• Care Home
  • Care home

Lomack House

Overall: Good read more about inspection ratings

29-33 Elstow Road, Kempston, Bedford, Bedfordshire, MK42 8HD (01234) 840671

Provided and run by:
Lomack-Health Company Limited

All Inspections

4 August 2022

During a monthly review of our data

We carried out a review of the data available to us about Lomack House on 4 August 2022. 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 Lomack House, you can give feedback on this service.

22 February 2022

During an inspection looking at part of the service

Lomack House is a residential care home supporting up to nine people living with a learning disability or who were autistic. The service was supporting eight people at the time of this inspection.

We found the following examples of good practice.

A process was in place to support safe visiting at the home. This included all visitors providing a negative COVID-19 lateral flow test and proof of vaccination prior to entry to the home. In addition, screening questions were required to be completed and temperature taken and recorded by staff to be assured of COVID-19 status. Once these processes had been completed, staff would request appropriate personal protective equipment (PPE) to be worn and visitors were directed to use a dedicated entrance to the home.

Staff had received training on the safe wearing, taking off and disposal of PPE. Staff were observed wearing appropriate PPE during the inspection.

The manager told us information had been provided in a pictorial formant to support people in making decisions relating to the COVID-19 vaccination. The manager maintained a record of staff COVID-19 vaccinations and COVID-19 test results.

At the time of inspection, the home was visibly clean with no unpleasant odour. The manager told us a daily walk of the home took place which included monitoring of cleanliness and hygiene. Cleaning schedules were completed by staff and monitored by the manager.

During the COVID-19 pandemic people had been supported to maintain contact with their families and friends through the use of video and telephone calls. In addition, the staff had sent newsletters, emails and photographs to families updating them on events, celebrations and changes in COVID-19 government guidance.

13 September 2018

During a routine inspection

This inspection took place on 13 September 2018. It was announced, we gave very short notice to make sure there would be a staff member present when we visited. Lomack House is a care home for up to nine people with learning difficulties. It is a two storey building. There were seven people living at the home at the time of this visit.

Lomack 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.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

There was a registered manager at the service. 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 our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Staff knew how to keep people safe, how to respond to possible harm and how to reduce risks to people. There were enough staff who had been recruited properly to make sure they were suitable to work with people. Medicines were stored and administered safely. Regular cleaning made sure that infection control was maintained. Lessons were learnt about accidents and incidents and these were shared with staff members to ensure changes were made to staff practise or the environment, to reduce further occurrences.

People were cared for by staff who had received the appropriate training and had the skills and support to carry out their roles. People received a choice of meals, which they liked, and staff supported them to eat and drink. They were referred to health care professionals as needed and staff followed the advice professionals gave them. Adaptations were made to ensure people were safe and able to move around their home as independently as possible. Staff members understood and complied with the principles of the Mental Capacity Act 2005 (MCA). People were supported to have maximum choice and control of their lives. Staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Staff were caring, kind and treated people with respect. People were listened to and were involved in their care and what they did on a day to day basis. People’s right to privacy was maintained by the actions and care given by staff members.

People’s personal and health care needs were met and care records provided staff with clear, detailed guidance in how to do this. They were able to take part in social events and spend time with their peers. A complaints system was in place and there was information in alternative formats so people knew who to speak with if they had concerns. An end of life policy was being developed to support people and staff.

Staff worked well together and felt supported by the management team, which promoted a culture for staff to provide person centred care. The provider’s monitoring process looked at systems throughout the service, identified issues and staff took the appropriate action to resolve these. People’s views were sought and changes made if this was needed.

Further information is in the detailed findings below

22 and 23 October 2015

During a routine inspection

Lomack House is registered to provide accommodation and support for up to nine people with learning disabilities and complex needs. On the day of our visit, there were seven people living in the service. The service is located in the suburbs of Kempston, close to local amenities.

Our inspection took place on 22 and 23 October 2015 and was unannounced. At the last inspection in June 2014, the provider was meeting the regulations we looked at.

The service had a registered manager. 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 safe. They were protected from harm by trained staff who knew how to keep people safe and what action to take if they suspected abuse was happening.

Potential risks to people had been identified and assessed appropriately. Risk assessments were used by staff to enable people to take positive risks. When an accident or incident occurred, risk assessments were updated as required.

Safe recruitment practices were followed. There were sufficient numbers of experienced staff on duty, to meet people’s needs safely.

There were suitable arrangements for the storage and management of medicines.

Staff received appropriate support and training to perform their roles and responsibilities. They were provided with on-going training to update their skills and knowledge.

Consent to care and treatment was sought in line with the requirements of the Mental Capacity Act 2005. The registered manager had sought authorisation for some people under the Deprivation of Liberty Safeguards (DoLS).

People were supported to have a sufficient amount to eat and drink and to maintain a health dietary intake.

People were supported to see healthcare professionals in order to ensure their general health was well maintained.

Staff knew people well and there were positive, caring relationships between staff and people.

Staff were knowledgeable about how to meet people’s needs and understood how people preferred to be supported. Privacy and dignity were respected and promoted by staff.

Care plans contained detailed information on people’s health needs, preferences and personal history. They provided comprehensive information about people in a person centred way.

Complaints were dealt with in line with the provider policy, although we found there had been no formal complaints since our last inspection.

People were supported to express their views and discuss any issues or concerns with their keyworker or the registered manager.

The culture within the service was open and transparent and staff shared a common vision, to provide good quality care.

Quality assurance systems were in place and were used to obtain feedback, monitor service performance and manage risks.

16 June 2014

During a routine inspection

The inspection was carried out by an inspector who gathered evidence to help us answer our five questions; Is the service safe? Is the service effective? Is the service caring? Is the service responsive to people's needs? Is the service well-led?

Below is a summary of what we found. The summary is based on our observations during the inspection, speaking with people using the service, the staff supporting them and from looking at records.

The detailed evidence supporting our summary please can be read in our full report.

Is the service safe?

Records confirmed that people's needs had been assessed before they were admitted to Lomack House. After admission to the home we found that people's needs were reassessed on a regular basis, to ensure they received the safe care they needed. Staff told us that this meant that staff had the information they needed to minimize identified risks to people.

We found that the provider had provided people with premises that were well maintained. We found effective maintenance systems and processes in place. This meant that people were cared for in an environment that was fit for purpose and safe for the people who lived there.

We saw evidence that staff had been trained in Deprivation of Liberty Safeguards (DoLS), the Mental Capacity Act 2005, and safeguarding of vulnerable adults. We found that people's mental capacity was assessed and best interest meetings, when appropriate, were held according to legal requirements. We found that associated risk assessments, with clear guidelines were in place, to ensure people remained safe and free from harm.

Care Quality Commission (CQC) monitors the operation of (DoLS) which applies to care homes. We spoke with the registered manager who demonstrated her knowledge of the procedures to follow. We saw evidence that applications had been submitted following correct procedures and proper policies relating to DoLS were in place.

Is the service effective?

People told us they were very happy with the care that they received. One person told us they were going on holiday and we found evidence to confirm this within care records and meeting minutes. Another person said, 'I always have lots to do, I am starting a new course in September at college and am looking forward to this.' We found that the delivery of care was in line with people's care plans and assessed needs.

We spoke with staff and observed some positive engagement with people. It was evident within our conversations that staff had a robust knowledge of each person's care needs and preferences.

On the day of our inspection, one person told staff that they had toothache. Staff responded to this and contacted the dental surgery, arranging an appointment for later that day. This demonstrated that the service responded in a timely manner to requests for additional health input.

Is the service caring?

We observed that staff were able to communicate effectively with people who had limited verbal communication and to meet their needs with respect and dignity.

We found that people who lived in Lomack House were supported by friendly, respectful and attentive staff. We observed staff interacting with people who used the service and noted how staff provided encouragement, reassurance and practical help, which promoted independence.

We saw that people had a choice of menu option and that if they chose not to have what was on offer, that staff would help them to find something they would enjoy. One person said, 'The food is ok here, we get to do some cooking and have a choice.'

Is the service responsive to people's needs?

Records showed that people's needs had been assessed before they moved into the home and their support plans were reviewed regularly to reflect any change in their needs. We saw that people's records included people's history, wishes and preferences and goals to be achieved. People and/or their representatives were involved with reviews of care plans and were kept informed of any changes. People had access to daily activities that included trips out, life skills (including laundry, cleaning and cooking) and holidays.

We saw that care plans and risk assessments had been updated when people's needs had changed, and that referrals had been made to other health and social care professionals when required. The service took account of individual preferences, and supported people to access a variety of activities.

Is the service well-led?

There was a registered manager in post on the day of our inspection that had support from a wide range of staff. This meant that the support systems in place facilitated staff to provide an effective level of care for people.

We found comprehensive policies and procedures that addressed every aspect of the service were in place. The registered manager operated a system of quality assurance and completed audits to identify how to improve the service. People and their relatives or representatives were consulted about how the service was run and annual survey questionnaires were sent and the results scrutinised so that actions could be taken to drive future improvement.

9 July 2013

During a routine inspection

We visited Lomack House on 9 July 2013, and found a friendly, welcoming environment. We spoke with one of the seven people living in the home, who told us they enjoyed living at Lomack House and staff were always kind and helpful. We were told, "It's alright here. I like it."

We observed positive engagement and interactions between staff and the person who was in the home at the time of our visit, and saw that people were treated respectfully and given choices at all times. One member of staff said. "We have choices so the people living here should."

We looked at people's care records and found these to be regularly reviewed and relevant for people's assessed needs. We spoke with three members of staff on duty who had worked at the home for a number of years. Staff were knowledgeable about people's needs and preferences.

We saw that processes were in place to safeguard vulnerable people, and staff had a good understanding about the process to take if they had concerns.

We looked at staff training and the support provided for staff and saw evidence that staff received training relevant for their role. One member of staff said, "The training gives me the skills to do the job." Staff also said they were given the opportunity to discuss issues at staff meetings.

We reviewed the quality assurance processes in place within the home and found these demonstrated the service monitored the care that was delivered to the people who used the service.

10 January 2013

During a routine inspection

Care plans reflected people's wishes and preferences. Staff conveyed respect for people when speaking with us and in the language they used in records. The care plans outlined people's needs and how those were to be met. People told us they were happy with the meal preparation arrangements which were in place. They said they enjoyed their meals and had choices.

People told us they had agreed to undertake household chores to make sure the home was clean and tidy. Staff had access to training and policies on infection control practice. The premises were clean and odour free.

People said staff supported them with their medicines. We found medicines were handled safely and administered appropriately. Medication practices and records were in good order.

People told us they had a good relationship with the staff team. We found the service had an effective recruitment procedure in place to make sure staff were appropriately recruited and fit to carry out their role.

People told us they were aware of how to make a complaint. We found there was a system in place which enabled people to comment on the care they were receiving.

11 January 2012

During a routine inspection

People that we spoke with during our visit to Lomack House on 11 January 2012 told us that they were happy and felt safe living there, and that the staff that looked after them were helpful, friendly and treated them with respect.

People looked clean and well groomed, and where people needed support or assistance with personal care this was done in the privacy of their bedroom to protect their dignity.

People told us that they were given choices and encouraged to make decisions about all aspects of their lives, including how they spent their time and what they had to eat.

People had the opportunity to attend day centres or college courses and other community based activities, however if people preferred not to do this their decision was respected, and alternative activities were available to them.

People had access to an array of information relating to the home which included information about their rights and how to make a complaint, how to access Advocacy Services and safeguarding contact information.