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Lobswood House Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 11 June 2019

About the service: Lobswood House is a residential care home that provides accommodation and personal care for up to 26 people living with dementia or mental health needs. At the time of our inspection, 23 people were living at the home.

People’s experience of using this service: People told us they were happy and felt safe living at Lobswood House; One person said, “I like living here the staff are nice.” However, we found people were not always protected from risks associated with their environment.

The provider did not have sufficient oversight of the service. Quality assurance systems were not always effective as they did not identify the issues we found at this inspection. These included concerns relating to the management of risk for example, falls from height and ensuring that the home was working within the principles of the Mental Capacity Act 2005 (MCA).

There was a risk that people's rights were not protected because staff did not always act in accordance with the Mental Capacity Act 2005 (MCA). Where people's capacity was in question MCA assessments were not always taking place and best interests decision processes had not always been followed.

People received personalised care from staff who knew them well and understood how to meet their needs. Care plans contained information about individual preferences and what was important to people such as interests and activities.

People’s medicines were managed, stored and administered safely and appropriately by staff who had been trained and assessed as competent to do so

People's privacy and dignity was respected, their independence promoted, had access to healthcare professionals when required and were supported to maintain a balanced healthy diet.

People were supported by staff who had completed a range of training to meet their needs. Staff told us they felt well supported by the management team. The management team monitored staffs’ practice through regular observation and formal supervision.

People were treated kindly and compassionately and supported to express their views and make decisions about their care. People and their relatives felt comfortable raising complaints and were confident these would be listened to and acted on.

Rating at last inspection: Lobswood House was previously rated as ‘Good.’ The report was published on the 22 December 2016.

Why we inspected: This was a planned inspection that was scheduled to take place in line with Care Quality Commission scheduling guidelines for adult social care services.

Enforcement: We found breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Please see the ‘action we have told the provider to take’ section towards the end of the report.

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.

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 June 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Requires improvement

Updated 11 June 2019

The service was not always effective

Details are in our Effective findings below.

Caring

Good

Updated 11 June 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 11 June 2019

The service was responsive

Details are in our Responsive findings below

Well-led

Requires improvement

Updated 11 June 2019

The service was not always well-led

Details are in our Well-Led findings below.