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Walsingham Support - Lindisfarne Good

Inspection Summary


Overall summary & rating

Good

Updated 23 February 2018

This was an unannounced inspection that took place on 19 January 2018 and we returned on 22 January to see two people who had not been in the home on 19 January 2018 and to give feedback. The service was rated as good at the last inspection in November 2015 and was not in breach of legislation.

Lindisfarne is a six bedroom bungalow situated in a residential area in the village of Frizington. It is within easy walking distance to village amenities. It can accommodate up to 6 people with a learning disability in single rooms. The home has suitable shared areas and an enclosed garden. People benefit from the home having its own transport. The home is operated by Walsingham who have other care homes in the area and throughout England.

Lindisfarne 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 accommodates 6 people in one specially designed and adapted building.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service supported this practice.

The home had a suitably experienced and qualified registered manager. 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 was aware of current good practice and deployed and managed staff and resources to the satisfaction of the registered provider.

People in the home were protected from potential harm and abuse because staff understood their responsibilities and had received suitable training in safeguarding matters. The house was safe and secure and the registered manager had ensured that maintenance and improvement were on-going and that there was a suitable emergency plan in place.

Everyone in the home had a risk assessment that covered their care needs and risks around activities. There were suitable risk assessments in place regarding the building and the grounds. Accidents and incidents were minimal and suitable risk management was in place to lessen or prevent any accidents.

Staffing levels met the assessed needs of people in the service. The registered manager kept people's care and support needs reviewed and changed staffing levels when necessary.

Staff were appropriately recruited and Walsingham had suitable human resources policies and procedures in place. The organisation had grievance procedures and a confidential 'whistleblowing' line that staff could use if necessary.

Medicines were suitably managed with staff receiving training and checks on competence. People had regular reviews of medication so that they received optimum medicines support.

Staff were trained in prevention of infection. They understood how to use personal protective equipment. Improvements had been made to the environment which would help prevent cross infection. The house was warm, comfortable, clean and fresh on both days we inspected. We noted that improvements had been made to bathrooms and toilets and that decoration and replacement of furniture and fittings was on-going.

Staff received good levels of support through supervision, appraisal and checks on their competence. We saw that new staff had a thorough induction and then received both

Inspection areas

Safe

Good

Updated 23 February 2018

The service remains good.

Effective

Good

Updated 23 February 2018

The service remains good.

Caring

Good

Updated 23 February 2018

The service remains good.

Responsive

Outstanding

Updated 23 February 2018

The service was extremely responsive.

We judged that very detailed and creative assessment and care planning had allowed people to achieve more independent living skills.

People were helped to access health care support by challenging any discriminatory approaches they might face in the wider health and social care community.

People were supported to have meaningful activities that allowed them to have new and exciting opportunities.

Well-led

Good

Updated 23 February 2018

The service remains good.