happy living at Lyndale and was not restricted in their life.

There was a relaxed, calm and friendly atmosphere in the home, it was clean, tidy and well maintained. All necessary utility and building checks had been carried out. People were supported by staff who were safely recruited and trained to ensure they had the skills necessary. Staff felt supported and were well trained. There were enough staff on duty. People had enough to eat and drink and were involved in creating shopping lists.

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 had access to healthcare services as they needed.

Medicines were managed safely. Infection control risks were mitigated, and clear guidance was in place and followed, in particular in relation to COVID-19. Care plans were detailed, and person centred, support with socialisation activities were in place.

Lyndale was well-led, robust monitoring systems meant people were protected from avoidable harm. The service learnt from events that occurred and used the outcomes to make further improvements. People, their relatives, staff and professionals were asked for their feedback on the care and support provided at the service and this was used to make improvements.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 11 April 2019) and there was a breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.