Background to this inspection
Updated
16 February 2024
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
Inspection team
The inspection team consisted of 1 inspector, 1 specialist nurse adviser and 1 Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Loyd House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Loyd House is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
The inspection was unannounced
What we did before the inspection
We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We contacted commissioners of the service for their feedback. We used all this information to plan our inspection.
During the inspection
We spoke with 4 people who used the service and 5 relatives and friends about their experience of care. We also spoke with 14 members of staff including support workers, senior support workers, members of the multi-disciplinary team and the registered manager.
We spent time observing people to understand their experiences of life in the home.
We reviewed a range of records. This included 4 people’s care records and several medication records. We looked at 4 staff files in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
16 February 2024
About the service
Loyd House is a care home providing nursing or personal care to up to 17 people. The service provides support to adults with acquired brain injury. At the time of our inspection there were 16 people using the service.
People’s experience of the service and what we found:
Systems and processes were not always effective in monitoring and mitigating risks to the health, safety and welfare of people using the service. Improvements were needed in relation to medicine management and infection prevention and control practices. Staff training was not always up to date and improvements were required to ensure all staff were consistently supported in their roles.
People were supported to have a healthy balanced diet but the overall mealtime experience could be improved to ensure staff were encouraged to support a more relaxed and sociable occasion. Care was task focused with, at times, little interaction with people.
People were respected and their dignity maintained but their privacy was not always protected.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People could be assured they received care from staff who knew them well. People were involved in their care and there were detailed care plans in place. Staff supported people to remain in contact with family and friends and provided them with a variety of activities and entertainment to stimulate and occupy them.
People were listened to and knew how to raise a complaint if they needed to. People and relatives were confident the registered manager would act upon any concerns they raised.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good 17 April 2018
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Enforcement and Recommendations
We have identified breaches in regulation in relation to systems and processes being effective in monitoring and mitigating risks to the health, safety and welfare of people using the service. Safe management of medicines, infection prevention and control and staffing.
Please see the action we have told the provider to take at the end of this report.
Follow Up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.