Laureston House Residential Home

Updated 9 April 2021

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC's response to the Covid -19 pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider had in place.

This inspection took place on 17 March 2021 and was announced.

Updated 9 April 2021

About the service

Laureston House Residential Home is a residential care home providing personal care to 20 older people, some of whom lived with dementia, at the time of the inspection. The service can support up to 21 people. Accommodation is provided in one adapted building across three floors.

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

Feedback from people, relatives and a health and social care professional was consistently positive about the service and staff. People told us they were happy with the care they received, and said staff were kind and caring. One relative wrote to the service and said they were really impressed with the atmosphere at the home and it was ‘quite like home from home.’

Care plans had been re-designed and there was now clear information for staff to enable them to support people safely. Medicines management had improved and was now well managed. Health care professionals were positive about the safety of the home and the management of medicines.

Risks to people from the environment were managed. Where incidents or accidents had occurred, they had been recorded and acted upon appropriately.

There were enough staff to keep people safe and people’s requests for support were responded to quickly.

Staff had been recruited safely and had the skills, training and knowledge they needed to keep people safe. Staff understood how to protect people from the risk of abuse and ensure people’s rights were protected. 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 had been re-decorated where needed. There were new carpets in place and the service was free from odour. New storage had been arranged and the service was free from clutter.

People’s needs had been assessed and assessments had been used to plan people’s care. This included ensuring equality and diversity needs were met and communication needs. End of life care was discussed with people and their wishes and preferences were recorded. People were involved in planning their own care and their preferences and choices were respected.

People were happy with the food and drink at the service. Where people were at risk from dehydration, malnutrition or choking whilst eating staff provided the support people needed to remain safe. There was an activity coordinator and activities were varied. The service was lively, and people enjoyed the activities which were offered.

Staff worked well with other agencies and supported people to access healthcare services where needed such as GP’s, dieticians and dentists.

There was a complaints system in place. People had opportunities to feedback about the service through written surveys and residents and relatives’ meetings.

There was a positive atmosphere at the service. Staff were well supported and supervised appropriately. Checks of the service quality were undertaken and issues were acted upon where identified.

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

Rating at last inspection and update

The last rating for this service was Requires Improvement (published 25 December 2018). There were breaches of regulation relating to safe care, governance and person-centred care.

The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

Since the last inspection we recognised that the provider had failed to display their rating on their website. This was a breach of regulation a fixed penalty notice. The provider paid this in full and the rating is now on display.

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.