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Lancum House Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 11 May 2019

About the service:

Lancum House is registered to provide accommodation and personal care support for up to 43 older adults. At the time of the inspection, 35 people were living at Lancum House, all 35 people received the regulated activity of personal care.

People’s experience of using this service:

¿ Medicines management required strengthening to ensure there was accurate records of medication in stock and disposal of medication was carried out safely.

¿ People, their relatives and staff told us that the quality of care received was impacted using agency staff.

¿ People didn’t always feel that their possessions were safe.

¿People’s dignity had been compromised by displaying on communal notice boards who was weighed monthly.

¿ Meal time experiences for people required improving.

¿ Quality assurance audits were not always effective in identifying people’s experience of the service and the day to day culture of the service.

¿ Staff understood safeguarding procedures and were confident in reporting concerns.

¿ Risk assessments were in place to manage risks within people’s lives.

¿ Staff recruitment procedures ensured that appropriate pre-employment checks were carried out.

¿ Staffing support matched the level of assessed needs within the service during our inspection.

¿ Staff were supervised well and felt confident in their roles.

¿ People were supported to have a varied diet; however, feedback was mixed about the menu choices.

¿ Healthcare needs were met, and people had access to health professionals as required.

¿ People's consent was gained before any care was provided, and they were supported to have maximum choice and control of their lives.

¿ People were supported in the least restrictive way possible.

¿ Care plans reflected people likes dislikes and preferences.

¿ People were able to take part in a wide range of activities and outings.

¿ People and their family were involved in their own care planning as much as was possible.

¿ A complaints system was in place and was used effectively.

¿ The registered manager worked in partnership with outside agencies to improve people’s support when required

¿ The service had a registered manager in place, and staff felt well supported by them.

¿ The service met the characteristics for a rating of requires improvement in four or the five key questions we inspected and a rating of good in one. Therefore our overall rating for the service after this inspection was requires improvement. More information is in the full report.

At this inspection we found one breach of the regulations of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Enforcement: We have asked the provider to send us an action plan telling us what steps they intend to take to make the improvements needed.

Rating at last inspection: Good (report published September 2016)

Why we inspected: This was a planned inspection.

Follow up:

We will continue to monitor the service through the information we receive 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

Inspection areas

Safe

Requires improvement

Updated 11 May 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Requires improvement

Updated 11 May 2019

The service was not always effective

Details are in our Effective findings below.

Caring

Requires improvement

Updated 11 May 2019

The service was not always caring

Details are in our Caring findings below.

Responsive

Good

Updated 11 May 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 11 May 2019

The service was not always well-led

Details are in our Well-Led findings below.