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Inspection Summary


Overall summary & rating

Good

Updated 21 September 2021

About the service

Lanchester Court provides residential and nursing care and support for people with learning, neurological and physical disabilities. The service is registered to support up to 22 people. At the time of inspection, 21 people were living at the service.

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

Improvements had been made with regard to the management of medicines. People received medicines safely from staff who were competent and appropriately trained.

The provider had in place systems and processes to ensure people were safe. People were safeguarded from the risk of abuse. Staff liaised well with external safeguarding professionals.

People's support focused on their safety and basic needs. There were a range of examples of positive health outcomes for people. Some people had relished opportunities to gain new skills and become more independent.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

This service was able to demonstrate how they were meeting some of the underpinning principles of Right Support, Right Care, Right Culture. Person-centred care was not however fully embedded into practice and outcomes for people’s independence and empowerment were at times inconsistent. We have made a recommendation about the need to improve person-centred care outcomes.

More could be made of the facilities, and the opportunities people could be enabled to pursue, to enable this independence. For instance, the outdoor spaces and the skills kitchen, both of which were under-utilised.

People were supported to have maximum choice and control of their lives. Staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People told us staff were kind, and respectful. People were involved in the care planning and review process; their preferences informed care plans and communication strategies.

There was a positive culture amongst the staff at the service. People were valued as individuals and encouraged to play a part in how the service was run. The atmosphere was relaxed and homely.

The registered manager and deputy worked well together and were keen to continually improve the service. External professionals were consistent in their praise of the openness and of the leadership team.

The registered manager and deputy manager were responsive to feedback during the inspection and during follow up. However there were areas of care plans and risk assessments which required improvement. The provider's auditing processes had not identified these areas. We have made a recommendation about this.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

This last rating for this service was requires improvement (published 13 November 2019), where a breach of regulation was identified. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

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.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 21 September 2021

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 21 September 2021

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 21 September 2021

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 21 September 2021

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 21 September 2021

The service was well-led.

Details are in our well-led findings below.