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The Lawn Residential Care Home Good

Inspection Summary


Overall summary & rating

Good

Updated 12 July 2018

The Lawn Residential Care Home provides personal care and accommodation for up to 31 older people. The service does not provide nursing care. At the time of the inspection there were 31 people accommodated.

At our last inspection, we rated the service good. At this inspection, we found the evidence continued to support the rating of good overall, however we have revised the rating for the safe domain to requires improvement, as staffing and records require improvement. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

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At this inspection we found the service overall remained good.

There were sufficient staff rostered. However, there had been issues with high levels of staff sickness which were being addressed for people. Action had been taken to fill staff vacancies and to increase senior staff presence at the weekends. Not all people’s written care plans had been reviewed monthly as required by the provider. The registered manager was aware and had taken relevant action. Following the inspection, the provider submitted evidence which demonstrated this work had now been completed, but it still needs to be sustained over time.

Risks to people had been identified and managed safely. People’s health, dietary and fluid needs were identified and met. Processes were in place to safeguard people from the risk of abuse. People were protected from the risk of acquiring an infection. The environment was suitable and safe for people. Learning took place following incidents and improvements were made. Medicines were safely managed. The registered manager took swift action to complete three outstanding annual staff medicines competencies during the inspection.

People’s care delivery took account of national and local guidance. Staff undertook relevant training and were supported in their role.

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.

Overall people told us staff were caring. Staff were seen to be polite and respectful to people. Some people said they would like more interaction from some staff and this has been fedback to the registered manager to address. People were supported to maintain their independence. People’s dignity was upheld during the provision of their care.

People and or their representatives were involved in planning their care. Although some people told us they would have liked better activities, a range of both internal and external opportunities were provided. People’s end of life care needs were met at the service.

Most people and staff felt the service was well-led. The new registered manager had a good understanding of the challenges facing the service through the quality assurance processes and was taking the correct actions to address them for people. They actively engaged people, staff and the community. Processes were in place to share information both within the service and with external organisations. Staff worked with other agencies to ensure people received joined up care.

Inspection areas

Safe

Requires improvement

Updated 12 July 2018

The service has deteriorated to requires improvement.

The provider was taking appropriate action to address identified issues in relation to staffing for people, but it will take further time to complete and embed the actions taken.

Further time was required for the provider to be able to demonstrate people�s records had been consistently reviewed monthly, as per their policy.

Risks had been assessed and managed for people.

Processes were in place to safeguard people from the risk of abuse.

Medicines were safely managed.

Processes were in place to manage the risk of people acquiring an infection.

Learning took place following incidents and improvements were made.

Effective

Good

Updated 12 July 2018

The service remains good.

Caring

Good

Updated 12 July 2018

The service remains good.

Responsive

Good

Updated 12 July 2018

The service remains good.

Well-led

Good

Updated 12 July 2018

The service remains good.