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Lyndhurst Park Nursing Home Requires improvement

We are carrying out checks at Lyndhurst Park Nursing Home. We will publish a report when our check is complete.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 11 August 2018

The inspection took place on 31 May and 1 June 2018 and was unannounced. At the last inspection we found the provider did not operate systems that ensured the quality and safety of the service. At this inspection we found improvements had been made to the quality monitoring systems, however, not all shortfalls had been identified.

Lyndhurst Park is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Lyndhurst Park accommodates 27 people in one adapted building. At the time of our inspection there were 24 people living there with two people admitted during our inspection.

There was a registered manager at the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People who lived at the service and their relatives were complimentary about the care and the staff. They felt staff knew them well and delivered effective and kind care. They told us they were happy living at the home and enjoyed the food. Relatives told us they were confident their loved ones were safe and well cared for. Relatives told us that they felt the service was particularly good at making it feel like home.

We found shortfalls in the management of medicines during our inspection and we identified this was a breach of regulations. The registered manager took steps to address these quickly, however this was a breach of regulations at the time of our visit.

We found some areas within the home needed maintenance. The provider told us they would address these immediately.

The provider’s systems had not identified the shortfalls in ordering and storage of medicines.

The home was clean and smelt fresh throughout, however the provider had not identified some infection control risks. We have made a recommendation about this.

The provider had failed to display their most recent rating on their website.

The provider had a consistent staff team with very low turnover. Many of the staff had worked at Lyndhurst Park for many years. This had a mostly positive impact in that it created a stable caring environment. People’s choices and preferences were respected, although these had not been entered on the new electronic records system yet.People received care from staff who knew them well. Staff morale was good, and staff felt supported and worked well as a team. However, the longevity of the provider and staff team meant that shortfalls were not always noticed as everyone was used to the environment and to working in a particular way.

We found two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of the report.

Inspection areas

Safe

Requires improvement

Updated 11 August 2018

The service was not always safe.

Medicines were not always managed safely.

Some environmental risks had not been identified.

Accidents and incidents were recorded and informed learning.

People felt safe at the service.

Effective

Good

Updated 11 August 2018

The service was effective.

People had their needs assessed before being admitted to the service.

Staff received training and supervision.

Consent was sought in line with legal guidelines

The service worked well with health professionals.

People had choices of food and drink, however records of this were not always consistent.

Caring

Good

Updated 11 August 2018

The service was caring.

People and relatives were complimentary about the service.

Staff treated people with kindness, respect and dignity.

People’s care choices were respected.

Responsive

Good

Updated 11 August 2018

The service was responsive.

People received personalised care from staff who knew them well.

The service had received good feedback from relatives and professionals.

People received kind compassionate end of their life care and their families were supported.

Well-led

Requires improvement

Updated 11 August 2018

The service was not always well-led.

Systems in place had not identified shortfalls in medicines administration.

The provider had failed to display their rating on their web page.

Monitoring systems for people’s care were not always operated effectively.

The provider had made improvements since the last inspection.

There was a positive staff culture and staff felt cared for and supported.