Background to this inspection
Updated
22 October 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. 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.
Inspection team
The inspection was undertaken by one inspector and an expert by experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Lyndhurst Rest Home 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
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We reviewed information we had received about the service since the last inspection. We used all of this information to plan our inspection.
During the inspection
We spoke with seven people who used the service and six relatives about their experience of the care provided. We spoke with seven members of staff including the provider, registered manager, deputy manager, care workers and leisure therapist. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We reviewed a range of records. This included six 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 policies and procedures were reviewed.
After the inspection –
We looked at training data and supervision records.
Updated
22 October 2019
About the service
Lyndhurst Rest Home is a residential care home providing personal care to 34 older people who may be living with dementia at the time of the inspection. The service can support up to 44 people in one large extended detached building.
People’s experience of using this service and what we found
People told us, and they appeared, to be happy and safe living at the service. Potential risks to people’s health, welfare and safety had been assessed and there was guidance in place to mitigate risks.
Accidents and incidents had been recorded and analysed to identify any patterns and trends. Action had been taken to reduce the risk of them happening again and this had been effective.
Staff had been recruited safely and there were enough staff to meet people’s needs. Staff received training, supervision and appraisal to develop their skills. Medicines were managed safely. Staff monitored people’s health and referred people to relevant healthcare professionals.
People were supported to eat a balanced diet and to keep as healthy as possible. People had access to activities they enjoyed and were supported to maintain interests and hobbies.
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.
Each person had a care plan that contained information about people’s choices and preferences. These were reviewed regularly, people were involved as much as possible in developing the plan.
People met with staff before they moved into the service to check that staff would be able to meet their needs. People were treated with dignity and respect. People were supported to be as independent as possible and express their opinions about the service. People’s end of life wishes were recorded. Staff worked with the GP and district nurses to support people at the end of their lives.
There was an open and transparent culture within the service, people’s suggestions were acted upon. Complaints were recorded and investigated, following the provider’s policy. The environment had been developed to support people living with dementia following good practice guidelines. People received information in a way they could understand.
Checks and audits were completed on the quality of the service and action had been taken when shortfalls were found. The registered manager kept up to date with developments in social care to continuously improve the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was Requires Improvement (published 9 October 2018) and there was one breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulation.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
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.