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Inspection Summary


Overall summary & rating

Good

Updated 11 July 2019

About the service:

Lillington House provides nursing and rehabilitative support to a maximum of 57 people suffering from a neurological disability. Most people also have highly complex medical conditions requiring continuous care and support or highly specialised nursing. The home is divided into three units over two floors. On the lower ground floor there is a therapy unit with a hydrotherapy pool, physiotherapy room and an occupational therapy assessment room. A range of on-site therapists provide rehabilitative input. There are large communal areas and extensive grounds which are accessible to the people living in the home.

People’s experience of using this service:

People had confidence in the service to keep them safe and were protected from avoidable harm by staff trained to recognise and report any concerns. Potential risks to people were assessed and minimised. Staff monitored signs and symptoms to keep people safe and well. Medicines were received, stored, administered and disposed of safely.

The registered manager ensured there were enough staff available with the appropriate knowledge and skills to meet people’s needs. People received effective care from staff who were well trained and well supported. There was a thorough approach to planning and co-ordinating people's care. Staff and therapy teams worked well together and with external care professionals to ensure people received the care and support they needed. People's nutrition and hydration needs were met. People were offered a choice of meals which promoted a healthy and balanced diet.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice. Information was presented to people in way that enabled them to be involved in their care.

People received compassionate care from staff who prioritised their needs and worked as a team to ensure people achieved good outcomes. Staff were responsive to people’s physical, emotional and mental health needs. People knew how to raise a concern or make a complaint and the provider had implemented effective systems to manage any complaints received.

There was a clear quality assurance system in place and the provider took learning from situations to improve outcomes for people.

The service met the characteristics for a rating of “good” in all the key questions we inspected. Therefore, our overall rating for the service after this inspection was “good”.

Rating at last inspection: At the last inspection the service was rated ‘Good’ overall, but some improvements were required in the leadership of the service. At this inspection the improvements had been made. (Last report published 20 December 2016).

Why we inspected: This was a planned inspection based on the previous rating.

Follow up: We will continue to monitor all information we receive about the service and schedule the next inspection accordingly.

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

Inspection areas

Safe

Good

Updated 11 July 2019

The service was safe.

Details are in our Safe findings below.

Effective

Good

Updated 11 July 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 11 July 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 11 July 2019

The service was responsive.

Details are in our Responsive findings below.

Well-led

Good

Updated 11 July 2019

The service was well-led.

Details are in our Well-Led findings below.