Background to this inspection
Updated
8 May 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection was conducted by one inspector and an expert by experience (ExE). An ExE is a person who has personal experience of using or caring for someone who uses this type of care service. The ExE had experience of services for older people and people living with dementia.
Service and service type:
Lynwood 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 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:
The inspection was unannounced.
What we did:
We reviewed information we held about the service. This included details about incidents the provider must notify us about, such as accidents or abuse. We reviewed the information the provider had sent us in their provider information return (PIR). The PIR gives some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
We contacted the local authority commissioning and safeguarding teams. No concerns were raised about Lynwood.
During the inspection we spoke with ten people and six relatives or friends about their experience of the care provided. We spoke with five members of staff, two domestic staff, the chef and the registered manager.
We observed the support people received and used the short observational framework for inspection (SOFI), which is a way of observing care to help us understand the experience of people who could not talk with us.
We looked at a range of records, including three care plans and medicines records. We also reviewed three staff recruitment files, training and quality assurance and other records in relation to the management of the service.
Updated
8 May 2019
About the service:
¿ Lynwood Lodge Residential Care Home (known as Lynwood) is a residential care home registered for 24 people. Lynwood was providing personal care to 16 people aged 65 and over at the time of the inspection.
¿ Lynwood is a large Victorian building, with 20 single rooms and two shared rooms. Some rooms have en-suite facilities. There is lift access to the two main floors, with stair lift access to other areas of the home.
People’s experience of using this service:
¿ All the people and their relatives we spoke with were complimentary about living at Lynwood Lodge and were positive about the staff team. They said the staff knew them and their needs well, always treated them with respect and new how to maintain their privacy and dignity.
¿ The staff said they enjoyed working at the home and they received the training and support they needed. Staff were safely recruited.
¿ Care plans were in place that assessment the support people needed and the risks they may face. All care plans were reviewed each month. People and / or their relatives were involved in agreeing the care plans.
¿ People received their medicines as prescribed from trained staff.
¿ People enjoyed the meals and said they always had a choice.
¿ People’s health needs were being met. Referrals to medical professionals were made as required.
¿ A quality assurance system was used by the registered manager to monitor the service. All incidents and accidents were recorded and reviewed by the registered manager to ensure actions were taken to reduce the chance of a re-occurrence.
¿ No one was receiving end of live care at the time of our inspection. We saw evidence of the service working with district nurses, GPs and other professionals when supporting people at the end if their lives.
¿ The home was clean throughout. Clear infection control procedures were in place for supporting three people who had hospital acquired infections.
¿ Staff arranged activities within the home and an external exercise instructor visited twice per week. Some people said they did not have chance to go out, for example to the pub, as much as they used to.
¿ There was a formal complaints policy in place. No formal complaints had been made since our last inspection. People and their relatives told us they spoke directly to the staff team or registered manager about things and they were then sorted out.
¿ Lynwood Lodge was well decorated, however dementia friendly signs to assist people to orientate themselves within the home were not used. A notice board contained old pictures and paper clippings to aid reminiscence.
Rating at last inspection: Good; report published 2 November 2016
Why we inspected: This was a planned inspection based on the rating at the last inspection.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk