Background to this inspection
Updated
19 January 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.
Inspection team
Two inspectors carried out this inspection over two days.
Service and service type
22 Lamberts (Daisy) 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.
22 Lamberts (Daisy) 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 on 08 November 2022 and announced on the second visit 10 November 2022.
Inspection activity started on 8 November 2022 and ended on 22 November 2022.
What we did before the inspection
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 also liaised with the local authority to source feedback. We used all this information to plan our inspection.
During the inspection
We visited over two days at different times of the day and evening meeting the day and night staff. We spoke with two people using the service, observed the care provided, spoke with four care staff and one relative. We met and spoke with the assistant manager, the registered manager, the area manager and the regional manager. We reviewed two care and support plans and various other records relating to the management of the business. Following the service visit, we continued to seek clarification from the provider to validate evidence found.
Updated
19 January 2023
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.
About the service
22 Lamberts (Daisy) is a residential care home providing personal care and support and is registered to support to up to five people. The service provides support to people with a learning disability, autistic people, as well as support for people's mental and, or physical healthcare needs. At the time of our inspection there were five people living at the service.
People's experience of using this service and what we found
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.
Right support: People were supported by staff who were familiar with their needs. Staff took into account any risks when providing people’s care and worked collaboratively with other health and social care agencies. Families were important contributors to people’s care.
Right care: The service had turned around its rating of inadequate to good. The service was able to demonstrate how they were measuring the quality of what they did. It was ensuring people had good outcomes of care and able to access the right resources and support. People were going out in line with their needs and choosing what they wanted to do. Staff had the right training and support for their roles and understood what constituted good care.
Right culture: Management were open and visible and had created a culture of learning, opportunity and reflection. Staff were encouraged to speak out and contribute to the development of the service. People were empowered to live their lives in line with their preferences and were given the opportunity to have new and repeated experiences. The environment was conducive to people’s needs and a rise in living standards enhanced people’s wellbeing.
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
This service was inspected on 28 March 2022, report published 8 June 2022 This was its first inspection since a change of registration on 10 December 2020. The service was rated inadequate overall with four breaches of regulation. This service has been in Special Measures since 23 May 2022. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
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
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.
This inspection was carried out to follow up on action we told the provider to take at the last inspection and to follow up on their action plan.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for on our 22 Lamberts (Daisy) website at www.cqc.org.uk.