We inspected Lorraines Residential Home on 27 June 2018 and the inspection was unannounced. At the last inspection we found breaches of legal requirements. We asked the provider to complete an action plan to show what they would do and by when to improve the key questions of safe, effective and well led to at least good. At this inspection we found that the provider had made the improvements and was no longer in breach of regulations.Lorraines Residential 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. It provides care and support for up to 15 older people and on the day of our inspection there were 12 people living there. Accommodation is on one floor with a communal lounge, a dining room and accessible gardens.
There was 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.
The provider had renovated the home; replacing flooring, furniture and bathrooms. This had reduced the risk of falls and improved the infection control measures which could be implemented. People were included in choosing the colours of the re-decoration and were happy with the new environment. Consideration had been given to ensuring that the environment met people’s needs; corridors were painted different colours to assist people to orientate and information was shared in different formats to address sensory disabilities.
Recruitment procedures were established to ensure that new staff were safe to work with people. Staff received training and support to enable them to fulfil their role effectively and were encouraged to develop their skills. They received regular supervision and attended team meetings where they discussed improvements to the home.
People were kept safe by staff who understood their responsibilities to detect and report abuse. They had developed caring, respectful relationships with people and ensured that their dignity and privacy were upheld. There were enough staff to meet people’s needs promptly. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People were supported to maintain good health and had regular access to healthcare professionals. Mealtimes were not rushed and people were given a choice of meal. We saw that food and drink was regularly provided and records were maintained for people who were nutritionally at risk. Care plans were regularly reviewed to correspond with changing support needs and they were personalised and accessible.
People were encouraged to pursue interests and hobbies and some activities were planned. Visitors were welcomed at any time. People knew the registered manager and felt confident that any concerns they raised would be resolved promptly. There were regular meetings with people and their relatives and their feedback was used to improve the home.
Risks were assessed and actions were put in place to reduce them, and their effectiveness was monitored and regularly reviewed. Lessons were learnt when things went wrong to reduce the likelihood of it happening again. Medicines were managed to reduce the risks associated with them and people received them when they needed them.
There were systems in place to drive quality improvements which included regular audits and feedback from people who use the service and staff. There were good relationships with other organisations and professionals to assess and improve the quality of the home.