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Inspection Summary


Overall summary & rating

Good

Updated 25 July 2018

This inspection took place on 11 and 15 June 2018 and was unannounced.

Lavender House Care Home is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

Lavender House Care Home accommodates up to 20 people in one adapted building. The service accommodated older people, some of whom were living with dementia. There were 19 people at the service at the time of inspection. The accommodation is over two floors, each floor is accessible via stairs or a stairlift.

The service was rated Requires Improvement at its last inspection in February 2017 and had breached one regulation in relation to not submitting notifications to CQC as required. Following the last inspection, we asked the provider to complete an action plan to show what they would do to meet the breach and improve the key questions of Well Led to at least Good. At this inspection, we found that the provider had made sustained improvements by ensuring that they had systems in place to ensure that all relevant notifications were sent to CQC in a timely manner.

The service had a registered manager in place at the time of our inspection. 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.

The registered manager had an effective overview of the service and monitored the quality and safety of the service using a range of audits and checks. They were familiar with people’s needs and understood the challenges staff faced in providing effective care.

The provider had made links with healthcare services to take part in a scheme designed to promote the health and wellbeing of people living in care home settings. Staff had received training to take observations of people’s vital signs which healthcare professionals could use to make informed judgements about appropriate treatment plans.

The registered manager had established effective working relationships with a range of stakeholders included professionals and members of the community to provide resources, support and meaningful activities for people.

People and relatives told us staff were very caring and accommodating to their needs. People were treated with dignity and respect and staff were encouraged to spend quality time with people, offering comfort and reassurance where required.

People received personalised care and told us they were involved in making decisions about their care. People were encouraged to remain independent by carrying out domestic routines which they were familiar with and enjoyed. People’s needs were assessed to ensure that they had appropriate levels of care in place and that the service could meet their needs.

People were supported to take their medicines as prescribed and the provider had safe and effective systems in place to manage the ordering, storage, administration and disposal of medicines. People’s nutritional needs and preferences were met by staff who were flexible and patient in their approach when supporting people at mealtimes.

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 support this practice.

Risks associated with people’s health were assessed, monitored and mitigated. Where appropriate, the registered manager made referrals to other professionals to ensure people received timely care and treatment.

There were systems in place to help protect people from abuse and harm. There were systems in place to report concerns about people’s wellbeing and minimi

Inspection areas

Safe

Good

Updated 25 July 2018

The service was safe.

There were systems in place to protect people from abuse and harm.

Risks to people’s health and wellbeing were assessed, monitored and mitigated.

There were sufficient numbers of staff place and the provider had robust recruitment procedures in place to identify suitable staff.

People received their medicines safely and as prescribed.

The home was clean and staff understood how to reduce the risk of infections spreading.

The registered manager used incidents and feedback as learning opportunities to improve the quality of care.

Effective

Good

Updated 25 July 2018

The service was effective.

People’s needs were assessed to formulate appropriate care plans to meet their needs.

Staff received ongoing training and support in their role.

The provider had made links with healthcare services to promote people’s health and wellbeing.

People received food and drink in line with their needs and preferences.

The environment was suitable for people’s needs, but people told us they felt it needed decoration.

Staff understood the need to gain consent to care.

Caring

Good

Updated 25 July 2018

The service was caring.

Staff were patient, caring and treated people with dignity.

People and relatives told us they were involved in decisions about their care.

Staff encouraged people to be as independent as they wished

Responsive

Good

Updated 25 July 2018

The service was responsive.

There were systems in place to help ensure complaints and concerns were dealt with appropriately.

People received personalised care.

Staff had received training in providing effective and empathic care at the end of people’s lives.

Well-led

Good

Updated 25 July 2018

The service was well led.

The provider had met its regulatory responsibilities in reporting significant incidents to CQC

The registered manager was well respected by people, relatives and staff, who felt they ran the home competently.

The registered manager carried out audits which helped them assess and monitor the quality and safety of the service.

The provider had made links with other stakeholders to promote people’s health and wellbeing.

The registered manager had made links with the local community to provide activities, entertainment and companionship for people.