6 March 2020
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
This inspection was carried out by two inspectors.
Service and service type
Lulworth house is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service before the inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with six people. We spoke with the registered manager, operations & compliance manager and six staff members.
We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including training and quality monitoring records were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data, quality assurance records and examples of positive outcomes for people. We spoke with the relatives by telephone following the inspection.
6 March 2020
About the service
Lulworth House is a residential care home providing personal care for to up to 42 older people living with dementia. Thirty seven people were living at the service at the time of inspection. There were a variety of communal areas for people such as a conservatory, dining room and two lounges which included an additional dining space. The garden was easily accessible. The lift gave access to the upper floors.
People’s experience of using this service and what we found
The service was not consistently well-led. Whilst systems were in place to monitor the quality and safety of the service, they had not been effective in identifying inconsistencies in people’s risk assessments and safe recruitment. Staff were able to feedback their views and felt supported in their roles. The manager acted openly and responsively during the inspection ensuring they took immediate action to remedy any areas of improvement we identified.
Environmental risks were well managed to keep people safe and individual risks to people were identified and actioned appropriately. People were supported by staff who understood the appropriate action to take should they be concerned about their safety. People’s medicines were well managed by trained staff.
People received effective care. The requirements of the Mental Capacity Act 2005 were being met. 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 were supported to receive appropriate healthcare in line with their specific needs. Staff had training around people’s needs. People were supported to eat and drink meals of their choosing and were positive about meals provided.
People received support that was caring, compassionate and kind. We received positive feedback about the care staff. People were encouraged to be involved in all aspects of their care in regular meetings. People had their dignity and privacy respected.
People received care that was responsive to their needs. People had a wide range of activities available to them that met their individual interests. Activities were regularly reviewed making them person centred and focused on the well-being of people. People had received end of life care that was individual to them. All staff including activity staff were actively involved in making people’s end of life meaningful.
Rating at last inspection
The last rating for this service was good (published 21 July 2017)
Why we inspected
This was a planned inspection based on the previous rating.
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.