Lostock Grove Rest Home

Updated 11 May 2021

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 is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to the coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.

This inspection took place on 27 April 2021 and was announced.

Updated 11 May 2021

This unannounced inspection of Lostock Grove Rest Home took place on 21 August 2018.

At the last inspection in September 2015, the service was rated ‘Good’. We found during this inspection that the service remained ‘Good.’

Lostock Grove Rest Home is a large detached house which can accommodate up to 37 older people who require support with their personal care. Accommodation is provided over two floors. There are single bedrooms and all have en-suite toilets. A lift provides access to the first floor. There are two communal lounges and a separate dining room. There is a ramp to the front entrance, with car parking available, allows easy access for people with limited mobility.

During our last inspection in September 2015, we found that the service was in breach of regulations in relation to safe care and treatment. This was because there were issues and discrepancies with regards to the storage, recording and administration of medication. The safe domain was rated as requires improvement. After the inspection in September 2015, the registered provider sent us an action plan which described the actions they were going to take to assure these concerns were rectified. We checked this at this inspection.

Medication was stored, administered and recorded safely. Spot checks and audits routinely took place on medications to ensure that they were being given to people correctly. Staff who were responsible for administering medication had attended medication training and had their competency assessed by the registered manager. The service was no longer in breach of regulation.

Staff were able to describe the course of action they would take if they felt anyone was at risk of harm or abuse and this included ‘whistleblowing’ to external organisations. The registered manager had systems and processes in place to ensure that staff who worked at the service were recruited safely. Rotas showed there was enough staff at the home to support people safely. Risks were well assessed and information was updated as and when required. We were able to view these procedures and how they worked. We particularly looked at falls management to ensure that all required action had been taken to prevent falls occurring in the home. We saw that the registered manager analysed falls and provided explanations of why they occurred and any action that had been taken to help prevent the fall from happening again.

There was a supervision schedule in place, and all staff had received up to date supervisions and most had undergone an annual appraisal, any due were booked in to take place. All newly appointed staff were enrolled on the Care Certificate. Records showed that all staff training was in date.

We saw some example of where people lacked capacity, the appropriate best interest processes had been followed. The service was working in accordance with the Mental Capacity and DoLS (Deprivation of Liberty) and associated legislation. We saw that where people could consent to decisions regarding their care and support this had been documented.

Staff were able to give us examples of how they preserved dignity and privacy when providing care. People we spoke with were complimentary about the staff, the registered manager and the service in general. People told us they liked the staff who supported them.

Complaints were well managed and documented in accordance with the provider’s complaints policy. The complaints policy contained contact details for the local authorities and commissioning groups.

Staff we spoke with demonstrated that they knew the people they supported well, and enjoyed the relationships they had built with people. Care plans contained information about people’s likes, dislikes, preferences, backgrounds and personalities.

Action plans were drawn up when areas of improvement were identified. Staff meetings and resident meetings took place. Regular audits were taking place for different aspects of service delivery. Quality assurance systems were effective and measured service provision.

Further information is in the detailed findings below.