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Inspection Summary


Overall summary & rating

Good

Updated 24 January 2018

Lilliput House 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.

This unannounced comprehensive inspection took place on 27 and 30 November and 1 December 2017. This was the service’s first inspection since a change in the provider’s legal entity. There were no changes to the directors of the provider and registered manager when the legal entity changed.

Lilliput house is in Lilliput, Poole and can accommodate up to 54 older people. The home does not provide nursing care. Lilliput House provides care and support to older people, and only admits and cares for people who have the mental capacity to consent to living at Lilliput House and the care provided.

There is a registered manager in post who has worked at the home for 13 years. 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.’

People felt they were safe and there were systems in place to safeguard people. Some improvements were needed to the record keeping for people to demonstrate the care provided. The registered manager took immediate action to amend the recording formats in use.

People told us they were happy living at Lilliput House and felt they were very well cared for. Relatives spoke positively about the way care and support was given. People and relatives told us staff were very caring and compassionate. Staff spoke to people in ways which showed they valued and cared about them.

Risks to people and the service were managed and planned for. People’s medicines were stored safely and administered as prescribed.

There were enough staff who were recruited safely to meet people’s needs and regular agency staff were used. Staff were well trained and had the opportunity for development. Staff told us they were supported by managers at the home and felt valued.

People’s needs were assessed and planned for. People had good access to healthcare and staff referred people appropriately to health care professionals.

The manager was aware of their responsibilities in regard to the Deprivation of Liberty Safeguards (DoLS). These safeguards aim to protect people living in care homes and hospitals from being inappropriately deprived of their liberty. These safeguards can only be used when there is no other way of supporting a person safely. People living at the home were not subject to DoLS because they all were able to consent to living at the home and were free to leave whenever they wanted.

People told us they knew how to make a complaint and said staff listened to them and took action if they needed to raise concerns or queries. No formal complaints had been made in the last 12 months.

People, relatives and staff told us they felt the service was well led, with a clear management structure in place. There were governance systems in place to assess and improve the quality and safety of the service.

Inspection areas

Safe

Good

Updated 24 January 2018

Overall the service was safe.

The management of medicines was safe and risks to people were assessed, planned for or managed.

Staff were recruited safely and there were enough staff to meet people’s needs.

Staff knew how to report any allegations of abuse.

The home and equipment was well maintained and clean.

Effective

Good

Updated 24 January 2018

The service was effective.

Staff received the training and support they needed.

Staff had an understanding of The Mental Capacity Act 2005.

People were offered a variety of choice of food and drink. People who had specialist dietary needs had these met.

People accessed the services of healthcare professionals as appropriate.

Caring

Good

Updated 24 January 2018

The service was caring.

Care and support was provided with kindness by staff, who treated people with respect and dignity.

Staff understood how to provide care in a dignified manner and respected people’s right to privacy.

Immediate action was taken to ensure that personal information was not visible to visitors.

Responsive

Good

Updated 24 January 2018

The service was responsive.

People had personalised plans which took account of their likes, dislikes and preferences.

Staff were responsive to people’s changing needs.

People’s views were sought.

Well-led

Good

Updated 24 January 2018

The home was well led.

Observations and feedback from people and staff showed us the service had a supportive, honest, open culture.

Learning from incidents and events were seen as a positive.