We carried out a review of the data available to us about Lyndhurst Residential Care Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Lyndhurst Residential Care Home, you can give feedback on this service.
At the previous inspection we found two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At this inspection we found the provider had made improvements and met the requirements of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Lyndhurst Residential 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. Lyndhurst Residential Care Home accommodates 20 people in one adapted building. At the time of our inspection there were 16 people using the service.
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 registered manager had registered since the last inspection and had made significant improvements to the service. These improvements had a positive impact on people, relatives and staff. The registered manager promoted a person-centred, caring culture that put people at the centre of all the service did.
Effective systems had been introduced to monitor and improve the service. People, relatives and staff were involved in the development of the service and were positive about the approachability of the registered manager.
Care plans were accurate and up to date. People were involved in the development and review of their care plans. Care plans reflected people’s personal choice. Risks to people were identified and assessed. Where risks were assessed there were plans in place to ensure risks were managed.
There had been significant improvements in the well-being of people. There had been a change in culture that resulted in all staff taking time to speak and engage with people. People spent time engaged in activities that interested them. This promoted a relaxed, cheerful atmosphere which made people and relatives feel ‘at home’.
Staff felt valued and listened to. Staff were supported through regular supervision and had access to training and development opportunities. This ensured staff had the skills and knowledge to meet people’s needs.
People were kept safe through systems that ensured the environment and equipment were well maintained. Medicines were managed safely. Staff followed good infection control practices.
The provider had a safeguarding policy and procedure in place. Staff were clear about their responsibilities to identify and report any concerns relating to abuse.
People’s dietary needs were met and people were offered a choice of food to meet their personal preferences.
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.
Lyndhurst Residential Care Home is registered to provide accommodation and personal care for up to 20 people. On the day of our inspection there were 19 people using the service. On the day of our inspection the Registered Manager was not available.
At our inspection in September 2015 and October 2016 we found the service was not always well led. Systems to monitor and improve the quality of the service were not effective. The consistency of the quality of the governance systems operated by this provider has been a concern since 2012. Improvements have not been made to ensure the provider is consistently able to meet the requirements of the regulations.
At our inspection in October 2016 we also made a recommendation relating to the provision of activities in the service. No improvement had been made. People still did not always have access to activities that interested them and did not have the opportunity to go out of the service unless taken by relatives or visitors.
Where risks to people were identified there were not always plans in place manage the risks. Care plans were not always completed and the information was not always accurate. We could not be sure people were receiving support that met their needs.
People were involved in their care and were confident to raise concerns with the management of the service. Relatives were involved in people's care and were kept informed of any changes.
Staff were caring and supported people with kindness and compassion.
Staff were supported and felt listened to. Staff completed training to ensure they had the skills and knowledge to meet people's needs.
We found two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulation 2014. We are taking further action in relation to this provider and full information about CQC's regulatory response to any concerns found during inspections is added to reports after any representations and appeals have been concluded.
Lyndhurst Residential Care Home provides accommodation and personal care for up to 20 people. The home supports people with a range of conditions and includes people living with dementia. At the time of our inspection there were 20 people living at the home.
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.
At an inspection in September 2015 we found three breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. After the inspection the provider sent us details of how they would meet their legal requirements relating to the three breaches.
At this inspection we found some improvements had been made. However we found that improvements had not been made in relation to the effectiveness of systems to assess, monitor and improve the service. The management team we spoke with during the inspection did not have a clear understanding of their regulatory responsibilities.
We also found that people did not always have access to activities that interested them. Records relating to the administration of topical medicines were not always complete or accurate. We have made recommendations in relation to these issues.
People were supported in line with the principles of the Mental Capacity Act 2005 (MCA). Staff had completed training in MCA and understood the principles of the act. Staff understood how to apply the principles when supporting people who may be assessed as lacking capacity.
People felt safe and were supported by sufficient staff who had the skills and knowledge to meet their needs. People were positive about living in the service and about the caring nature of the management and staff.
Staff felt valued and were supported through regular supervision and team meetings. Staff had access to training to enable them to improve their skills and knowledge.
People and relatives were involved in decisions about people’s support needs. People had care plans which detailed the support they required and how the support would be provided. Care plans were regularly reviewed and updated.
Where required, people were referred to health and social care professionals. Where guidance was provided this was followed by staff who knew people well.
People enjoyed the food. People who had specific dietary requirements received food to ensure their needs were met.
We found one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulation 2014. You can see what action we told the provider to take at the end of the full version of the report.
We carried out our inspection on 24 September 2015. This was an unannounced inspection.
The service had a registered manager who was responsible for overall management of the home. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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 and associated regulations about how the service is run.
Lyndhurst Residential Care Home is a care home providing accommodation and personal care for up to 20 people. The home supports people living with dementia. At the time of our visit there were 14 people living at the home.
The Care Quality Commission (CQC) monitors the operation of the Deprivation of Liberty Safeguards (DoLS) which applies to care homes. DoLS enable restrictions to be used in a person’s support, where they are in the best interests of a person who lacks capacity to make the decision themselves. The registered manager had made appropriate referrals to the supervisory body. However, where people lacked capacity to make decisions the registered manager was not acting within the principles of the Mental Capacity Act (2005).
People were positive about living in the home and were complimentary about the registered manager and staff. The atmosphere in the home was cheerful and relaxed. We saw many kind and caring interactions where people were laughing and smiling with staff. Staff felt supported and knew people well.
The registered manager was approachable. People and staff were complimentary about the registered manager.
People did not always have access to activities that interested them and told us they did not have many opportunities to go out of the home. Some people who remained in their rooms spent long periods without social interaction.
Medicines were not always managed safely. Staff were not always clear about the policies and procedures associated with administration of medicines.
The systems in place to monitor the quality of service were not always effective as there were no action plans to identify what action was being taken as a result of surveys and audits.
The home provided support for people living with dementia. We have made a recommendation about dementia friendly environments.
We found three breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulation 2014. You can see what action we told the provider to take at the end of the full version of the report.
We found people were well cared for and staff understood their needs. One person told us "I like living here as they look after me very well'.
People were protected from the risks of abuse because staff had received training on how to recognise abuse and who to report this to. People we spoke with told us they felt safe.
There were enough qualified and adequately skilled staff. The home was also able to react to changes in service provision and ensure there were enough staff to meet people's needs.
Staff received training and appraisals. Staff told us they were well trained and supported by the managers.
We found staff, relative and health professional surveys were completed. However, there was no formal process to seek the views and feedback of people who lived in the home.
The district nurse told us that they 'had a good relationship with the staff and management, that staff were comfortable in contacting the team when guidance or advice was needed". They said that "the service was very good at caring for people when it came to end of life".
We observed that interactions between staff and the people that used the service was limited to attending to their basic needs during our visit. We did observe that when staff did communicate with the people in the home they did so on an individual basis and wherever possible they were at the same height as the person they were speaking with.
We spoke with one family member who told us that the service "was a lovely place and that their relative's needs were always met".