18 June 2022
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.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
The inspection was carried out by one inspector.
Service and service type
Lawton Manor 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.
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service. We sought feedback from the local authority and professionals who work with the service. 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 four people and four relatives about their experience of the service? 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 observed further interactions between staff and people in communal areas. We spoke with six members of staff including the registered manager, deputy manager, chef, housekeeper, healthcare assistant and care home assistant. We spoke with a visiting healthcare professionals. We reviewed a range of records. This included four people's care records and multiple medication records. We looked at five staff files in relation to safe recruitment and training. Policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found.
18 June 2022
Lawton Manor is a care home providing accommodation, personal and nursing care for up to 63 older people in one adapted building. Most of the rooms have en-suite facilities. Communal bathing and toilet facilities are also located throughout the care home. At the time of our inspection, the care home was accommodating 30 people.
People’s experience of using this service and what we found
The management and administration of medicines was robust with clear procedures in place. The management of people’s ‘as required’ medicines was safe with clear and consistent records were in place.
People’s care plans and risk assessments were detailed and reviewed regularly. They reflected people’s individual needs and preferences. People who used the service told us they felt well cared for. They said staff were extremely kind and responsive to their needs.
The staff and management team worked closely with health and social care professionals to ensure the best outcomes for people.
People were protected from the risk of abuse. Safeguarding policies and procedures were in place. Staff had received training and understood how to keep people safe and who to report to if they had any concerns.
All areas of the service were clean and well maintained. Safety checks of the premises and equipment had been undertaken. People had personal emergency evacuation plans (PEEPs) in place.
There were a range of activities available for people and this included group and one to one interaction. People’s rights to privacy, dignity and independence were respected. People’s views about the service were listened to and acted upon.
There were effective systems in place to monitor the quality of the care provided. The management team identified and promptly addressed any areas identified for development and improvement.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (Published 17 December 2018).
Why we inspected
We undertook this inspection as part of a random selection of services rated Good and Outstanding.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Lawton Manor Care Home on our website at www.cqc.org.uk.
We will continue to monitor information we receive about the service, which will help inform when we next inspect.