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Lymehurst Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 9 November 2019

About the service

Lymehurst is a residential care home providing personal care to 26 people aged 65 and over at the time of our inspection. The service can support up to 35 people. The home is split over two levels with some bedrooms on the first floor and others on the ground floor. People can use a stair lift to move between the two floors. On the ground floor of the property there is a communal dining area, lounge and further seating areas. People have access to outside space.

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

Since the last inspection the electronic care planning system had been further developed. However, we reported an issue with the monitoring of fluid intake which the provider has said they will address. The environment was adapted to people’s needs but a level of refurbishment was required.

People told us that they felt safe at the service. People were protected from abuse by staff who were confident to raise concerns. The service was well monitored and lessons were learnt when things went wrong. Risks to people’s safety were assessed and there were sufficient numbers of staff to meet people’s needs. Infection control measures were in place and medicine was given on time, by trained staff.

Staff received training to fulfil their role and were supported with additional training when required. People enjoyed the food that was available and were able to have a choice if they wanted something different. People had access to health care services and staff supported them to access other agencies. 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 well treated and complimentary of the care received. People were involved in decisions about their care and treated with dignity and respect. People’s independence was promoted and privacy maintained.

People’s care was personalised to their needs and people were supported to maintain and develop relationships. Accessible information was seen around the home and people had access to a complaint’s procedure. Any complaints received had been investigated and action taken where necessary. The service was able to support people through end of life however no one was receiving that level of care at the time of inspection.

Effective governance systems were now in place and the staff team were clear of their roles and responsibilities. The service upheld its duty of candour and there was a positive culture. The registered manager and the provider shared information and engaged others in discussions about the home and any changes required. The service could demonstrate continuous learning and that it worked in partnership with others.

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

Rating at last inspection (and update)

The last rating for this service was inadequate (published 26 March 2019). This rating was made following a focussed inspection where only the domains of safe and well-led were inspected. Our last comprehensive inspection for this service was carried out on 23 August 2018.

This service has been in Special Measures since 26 March 2019.

During this inspection, the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

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

Good

Updated 9 November 2019

The service was safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 9 November 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 9 November 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 9 November 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 9 November 2019

The service was well-led.

Details are in our well-Led findings below.