Lyles House

Updated 9 January 2024

Lyles House is a residential care home, providing care and support to up to 20 people. At the time of our assessment visit, 16 people were living at the service, many of them living with dementia. The service was built across 2 floors, with shared bathrooms and communal facilities. This was the first assessment completed since a change in registered provider. We found many areas of risk and concern within standards of care provided. As a result, we served an urgent letter of intent after our first assessment visit completed on 23 January 2024, and returned to complete a second day on site on 30 January 2024 to determine if the provider had taken action in response to our concerns. We have identified breaches in relation to safe care and treatment including in relation to the management of people's medicines, protecting people from the risks of harm and abuse, having sufficient numbers of suitably trained and competent staff on shift and good governance and oversight of the service. Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Updated 9 January 2024

We spoke with people, and observed care provided across the 2 on-site assessment visits, and sourced people's feedback on their lived experiences of the care provided. We also reviewed feedback sourced by the provider, in relation to a recent meeting held regarding food choices. People raised concerns with us regarding staffing levels, and the impact this had on them feeling safe, particularly at night. People gave mixed feedback regarding the choice and quality of the food provided. This was also reflected in the meeting minutes shared with us part of the assessment process. People shared their concerns regarding the timeliness of their medicines, particularly overnight. We identified night staff were not trained to give people their medicines, impacting on people being able to access medicines including pain relief. Whilst some people told us they were happy living at Lyles House, others told us they were actively wishing to move as no longer feeling safe and well cared for. As an outcome of this assessment and level of risk and concerns identified, we made onward referrals to the local authority safeguarding team and fire and rescue service.