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Lanchester Court Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 13 November 2019

About the service

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

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

The service was a large home, bigger than most domestic style properties. This is larger than current best practice guidance. However, the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area and the other large domestic homes of a similar size. The building was separated into different areas which contained rooms and self-contained flats. Staff were discouraged from wearing anything that suggested they were care staff when coming and going with people.

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

Medicines were not always safely managed. Records and quality monitoring systems for medicines needed to be improved. People said they were generally happy using the service and said they were safe. Staff were recruited safely and understood the procedures for reporting abuse. The safety of the building had been maintained.

People’s needs were assessed before they started using the service. Staff were suitably trained and received regular supervisions and appraisals. People were supported with their nutritional needs and to access a range of health care professionals. People were supported to have maximum choice and control of their lives, and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.

There was a clear management structure and staff were supported in their roles by the management team. People were involved in the design and improvement of the service through regular ‘My Say’ meetings and questionnaires. Staff felt listened to and able to share their views through various forums.

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

Rating at last inspection

The last rating for this service was good (published 24 August 2018).

Why we inspected

We received concerns in relation to the management of medicines and staff training. As a result, we undertook a focused inspection to review the Key Questions of Safe, Effective and Well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other Key Questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those Key Questions were used in calculating the overall rating at this inspection.

The overall rating for the service has changed from Good to Requires Improvement. This is based on the findings at this inspection.

We have found evidence that the provider needs to make improvement. Please see the Safe and Well-Led sections of this full report. You can see what action we have asked the provider to take at the end of this full report.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Lanchester Court on our website at www.cqc.org.uk.

Follow up

We will request an action plan for 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 return to visit as per our re-inspection programme. If

Inspection areas

Safe

Requires improvement

Updated 13 November 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 13 November 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 13 November 2019

Responsive

Good

Updated 13 November 2019

Well-led

Requires improvement

Updated 13 November 2019

The service was not always well-led.

Details are in our well-led findings below.