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Inspection Summary


Overall summary & rating

Good

Updated 27 May 2020

About the service

The Lawns Nursing Home is a care home providing personal and nursing care to 56 people. It provides care to people requiring nursing care some of whom lived with dementia or physical disabilities. At the time of the inspection, 43 people were living at the home. The Lawns is an adapted building which has been extended including a recently opened new section.

People’s experience of using this service and what we found

The management of medicines required improvement at the time of the previous inspection. Although these improvements had taken place further shortfalls were identified requiring improvement.

Although systems and checks were in place to keep the environment safe, the testing of portable electrical equipment was not taking place in line with the provider’s own procedures.

People felt safe living at the home and were cared for by staff who knew how to protect people from potential abuse. Accidents and incidents within the home involving people were investigated and action taken to reduce the risk of recurrence. Most people believed there to be enough staff to keep them safe and support their care needs. The home environment was clean, and staff were aware of how to prevent cross infection.

The registered manager had systems in place to promote improvement. They were aware of shortfalls in medicine management and had strategies, procedures and plans in place to make improvements. The registered manager provided leadership and were known to people and their relatives.

People’s needs were assessed, and care needs were planned for to ensure they were met. Good practice guidance was considered when planning people’s care. Staff received training and were knowledgeable about people’s needs and how to meet these. People were provided with nutritious food which people enjoyed. 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. The home environment was designed or adapted to meet people’s needs.

People were cared for by kind and considerate staff who showed an understanding of their wishes and care needs. People’s privacy and dignity was respected.

Staff were responsive to people’s individual needs. People were offered a choice on an ongoing basis. People had access to a range of activities and recreational interests. People’s views were taken into account. The provider had obtained recognition for their end of life care.

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 requires improvement (published 01 February 2019).

The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection we found improvements had been made and the provider was no longer in breach of regulations. However, further improvements were required.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 27 May 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 27 May 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 27 May 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 27 May 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 27 May 2020

The service was well-led.

Details are in our well-led findings below.