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We are carrying out a review of quality at Lezayre Nursing Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Good

Updated 18 December 2018

This inspection took place on 28 November and 3 December 2018 and was unannounced on the first day. Lezayre is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The home had a manager who was registered with the Care Quality Commission. 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 home is a converted three-storey property set in its own grounds in a residential area. It is registered to provide accommodation and nursing or personal care for up to 36 people, however a number of these places were in double rooms which are no longer shared and the manager told us that the maximum number of people accommodated would be 32. Twenty-three people were living there when we visited.

Our last inspection of Lezayre was on 9 October 2017 and we found breaches of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, because the provider had not made sure that the premises were safe or that arrangements were in place to prevent and control the spread of infection, and Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, because the provider did not have effective governance arrangements in place.

During this inspection we found that improvements had been made to the safety and cleanliness of the environment and the service was no longer in breach of Regulation 12. The manager completed regular quality monitoring audits which identified any areas needing improvement. Action plans were agreed and implemented by the manager and the staff team. The service was no longer in breach of Regulation 17.

There were enough qualified and experienced staff to meet people’s needs and keep them safe. New staff were recruited safely. Staff were supported in their role through induction, supervisions and an annual appraisal. Training was provided to ensure staff had the knowledge and skills to work safely and effectively.

People told us they felt safe in the home and that they had no concerns regarding their care. They told us the staff were kind and caring and protected their dignity and privacy.

People’s medicines were managed safely.

Records showed that consent was sought in line with the principles of the Mental Capacity Act 2005 and applications to deprive people of their liberty had been made appropriately..

People were satisfied with their meals and with the choice of food available.

A range of social activities was provided to keep people stimulated and occupied.

The care plans we looked at were written in a sensitive and person-centred style and gave details of people’s care needs and how their needs were met.

People spoke highly of the registered manager and told us she provided excellent support for the staff team and was always looking for ways to improve the service for the people who used it.

Inspection areas

Safe

Good

Updated 18 December 2018

The service was safe.

There were enough staff to support people and keep them safe.

The premises were clean and well maintained.

Medicines were managed safely.

Effective

Good

Updated 18 December 2018

The service was effective.

Staff had regular training and supervision.

Staff were familiar with the Mental Capacity Act (2005) and Deprivation of Liberty Safeguards had been applied for as needed.

People had a choice of meals and received the support they needed to maintain nutrition and hydration.

Caring

Good

Updated 18 December 2018

The service was caring.

We observed that staff protected people�s dignity and individuality and treated people with kindness and respect.

People�s relatives were made welcome when they visited and were involved in their care.

People�s personal information was kept securely to protect their confidentiality.

Responsive

Good

Updated 18 December 2018

The service was responsive.

The care files contained person-centred plans that were updated monthly.

A range of social activities was provided to keep people stimulated and occupied.

The home�s complaints procedure was displayed and people told us any issues were addressed.

Well-led

Good

Updated 18 December 2018

The service was well led.

The home had a manager who was registered with CQC.

The manager provided excellent support and leadership for the staff team.

A programme of quality auditing and service improvement was completed to a high standard.