Lyndhurst

Updated 26 January 2023

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

The inspection team consisted of 1 inspector and 1 nurse who had experience in mental health.

Service and service type

Lyndhurst 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.

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

Inspection activity started on 5 December 2022 and ended on 14 December 2022. We visited the location on 7 December 2022. It was unannounced.

What we did before the inspection

Before our inspection, we sought feedback from the local authority who work with the service. We reviewed the information we held about the home which included statutory notifications and safeguarding alerts. and the Provider Information Return (PIR), which the provider completed before the inspection. The PIR is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make

During the inspection

We spoke with the registered manager, the positive engagement officer, 2 support workers and 3 people who used the service. We also spent time observing care to help us understand the experience of people who did not want to talk with us. We looked at 4 care records and 3 staff records; we also looked at various documents relating to the management of the service.

Updated 26 January 2023

About the service

Lyndhurst provides accommodation and care to up to 21 people with mental health needs. The home is made up of three, two-storey terraced houses. At the time of this inspection there were 9 people living in the service.

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

At this inspection we identified shortfalls related to the lack of adequate assessment of risks and relapse indicators to some people's health and wellbeing .However these were addressed immediately after our inspection visit and therefore people were not at risk of harm.

People had access to healthcare services and were involved in decisions about their care. Partnerships with other agencies and health professionals enabled effective outcomes for people.

Staff had completed safeguarding training and understood their role in identifying and reporting any concerns of potential abuse or poor practice. Staff supported people to take medicines safely.

The staff team was committed to providing a high-quality service. They had undertaken training so that they were skilled and knowledgeable to effectively meet people’s needs. Staff understood their responsibilities to report any concerns.

Staff encouraged people to be as independent as possible and respected people’s privacy and dignity.

People lived in a homely, clean environment. Bedrooms were personalised and people had access to multiple communal rooms. People were able to choose to take part in activities, stay in their room or go into a communal room for company.

People were given choices about the way in which they were cared for. Staff listened to them and knew their needs well.

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.

Recruitment practices were safe and relevant checks had been completed before staff worked at the service.

The manager of the service actively sought the views of people and their relatives about the running of the service and they dealt promptly with any concerns that people raised.

There was a positive culture throughout the service. Staff told us they enjoyed working at the service and felt valued.

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

Rating at last inspection

At the last inspection we rated this service Good. The report was published on 9 November 2021,

Why we inspected.

This inspection was prompted by information received from the local authority about this service

We undertook a focused inspection to review the key questions of safe, effective and well-led only.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.

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.