Background to this inspection
Updated
23 July 2019
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 Care Act 2014.
Inspection team
The inspection team consisted of two inspectors.
Service and service type
Lucklaw Residential Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as 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 had a manager registered with the Care Quality Commission. 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.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
We also checked for feedback we received from members of the public, local authorities and clinical commissioning groups (CCGs).
We used all of this information to plan our inspection.
During the inspection
People who lived at the home were unable to speak with us. We contacted three relatives about their experience of the care provided. We spoke with four members of staff including the registered manager, another of the provider’s managers and two care workers.
We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We reviewed a range of records. This included three people’s care records and their medication records. We looked at three staff files in relation to recruitment and staff supervision. We also reviewed a variety of records relating to the management of the service, including policies and procedures.
After the inspection
We continued to seek clarification from the registered manager to validate evidence found. We looked at training data and quality assurance records.
Updated
23 July 2019
About the service
Lucklaw Residential Care Home (Lucklaw) is a residential care home providing accommodation and personal care for up to four adults with complex physical and learning disabilities. At the time of the inspection there were three people living at Lucklaw.
The home is a detached single level property in Great Sankey a suburb of Warrington town. It is set in it's own grounds with a large accessible garden at the rear and parking area to the front. The home has been appropriately adapted to accommodate specialised equipment and part of the main lounge has been furnished as a designated sensory area.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes.
The principles reflect the need for people with learning disabilities to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.
People’s experience of using this service and what we found
There were sufficient numbers of suitable staff to meet people's needs. Sufficient staff were available at times that allowed people to be flexible with their daily routines.
Staff had received training that was applicable to people’s specific needs and was ongoing. Staff were supported by the registered manager and team manager through regular staff meetings, supervision and appraisals.
Support provided to people respected their privacy, dignity and promoted individual preferences and choices. It was clear from our observations that staff knew people's needs well. We observed kind, caring and friendly interactions taking place.
Hazards to people's safety had been identified and were appropriately managed. Risk assessments were in place to manage any hazards identified.
People received their medicines safely and as prescribed. The staff identified if people were unwell and supported them to contact health professionals.
People we spoke with made very positive comments about the service provided and the staff.
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.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (published 4 October 2016).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.