The Lighthouse Selsey

Updated 19 May 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 was carried out by 1 inspector.

Service and service type

The Lighthouse Selsey 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. The lighthouse 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 provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

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 sought feedback from the local authority and professionals who work with the service. 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 spoke with 7 people who live at the Lighthouse Selsey . We spoke with 3 relatives and 6 members of staff. This included the nominated individual who is responsible for supervising the management of the service on behalf of the provider. The registered manager and 4 support workers. We reviewed a number of records including, support plans and medicine records, staff recruitment and training records and a range of other records relating to the management and safety of the service.

Updated 19 May 2023

About the service

The Lighthouse Selsey is a residential care home providing personal care and accommodation for up to 9 people with learning disabilities and/or autistic people. Some people have additional mental health needs or dementia. At the time of the inspection 7 people were living at the service. The service is also registered to provide personal care to people who live in the local area in their own homes; at the time of the inspection there were no people in receipt of personal care in their own homes.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

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

Right Support: The service provides a calm home which supports people to enjoy their life with reduced anxiety or emotional upset. The home uses an active support approach aimed at increasing people’s participation in daily life, increasing people’s skills and being a valued member of their household. People told us they do household tasks and were very proud to show the rota of daily tasks they had put together themselves.

People could communicate with staff and understand information given to them as staff supported them consistently and understood their individual communication needs. The Lighthouse Selsey was in the process of developing extra learning for the staff, with people being involved in teaching their staff Makaton, a type of sign language.

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.

Staff supported people with their medicines in a way that promoted their independence and achieved the best possible health outcomes. Staff supported people to play an active role in maintaining their own health and wellbeing.

Staff, people and their relatives cooperated to assess risks people might face. Where appropriate, staff encouraged and enabled people to take positive risks. Supporting people to take up local voluntary employment and to use local amenities without staff support where it was safe to do so.

Right Care: People received kind and compassionate care. Staff protected and respected people's privacy and dignity. Staff understood and responded to people’s individual needs.

People's care, and support plans reflected their range of needs and promoted their individuality, wellbeing and enjoyment of life. People could take part in activities of their choosing at the service or in the wider local area and pursue their own interests. Staff received training and support to provide care effectively. People told us they liked living at the lighthouse. One person said, “Living here makes me happy, I like my friends best and the staff.”

Staff worked in partnership with healthcare professionals to maintain people’s health and wellbeing.

People told us they felt safe with staff. Relatives had no concerns about the safety of people. There were policies and procedures regarding the safeguarding of adults and staff knew what action to take if they thought anyone was at risk of potential harm.

Right Culture:

Staff placed people's wishes, needs and rights at the heart of everything they did. The stable management and staff team supported people to receive consistent care from staff who knew them well. We observed people receiving compassionate and empowering care which was tailored to their needs throughout the inspection. One person told us, “The staff are nice and friendly, they help with all sorts if I ask.”

Staff evaluated the quality of support provided to people, involving the person, their families and other professionals as appropriate. All the relatives we had contact with were complimentary and positive about the service and the care and support their loved ones received.

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 15 January 2020).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

We undertook this 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 remains good based on the findings of this inspection.

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

Follow up

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