Lyons Court Care Home

Updated 24 June 2023

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 Health and Social Care Act 2008.

Inspection team

2 inspectors, 1 specialist advisor nurse and 1 Expert by Experience carried out this inspection. 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

Lyons Court Care Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Lyons Court Care Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was not a registered manager in post. A new manager had been in post for 6 months and had submitted an application to register. We are currently assessing this application.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. 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 (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

During the inspection

We spoke with 3 people who used the service and 8 relatives about their experience of the care provided. We spoke with or gathered feedback via email from 12 members of staff including the manager, care and domestic staff. We reviewed a range of records. This included 12 people's care records and medicine administration records, with accompanying documentation. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 24 June 2023

About the service

Lyons Court Care Home is a residential care home providing personal and nursing care to up to 50 people in 1 adapted building. The service provides support to a range of people, including older people, people living with a dementia and people with mental health conditions. At the time of our inspection there were 38 people using the service.

People’s experience of using this service and what we found

The premises were not always effectively cleaned or well-maintained. Effective governance systems were not in place to monitor and improve standards.

Medicines were managed safely. People were safeguarded from abuse. The provider had safe recruitment procedures in place. Risks to people were assessed and monitored. 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.

We have made a recommendation about staffing levels.

People, relatives and staff spoke positively about the culture and values of the service. Feedback was sought and acted on. People and relatives spoke positively about people’s care outcomes.

Rating at last inspection and update

The last rating for this service was good (published 22 April 2021).

Why we inspected

The inspection was prompted due to concerns received about cleanliness and infection control. A decision was made for us to inspect and examine those risks.

You can see what action we have asked the provider to take at the end of this full report.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Lyons Court Care Home on our website at www.cqc.org.uk.

Enforcement and Recommendations

We have identified breaches in relation to cleanliness, infection control and governance systems at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.