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Lulworth House Dementia Residential Care Home Good

All reports

Inspection report

Date of Inspection: 18, 19 April 2013
Date of Publication: 9 October 2013
Inspection Report published 09 October 2013 PDF


Inspection carried out on 18, 19 April 2013

During an inspection in response to concerns

Two inspectors and an Expert by Experience visited the home and observed care practices, spoke to people, their relatives and staff. We also looked at care records, risk assessments and other personal records that related to people who lived in the home.

The activities coordinator was proactive and kept people engaged. Where people were not involved in activities they tended to be left to sit in chairs with little stimulation or conversation as care staff were busy and unable to make time to check on their welfare. Generally care staff were kind and respectful to people.

People�s changing needs were not identified in the care plans so the assessment, planning and delivery of care were not coordinated. This meant that the service did not promote safe effective care, treatment and support.

People were not safeguarded from possible abuse because staff did not recognise where people�s behaviours impacted on their own and other people�s health, safety and welfare.

People were at risk where skin conditions were neglected as creams were not applied in line with the prescriber�s instructions and when peoples cream ran it was not replaced.

The quality assurance processes in the home failed to manage risks relating to the health, welfare and safety of people who used the service.

Inadequate record keeping meant that people were not adequately protected against the risks of unsafe or inappropriate care and treatment.