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Larchwood Nursing and Residential Home Requires improvement

The provider of this service changed - see old profile

We are carrying out a review of quality at Larchwood Nursing and Residential Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 2 May 2019

About the service

• Larchwood Nursing and Residential Home is a care home that was providing personal and nursing care to 28 people aged 65 and over at the time of this inspection. Some of those residing at the service were living with dementia. It is registered to provide care and accommodation for up to 48 older people.

People’s experience of using this service

• The service had made improvements since our last inspection but needs to continue to do so to ensure a consistently good quality service is delivered. This needs to be sustained.

• An incident that had occurred shortly before our inspection had had a negative impact on the health and wellbeing of some of the people who used the service. This meant people had not received their medicines as prescribed for one administration round.

• The management of medicines did not fully adhere to good practice guidance and some discrepancies were found in the administration of one person’s insulin.

• Most people received a planned person-centred service however improvements were required in how the service managed people’s diabetes and, for one person, their wound care.

• Staff had been trained and provided with ongoing support. However, clinical staff required further clinical training and their competency assessed in these areas. Staff had not received training in specific health conditions that those using the service had been diagnosed with.

• The service did not fully comply with the Mental Capacity Act 2005 (MCA).

• No registered manager was in place as required by conditions on the service’s registration.

• Improvements had been made to many areas of the service delivery including meeting nutritional needs, infection prevention and control, staff culture and team working abilities and the environment.

• Risks had been identified, managed and mitigated including those associated with people who used the service, working practices, equipment and premises.

• Procedures were in place to help protect people from the risks associated with abuse and recruiting staff not suitable to work with them.

• There were enough staff to meet people’s needs and those staff had received support to do so.

• Staff demonstrated kindness and compassion when supporting people and we saw that people’s dignity and privacy was maintained.

• People had been involved in the planning of their care but this needed to be better recorded.

• The service worked with health and social care professionals to help achieve good outcomes for those that used the service.

• Activities were available and based on people’s needs.

• There had been unstable management at the service and, at the time of this inspection, a regional support manager was managing the day to day delivery of the service. Recruitment was underway for a permanent manager.

• Adherence to action plans and a quality monitoring system had been effective at driving improvement.

• All the people we spoke with both before, and during, our inspection told us the service had made improvements. The people who used the service, and their relatives, were happy with the service provided and staff demonstrated commitment and a positive attitude.

• For more information on our inspection findings, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk.

Rating at last inspection

• At the last inspection the service was rated as inadequate (report published on 24 December 2018). At this inspection the service has seen an improvement to its rating.

• This service has been in Special Measures. Service that are in Special Measures are kept under review and inspected again within 6 months. We expect services to make significant improvements within this timeframe. During this inspection the service demonstrated to us that improvements have been made and is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is now out of Special Measures.

Why we inspected

• This was a pla

Inspection report


Inspection areas

Safe

Requires improvement

Updated 2 May 2019

The service was not always safe.

Details are in our Safe findings below.

Inspection report


Effective

Requires improvement

Updated 2 May 2019

The service was not always effective.

Details are in our Effective findings below.

Inspection report


Caring

Good

Updated 2 May 2019

The service was caring.

Details are in our Caring findings below.

Inspection report


Responsive

Requires improvement

Updated 2 May 2019

The service was not always responsive.

Details are in our Responsive findings below.

Inspection report


Well-led

Requires improvement

Updated 2 May 2019

The service was not always well-led.

Details are in our Well-Led findings below.

Inspection report