Lynwood House

Updated 4 October 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.

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 was made up of two inspectors.

Service and service type

Lynwood House 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. Lynwood House 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 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

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. 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 toured the premises and reviewed documents in relation to the running of the service including quality audits and checks, medicines records and three care plans. We spoke with seven staff including the registered and deputy managers and care staff. We undertook observations during our time in the service and spoke with three people.

After the inspection

We spoke with six relatives of people and continued to clarify information with the registered manager. We received feedback from four professionals.

Updated 4 October 2022

About the service

Lynwood House is a residential care home providing personal care to ten people at the time of the inspection. The service can support up to ten people.

Lynwood House is laid out over two floors, both floors can be accessed by a lift, stairs and stairlift. People have access to communal lounging areas, dining room, kitchen and level access to a well-maintained garden, where there is also a sensory room. The registered manager’s office is located adjacent to the entrance of the service.

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

Right Support: People were supported to retain and improve their independence. Staff supported people to live their lives how they wished and care was person-centred. Professionals we spoke with confirmed this.

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.

Right Care: The registered and deputy managers promoted an inclusive and person-centred environment. Staff knew people well and provided people with dignified support that was person-centred. Assessments were detailed and provided guidance for staff about people’s needs.

Right Culture: Stakeholders told us staff went above and beyond for people they supported. The service was inclusive and people experienced good outcomes. Relatives and professionals spoke positively about the management team and staff. People confirmed they had control of their lives.

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 29 June 2019)

Why we inspected

We received concerns in relation to the culture of the service, poor moving and handling practices and the safety of motor vehicles. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well-led sections of this full report.

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.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Lynwood House on our website at www.cqc.org.uk.

Recommendations

We made one recommendation in relation to monitoring the temperature of medicines storage to ensure temperatures remain within a safe range.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.