This inspection was unannounced and took place on the 17 May 2016.
The service was previously inspected in January 2014 when it was found to be meeting all the regulatory requirements which were inspected at that time.
Lawton Manor is a care home with nursing for up to 63 older people with nursing, residential and respite needs, and also offers dementia, convalescence and palliative care.
Lawton Manor Care Home is a two storey Georgian detached house, which has been converted and extended into a 63-bedded care home. There are two passenger lifts and staircases. Wheelchair access is good within the building and grounds.
The home has a number of communal spaces, including two dining spaces, lounges, a conservatory, library, cinema room, and games room and a landscaped garden, tiered fountain, and large patio area outside for residents to relax and socialise in.
Sixty people were being accommodated at the time of the inspection.
At the time of the inspection there was a registered manager at Lawton Manor Care Home. 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 present during our inspection and engaged positively in the inspection process. The manager was observed to be friendly and approachable and operated an open door policy to people using the service, staff and visitors. During the inspection we found Lawton Manor Care Home to have a warm and relaxed atmosphere and overall people living in the home appeared happy and content.
Feedback received from people using the service spoken with was generally complimentary about the standard of care provided. People living at Lawton Manor Care Home told us the registered manager was approachable and supportive.
Staff recruitment systems were in place and information about staff had been obtained to make sure staff did not pose a risk to people using the service. However, we noted the job application form did not allow room for the applicant to provide a full employment history.
We noted that a system had been developed by the provider to review the dependency of people using the service and to calculate staffing hours deployed. Staffing levels were structured to meet the needs of the people who used the service. There were sufficient numbers of staff on duty to meet people's needs.
Staff were supported through induction, regular on-going training, supervision and appraisal. A training plan was in place to support staff learning. Staff told us they were well supported in their roles and responsibilities.
Corporate policies were in place relating to the MCA (Mental Capacity Act (2005) and DoLS (Deprivation of Liberty Safeguards). We found staff were aware of the people using the service who were subject to a DoLS.
A process was in place for managing complaints and the home's complaints procedure was displayed so that people had access to this information. People and relatives told us they would raise any concerns with the manager.
There was a quality monitoring system in place which involved seeking feedback from stakeholders and people who used the service and their relatives about the service provided periodically. This consisted of surveys and a range of audits that were undertaken throughout the year.
The registered provider had policies and systems in place to manage risks and safeguard people from abuse. Staff were aware of the whistle blowing policy and they told us they would use it if required. Staff told us they were able to speak with the manager if they had a concern.
We observed the lunchtime meals and saw staff supported people appropriately and in an unhurried way.
Staff were very attentive, friendly and quick to respond whenever a person needed assistance. People had a choice of meals and drinks at lunchtime, breakfast and supper. The chef ensured special dietary needs were met, such as soft and pureed meals for people with swallowing difficulties.
Medicines were ordered, stored, administered and disposed of safely.
People using the service had access to a range of individualised and group activities and a choice of wholesome and nutritious meals. Records showed that people also had access to GPs, chiropodists and other health care professionals (subject to individual need).
People and staff were encouraged to attend meetings with the registered manager at which they could discuss aspects of the service and care delivery. People were asked for feedback about the service to enable improvements to be made.