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Archived: Lelant Nursing Home Outstanding

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Inspection report

Date of Inspection: 13 August 2014
Date of Publication: 12 September 2014
Inspection Report published 12 September 2014 PDF | 90.18 KB

Overview

Inspection carried out on 13 August 2014

During a routine inspection

The inspection was carried out by an adult social care inspector. The focus of the inspection was to answer five key questions: is the service safe, effective, caring, responsive and well led?

As part of the inspection we spoke with seven people who lived at the home, a visiting relative, nine staff, the clinical lead and the registered manager. We also met the local Member of Parliament who visited the home on the day of the inspection.

We reviewed policies and records relating to the management of the home which included, eight care plans, daily care records and nine staff files. There were 28 people living at the home when we visited. Two people were in hospital.

Below is a summary of what we found. The summary describes what people using the service, their relatives and the staff told us, what we observed and the records we looked at.

Is the service safe?

People were treated with respect and dignity by the staff. Everyone we spoke with commented on their safety at the home and told us they were reassured that they would be kept safe while living here.

There were systems, policies and procedures in place which ensured risks to people were reduced and that the service was safe. Risk assessments had been undertaken and helped ensure people received care safely. People were given choice and remained in control of decisions about their care and daily lives.

CQC monitors the operation of the Deprivation of Liberty Safeguards (DoLS) which applies to care homes. We noted that the home followed procedures in relation to the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards and took advice and guidance from medical professionals.

There was a stable staff team with the appropriate skills to support people who lived at the home.

Is the service effective?

People’s health and care needs were assessed in consultation with them prior to their arrival at the home. Everyone received a visit from a senior member of staff before they moved in and people were encouraged to be involved as much as they wished in all aspects of the home.

Care plans which identified people’s needs and how those needs should be met were developed alongside the person and/or their family member. We saw that staff were trained to support people’s health needs which ensured appropriate care and support was provided. Staff were encouraged to recognise changes in people’s health, mood, demeanour and levels of social interaction so that any concerns could be addressed promptly.

One person we spoke with said, “You would have to go a long way to find a better home. They look after us really well”

Is the service caring?

People living at the home appeared happy and relaxed. There was lots of laughter and interactions during a quiz game we observed which involved several people and staff on the day of the inspection.

People told us they were happy with the care they received. Two people said, “The care is lovely, and you can talk to anyone at any time if you have a problem” and “The staff are very caring and kind”.

Throughout the visit we saw that people were treated in a caring and compassionate manner, with dignity and respect.

We found that care and treatment provided was person centred and every consideration was taken to ensure people were involved in decisions about their care and daily lives. We saw staff were engaged in cheerful conversations with people and treated people as individuals, involving them in undertaking tasks in line with people’s wishes.

Is the service responsive?

There was an extensive activities programme in place which was developed in line with people’s social interests and backgrounds. We saw that staff had time to sit and chat with people in the communal areas and in their rooms.

Calls bells were installed throughout the home and were placed in easy reach so that at all times people's calls for assistance could be responded to promptly.

The service was particularly responsive to people’s social needs. We found that staff took time to get to know people’s individual preferences, needs and interests well. For example where a person wanted their cats to stay with them at the home, steps were taken to make arrangements for the person to be accommodated in a ground floor room with open access to a patio with a cat flap installed.

A relative we spoke with said, “This was the only place who said we could come and visit the home at any time we wanted. We didn’t have to make an appointment first”.

We found specific arrangements were made for people to retain, re-establish and maintain their contacts and relationships with friends and others people who lived in the local community.

Is the service well led?

There was a clear management structure in place and staff we spoke with were clear about their role and responsibilities. Staff told us they were well supported and if needed extra help it was “always readily available” from senior staff.

Feedback was encouraged from any one visiting the home and through more formal quality questionnaires.

Where unexpected circumstances or events occurred within the home, for example, a failure of the hot water system, the registered manager acted promptly to address and resolve the situation which ensured people’s comfort and safety.

Records we saw were detailed, clearly written, were up to date and showed us that identified shortfalls were addressed promptly.

We found there was a strong commitment within the staff team to the continuous improvement of the service and to the well-being of people who lived at the home.