We carried out a review of the data available to us about Lawrie Park Lodge on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Lawrie Park Lodge, you can give feedback on this service.
Lawrie Park Lodge is a residential care home providing personal care and support to people living with mental health conditions. The service can support up to 19 people in one adapted building. There were eighteen people using the service at the time of the inspection.
People's experience of using this service
The provider’s safeguarding systems guided staff to protect people from the risk of harm and abuse. Staff reported allegations of abuse so these were investigated promptly.
People were supported by competent staff to administer their medicines. Each person had a medicine administration record that staff completed accurately.
Risks associated with people’s health and well-being were assessed and staff took action to help mitigate those risks.
People were supported by enough staff to meet their individual care and support needs. Meals were prepared daily by staff and people chose their meals from the menu provided.
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 took part in a social activities to meet their interests. Social events took place at the service and in the local community.
People were involved in and contributed to the care assessment process and gave their views of their care and support needs.
People were positive about the service and provided staff with feedback about the care they received. People confirmed staff were kind, caring and supported them in a dignified way and in privacy.
When people’s health needs changed they had access to health care support services to meet their needs. People discussed their individual end of their life wishes and these were recorded in line with people’s choices.
The systems in place provided people with the opportunity to make a complaint about the service or an aspect of their care.
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 good (published 20 July 2017).
Why we inspected
This was a planned inspection based on the rating of the service at the last inspection.
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.
At the last inspection on 29 October 2014, the service was rated Good. At this inspection, we found the service remained Good.
The service has a registered manager. 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 were kept safe from harm and abuse. Staff continued to maintain a safe environment for people to live. Staff continued to gain knowledge through training in safeguarding adults. Safeguarding processes were embedded in the service and staff took action to protect people from harm and abuse.
People continued to have the risks to their health and wellbeing identified. Risk management plans continued to provide guidance for staff to manage and reduce the risks identified.
Sufficient numbers of staff was maintained to ensure people were cared for safely. There were enough staff deployed on each shift that met people’s individual needs.
Staff continued to manage people’s medicines safely. The registered provider’s medicine management processes were embedded within the service. Staff continued to provide safe administration, storage and disposal of medicines.
The registered manager continued to support staff. Systems for regular appraisal, training, and supervision for staff were embedded within the service. Staff discussed their professional development and training needs during meetings with their line manager.
Staff continued to ensure care for people was within the requirements of the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards. People continued to give staff permission and their consent to care and treatment. People remained able 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.
Staff continued to meet people’s nutritional needs. Meals were provided that met people’s preferences and needs. Sufficient food and drink continued to be available for people when they chose. People continued to have access to health care services when required. Staff understood people’s health and care needs and what could affect them. There were systems in place for people to have regular health care reviews to ensure they remained well.
People and staff continued engaging in positive relationships with each other. Staff were caring and respectful with people. People continued to be involved in making care decisions, which were recorded and used in care plans. Staff maintained dignity and privacy for people. People continued to attend social activities of their choice. Social activities people took part in met their individual needs. People maintained relationships that mattered to them.
Staff continued to complete assessments that identified people’s needs. Care plans were developed from the assessments. These detailed people's needs and the support required from staff to meet those them.
The registered provider had an embedded complaint process. Staff understood this process and supported people or their relatives to make a complaint if they had concerns. The registered manager continued to manage the service. There was effective leadership from the registered provider and staff told us that the managers at the service respected them.
The registered manager continued to inform the Care Quality Commission as required. There was an embedded system in place to monitor and routinely review the quality of care. People continued to live in a service that was well led.
Lawrie Park Lodge provides accommodation and support to up to 19 people with mental health needs. At the time of our inspection 19 people were using the service.
At our previous inspection on 30 August 2014 the service was meeting the regulations inspected.
People were treated with dignity and respect. Staff were knowledgeable about the people using the service and their preferences. People’s support needs were identified and there were plans in place as to how they wished to receive support from staff. People were involved in decisions about their care and they had regular meetings with staff to discuss the care and support provided.
People were encouraged to maintain their independence and were supported to learn new skills. Activities were on offer at the service to enable people to learn new skills, for example budgeting, and people were also encouraged to participate in groups in the community.
People told us staff helped them to stay safe. Staff were knowledgeable in recognising signs of potential abuse and safeguarding reporting processes. We saw that risks to people were identified and plans were in place to manage them. Incidents were dealt with appropriately and further support was obtained from the emergency services, as required, to ensure the safety of the person and others using the service.
People were supported to access healthcare services to ensure they got the specialist support they required to manage their physical and mental health needs. Any concerns regarding a person’s health were discussed with the relevant healthcare professional.
Staff had the skills and knowledge to support people. Staff received regular training and were supported by the managers through supervision and appraisal processes.
There were processes in place to gather the views of staff, people and visiting professionals about the quality of service provided. Appropriate action was taken, where required, to develop areas of service delivery requiring improvement. The managers were visible and approachable. There were mechanisms in place to ensure the opinions of people using the service and staff were taken into account when making changes to service delivery.
People using the service were aware of the choices available to them and they were involved in making decisions about their care. People were encouraged to be independent and access the community. There were a range of activities available and people were given the support to develop their daily living skills.
People felt their health and social needs were met. The care records we reviewed contained up to date care plans to ensure people's physical, psychological, social and financial needs were being met. People had access to professionals involved in their care, including their care co-ordinator and consultant psychiatrist.
Medication was securely stored and administered. All medication administered was recorded on a medication administration record and we saw that these had been completed appropriately.
There were enough staff to meet the needs of people using the service. Staff had completed their mandatory training and received regular supervision.
There were processes in place to monitor the quality and safety of the service. We saw that local health and safety checks had been completed. We also saw that incidents had been appropriately reported and risk assessments had been updated in response to an incident when required.
At our previous inspection in May 2012, people using the service had told us that they felt safe and secure at Lawrie Park Lodge, understood the care and treatment choices available to them, felt able to express their views, and were involved in making decisions about services at the home.
People told us they felt safe and secure at the home. One said the home was their 'safe haven' I was very depressed, but my life changed here'.
People using the service understood the care and treatment choices available to them. They felt that they could express their views and were involved in making decisions about their care and treatment and about services at the home.
They told us that staff were available to help them as they required, that they liked the food provided at the home, and were supported by staff to develop their independence and community involvement.