21 November 2022
During an inspection looking at part of the service
Lyle House is a residential care home providing personal care to up to 70 people in one adapted building. The service provides support to older people and those with dementia. At the time of our inspection there were 69 people using the service.
People’s experience of using this service and what we found
Staffing levels were not always sufficiently managed to ensure that where there were staffing shortfalls; these were promptly covered.
Staff were not always as knowledgeable as they could be in where to escalate safeguarding concerns. Relatives felt that communications with the home could be improved.
People and their relatives felt they were safe and well cared for by staff. Infection control processes were effective in minimising the risk of infection. Incidents and accidents were well managed and investigated.
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.
Staff respected people’s privacy and dignity; supporting them to be independent when they were able to be. People’s religious and cultural needs were accommodated.
Management support was improving across the home. Governance systems were in place to check the quality of care delivery and make improvements where necessary.
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 06 August 2021).
Why we inspected
The inspection was prompted in part due to concerns received about staffing levels and respecting people’s privacy and dignity. As a result, we undertook a focused inspection to review the key questions of safe, caring and well-led only.
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.
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.
We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Lyle House on our website at www.cqc.org.uk.
Enforcement and Recommendations
We have made recommendations in relation to staffing levels and safeguarding service users from improper abuse or treatment.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.