Background to this inspection
Updated
27 April 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
We undertook an announced focused inspection of Lynton House on 27 March 2017. This inspection was carried out to check that improvements to meet legal requirements planned by the provider after our 27 June 2016 inspection had been made. The team inspected the service against one of the five questions we ask about services: is the service well-led? This was because the service was previously not meeting some legal requirements. This inspection was carried out by one inspector.
The provider had not completed a Provider Information Return (PIR), because we had not requested one before this focused inspection. This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. Before the inspection we reviewed all the information we held about the service, we looked at previous inspection reports and any notifications received by the Care Quality Commission. A notification is information about important events, which the provider is required to tell us about by law.
We spoke with the registered manager and two members of staff. We spoke with four people who lived at the service. We observed how people were supported and the activities they were engaged in. We looked at three people’s care plans and the associated risk assessments and guidance. We looked at a range of other records including questionnaires, minutes of residents and staff meetings, and a range of audits and checks completed by the registered manager.
We last inspected this service on 27 June 2016. Breaches in the regulations were identified at this inspection.
Updated
27 April 2017
Care service description
Lynton House is registered to provide accommodation and personal care for up to eight people. People living at the service had a range of learning disabilities. Some people had physical disabilities and occasionally required support with behaviours which challenged. The service is situated in a residential area of Broadstairs. There were eight people living at the service at the time of the inspection. Downstairs there was a kitchen, dining room and lounge. The eight bedrooms were split over three floors and there were several bathrooms.
Rating at last inspection
At the last inspection, the service was rated good and requires improvement in the ‘well-led’ domain.
Why we inspected
We carried out an unannounced comprehensive inspection of this service on 27 June 2016. A breach of legal requirements was found. After the comprehensive inspection, the provider wrote to us to say what they would do to meet legal requirements in relation to the breach of Regulation 17 of the Health and Social Care Act Regulated Activities Regulations 2014, Good governance. We undertook this focused inspection to check that they had followed their plan and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Lynton House on our website at www.cqc.org.uk
At this inspection we found the service remained good and is now rated good in the ‘well-led’ domain.
Why the service is rated Good
The service had improved since the last inspection.
There was now a registered manager in post. They were skilled and experienced in providing person-centred care and worked alongside staff to offer support and guidance. The CQC had been informed of any important events that occurred at the service, in line with current legislation.
The registered manager regularly carried out audits to identify any shortfalls and ensure consistent, high quality, personalised care. People’s relatives, staff and other stakeholders had been surveyed to gain their thoughts on the service. These were collated and analysed. Relatives had stated that a new registered manager should be appointed as there was a vacancy and this had occurred.
There was an inclusive, person-centred culture and people were involved in the running of the service. People helped to prepare their own meals and helped with the upkeep of the service. The registered manager told us they wanted to introduce more pictorial forms of communication to involve people further.