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Lavender House Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 15 May 2019

About the service: Lavender House is a residential care home that was providing personal accommodation for up to 32 older people, including those with dementia related conditions. At the time of inspection 16 people were living at the service.

People’s experience of using this service: There had been significant improvements in the service since the last inspection, however work was still required to improve practice in key areas such as risk management. Systems to check that people were receiving safe and good quality care required further development. The provider had not always notified CQC about important events that happened in the service.

Risks to be people had not been effectively reduced and mitigated.

Improvements had been made to the environment. Decorative work had been carried out, and the environment was more ‘dementia friendly’. Infection control procedures were followed. There was adequate staff to meet people’s needs.

People told us the food was of good quality, however further work was required to enable people to make choices regarding their meals. People told us staff were kind and caring. We observed activities taking place. People were supported to access health care.

People and their relatives were engaged with and included in service delivery. We received positive feedback about the registered manager.

Rating at last inspection: Inadequate. (The last report was published 10 October 2018.) This service has been in Special Measures. Services that are in Special Measures are kept under review and inspected again within six months. We expect services to make significant improvements within this timeframe. During this inspection the service demonstrated to us that improvements have been made and is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is now out of special measures.

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

Enforcement: The provider was in continued breach of two regulations at this inspection relating to risk management and governance of the service. You can see the action we have told the provider to take at the end of the full report. A third breach about failing to notify the Care Quality Commission of events in the service is being dealt with separately.

Follow up: We will continue to monitor the service through the information we receive until we return to visit as per our re-inspection programme. The provider will continue providing regular updates to their action plan. If any concerning information is received, we may inspect sooner.

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

Inspection areas

Safe

Requires improvement

Updated 15 May 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Requires improvement

Updated 15 May 2019

The service was not always effective.

Details are in our Effective findings below.

Caring

Good

Updated 15 May 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 15 May 2019

The service was not always responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 15 May 2019

The service was not always well-led

Details are in our Well-Led findings below.