Lloyd Court

Updated 25 August 2018

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 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 was a comprehensive inspection, which took place on 30 May 2018, and was announced to the registered manager 24 hours before the inspection to ensure people living at the service were aware of our visit, and to offer them the opportunity to meet with the inspection team.

The inspection team consisted of two CQC inspectors and two experts-by-experience. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Before the inspection, we asked the provider to complete a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We also looked at information we held about the service, including previous inspection reports and statutory notifications. A notification is information about important events, which the provider is required to send us by law. We also received feedback at meetings we attended about the service from the local authority and safeguarding team.

During the inspection we spoke with 15 people who lived at Lloyd Court. We observed care and support being delivered in communal areas and we also spoke with the relatives of 14 people and six members of care staff including care support workers, senior support workers the registered manager and deputy manager. We spoke with a GP from the local practice who contacted us by telephone during the inspection.

We reviewed nine people’s care plans in detail and looked at two people’s medicine administration records (MAR) and the medicines management procedures in place. We observed the medicines delivery and recording process completed by a member of the local pharmacy, with the deputy manager for 10 people living at the service. This included checks of their MAR charts and existing stock levels. We attended the afternoon shift handover meeting. We looked at three staff recruitment files as well as training, induction, supervision and appraisal records. We also viewed a range of monitoring reports and audits undertaken by the registered manager and other members of senior staff.

Updated 25 August 2018

Lloyd Court provides care and support to people living in specialist ‘extra care’ housing. Extra care housing is purpose-built or adapted single household accommodation in a shared site or building. The accommodation is rented from a housing association, and is the occupant’s own home. There were 40 self-contained flats on the site. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for extra care housing; this inspection looked at people’s personal care and support service.

At the time of this announced comprehensive inspection of 30 May 2018 there were 38 people living at the service. The provider was given 24 hours’ notice because we wanted to be certain the registered manager and key staff would be available on the day of our inspection. We also wanted to give them sufficient time to seek agreements with people so that we could visit them in their homes to find out their experience of the service.

At our last inspection on 30 September 2015, we rated the service good overall, with outstanding for the caring domain.

The service had a registered manager in post. 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.

At this inspection on 30 May 2018, the evidence collected supported a continued rating of outstanding for the caring domain, and good overall.

We received high and consistent praise in relation to this service. People and their relatives were positive and enthusiastic about the quality of the service provided. We found that people were supported to have maximum choice and control over their lives and staff worked with them in the least restrictive ways possible; with the policies and systems in place to support this practice.

Staff treated people with care and compassion, and took pride in their caring roles. Staff understood how to identify and report safeguarding concerns to keep people safe. Staff approach and people’s records demonstrated adherence to the principles of the Mental Capacity Act and Deprivation of Liberty Safeguards.

People accessed a variety of meaningful activities arranged within Lloyd Court to reduce social isolation and spent time with relatives, friends and accessing the local community.

People and their relatives knew how to make a complaint, and were encouraged to give feedback to the management team, however there had been no formal complaints in the last three years. The service provided high standards of care to people who required support with complex health needs and those approaching the end of their life.

Lloyd Court had excellent governance systems in place which enabled the service to continuously learn, improve and sustain high quality person-centred care. We received high praise from the local GP practice in relation to the collaborative approach taken by Lloyd Court staff when working with their team to ensure positive outcomes for people living at the service.