Background to this inspection
Updated
5 May 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting 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 for the service under the Care Act 2014.
This inspection took place on 22 March 2017 and was unannounced. The inspection team comprised of two adult social care inspectors from the Care Quality Commission (CQC).
Before this inspection we reviewed the previous inspection report and notifications we had received from the service. Prior to our inspection of the service, we were provided with a copy of a completed provider information return (PIR); this is a document that asks the provider to give us some key information about the service, what the service does well and any improvements they are planning to make.
During this inspection we spoke with four people who used the service and observed how staff cared for and supported people. We spoke with three visitors, two staff members, the hairdresser, kitchen staff, two visiting professionals, the registered manager and the regional manager. We did this to gain their views about the service provided.
We looked around the home, looked at four care files, four staff personnel files, medication records, training records and records about the management of the home.
Updated
5 May 2017
This unannounced inspection took place on 22 March 2017. The last inspection took place on 22 August 2014 and the service was found to be meeting the essential standards we looked at.
Lyndhurst Residential Care Home is a care home providing personal care for up to 40 older people. It is situated close to the centre of Leigh, the motorway network and public transport. The home is purpose built on three floors, with a passenger lift provided. Car parking is available in the grounds of the home.
There was a registered manager in place at the home. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
The home has a reception area with appropriate information to inform people about the home and the services provided.
During this inspection we found medicines were being administered in a safe and timely manner. The home worked with other healthcare professionals to ensure people received appropriate care and treatment.
The service was working within the legal requirements of the Mental Capacity Act (2005) (MCA) and Deprivation of Liberty Safeguards (DoLS). Staff spoken with demonstrated they had a good understanding of MCA and DoLS.
Staff were able to demonstrate their understanding of the whistle-blowing procedures and they knew what to do if an allegation of abuse was made to them or if they suspected that abuse had occurred.
We found people were cared for by sufficient numbers of suitably skilled staff who were safely recruited. We saw staff received essential training and support necessary to enable them to do their job effectively and care for people safely.
People we spoke with told us they felt the staff had the skills and experience to meet people’s needs. People spoke positively about the kindness and caring attitude of the staff.
We saw there were risk assessments in place for the safety of the premises. All areas of the home were clean and well maintained. Procedures were in place to prevent and control the risk of cross infection.
People’s care records contained enough information to guide staff on the care and support required. The care records showed risks to people’s health and well-being had been identified and plans were in place to help reduce or eliminate risk. People were involved and consulted about the development of care plans. This helped to ensure people’s wishes were considered and planned for.
Staff spoken with had a good understanding of the care and support that people required. We saw people looked well cared for and there was enough equipment available to promote people’s safety, comfort and independence.
Food stocks were good and meals were varied and nutritionally balanced. People told us the food was very good and nicely presented.
To help ensure people received safe and effective care, systems were in place to monitor the quality of the service provided. Regular checks were undertaken on all aspects of the running of the home and there were opportunities, such as surveys and meetings for people to comment on the facilities of the service and the quality of the care provided.