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Inspection Summary


Overall summary & rating

Good

Updated 8 October 2019

About the service

Libury Hall is a residential care home providing personal care to 39 people aged 65 and over at the time of the inspection. The service can support up to 39 people.

Libury Hall accommodates people across several individual buildings. 11 people, who require higher levels of support, live within the main house. The remaining 28 people live within one of the 28 separate bungalows. These are designed to support their independence, whilst still retaining key safety features such as pendant alarms to alert staff if people require assistance.

People's experience of using this service

The service provided exceptionally responsive, person-centred support to people which consistently achieved outstanding outcomes for people. Staff consistently went the extra mile to find out what people have done in the past. This enabled people to carry out person-centred activities, which enriched the quality of their lives. People were supported to maintain and develop new relationships that mattered to them and protected them from the risk of social isolation and loneliness. The registered manager used concerns to improve the service. The service worked closely with healthcare professionals to support people with end of life care, which ensured people experienced a comfortable, dignified and pain-free death.

People were protected from avoidable harm and abuse by staff. Risks to people's safety had been identified and assessed. Staff followed people’s risk management plans to keep them safe. People received their prescribed medicines safely, from staff who had their competency to administer medicines assessed. People’s medicines were reviewed regularly to ensure continued administration was still required to meet their needs. Cleanliness and hygiene were maintained throughout the home, which reduced the risk of infection. Staff followed the required standards of food safety and hygiene, when preparing, serving and handling food.

Staff felt valued and respected by the management team. Staff had the required skills to meet people’s needs effectively, which led to good outcomes for people’s care and support and promoted their quality of life. People’s care plans were well maintained providing staff with the required information about their needs and how to meet them. The registered manager had worked effectively with local organisations, health and social care professionals and multi-disciplinary teams.

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 were supported by a stable core staff group who were kind, caring and inspired by the registered manager to deliver high quality, personalised care.

The service was led by a management team who were respected by staff and people, and who led by example. Governance systems in the service supported the high quality care people received and improvement plans continually sought ways to develop the care further.

Rating at the last inspection

At the last inspection on 23 November 2016 the service was rated Good (report published 11 January 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We did not identify any concerns at this inspection. We will therefore aim to re-inspect this service within the published time scale for services rated good. We will continue to monitor the service through the information we receive.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection areas

Safe

Good

Updated 8 October 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 8 October 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 8 October 2019

The service was caring,

Details are in our caring findings below.

Responsive

Outstanding

Updated 8 October 2019

The service was exceptionally responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 8 October 2019

The service was well led.

Details are in our well led findings below.