Background to this inspection
Updated
6 March 2019
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider met the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service and to provide a rating under the Care Act 2014.
This inspection took place on 19 January 2019 and was unannounced. The inspection was undertaken by one inspector.
Before our inspection we reviewed information the provider submitted by their completed Provider Information Return (PIR). This is a form that requires them to give some key information about the service, what the service does well and improvements they plan to make. We also reviewed information we held about the service including statutory notifications that had been submitted. Statutory notifications include information about important events which the provider is required to send us.
During the inspection we spoke with three people who lived at the service and two staff. The registered manager was on leave on the day of the inspection.
We looked at two care records, checked stocks against medicine administration records for three medicines, and we looked at quality audits and records related to the safety of the building.
Following the inspection we spoke with the registered manager who sent us additional information related to training records and the management of the service. The registered manager confirmed there had not been any staff recruited in the preceding 12 months so recruitment documentation did not form part of this inspection.
Updated
6 March 2019
The inspection took place on 19 January 2019 and was unannounced. The previous inspection took place on 14 and 22 April 2016 and the service was rated as Good.
Lammasmead is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service registered to provide residential accommodation and personal care for up three people living with a learning disability. At the time of our inspection three people were living at the home.
We have written this inspection report in a shorter format because our overall rating of the service as Good has not changed since our last inspection.
People told us they liked living at Lammasmead and felt safe. People continued to receive a safe service. Staff protected people as far as possible from discrimination, abuse and harm. Risk assessments were in place and had been regularly reviewed so staff were aware of what action to take to reduce risks to people.
Medicines were safely stored and administered.
People told us and we saw that staff were kind to them. Care records were in place, up to date and holistic, and we saw staff understood people’s preferences and routines. There were enough staff to meet people’s needs and the staff team was longstanding so there was continuity of care provided to people.
The service had systems in place to prevent the spread of infection and the service was clean. People told us they liked the food and had choices of what they ate.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
The provider had a complaints system in place and we could see they responded to complaints promptly. The service learnt from accidents and incidents and the registered manager and provider undertook regular audits to ensure the quality of the service was good.