Background to this inspection
Updated
31 December 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 visit was carried out by one inspector and a specialist advisor. Our specialist advisor was a nurse with experience in dementia care. The second day of our inspection was carried out by one inspector.
Service and service type
Lawn Park 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
Our inspection was informed by evidence we already held about the service. We sought the views of Healthwatch Nottinghamshire, who are an independent organisation that represents people using health and social care services. We also sought the views of external health and social care staff, and commissioners from the local authority. Commissioners are people who work to find appropriate care and support services which are paid for by the local authority or by a health clinical commissioning group. Commissioners also undertake monitoring of the quality of services. 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 used all of this information to plan our inspection.
During the inspection
During the inspection visit we spoke with four people who used the service. We spoke with two relatives, two care staff, two nurses, two staff involved in housekeeping and administration and the activity coordinator. We spoke with the registered manager, and two health and social care professionals. We looked at a range of records related to how the service was managed. These included three people’s care records and how medicines were managed. We also looked at three staff recruitment and training files, and the provider’s quality auditing system.
Updated
31 December 2019
About the service
Lawn Park Care Home is a residential care home providing personal and nursing care to 33 people aged 65 and over at the time of the inspection. The service can support up to 49 people in one building.
People’s experience of using this service and what we found
The service provided safe care for the people living there. Staff knew how to identify and report any safeguarding concerns. Risks to people's personal safety and any specific risks were assessed and managed well. Risks associated with the service environment were assessed and mitigated. There were enough staff to keep people safe. People received their medicines as prescribed. People were protected from the risk of acquired infections.
People's needs and choices were assessed in line with current legislation and guidance in a way that helped to prevent discrimination. People and relatives felt staff were well-trained to meet people’s needs. People were supported and encouraged to have a varied diet that gave them sufficient to eat and drink. The staff team worked well with external professionals to ensure people got the healthcare they needed in a timely way.
The provider had taken steps to ensure the environment was suitable for people's needs. 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.
People were treated with dignity and respect by a kind and caring staff team. People were involved in making decisions about their care. Staff respected people's right to confidentiality. Relatives and friends were encouraged to visit, and there were no restrictions on visiting times.
People were encouraged to take part in activities which were meaningful to them. People were supported to practice their faith if this was important to them. People’s communication needs were identified and met. The provider had a system in place to respond to complaints and concerns.
The service was well-led. Staff felt supported in their work and took pride in providing good quality care. The registered manager and provider worked to create an open and transparent culture. People felt involved in the home and what went on there. The registered manager and provider undertook audits of all aspects of the service to review the quality of care, and identify areas where improvements were needed.
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 27 June 2017).
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.