Background to this inspection
Updated
22 December 2020
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to care homes with outbreaks of coronavirus, we are conducting reviews to ensure that the Infection Prevention and Control practice was safe, and the service was compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place.
This inspection took place on 2 December 2020 and was announced on the day.
Updated
22 December 2020
The inspection took place on 10 August 2018 and was unannounced. At the last inspection in July 2017 we rated the home overall as ‘Requires Improvement.’ Following the last inspection, we asked the provider to complete an action plan to show how they would make the required improvements. What they would do and by when to improve the key question in ‘Effective’ and ‘Welled’ to at least good At this inspection we saw the required improvements had been made.
Lacemaker Court is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The home is purpose built to support people living with dementia. The accommodation is provided over two floors, each floor has communal spaces to provide dinning and relaxation. All the bedrooms have ensuite facilities. On the ground floor there is access to a secure garden and additional communal rooms.
The service was registered to provide accommodation for up to 16 people. At the time of our inspection 14 people were using the service.
Lacemaker Court has a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People were supported to be protected from harm. Staff had received training in safeguarding and a range of courses to support their role. Risks had been assessed to reduce the opportunities of accidents or incidents occurring. Where these had happened, we saw risk assessments had been reviewed and measure put in place to reduce the risk of reoccurrence.
There was enough staff to support people’s needs and recruitment practices were in place. This ensured staff were suitable to work with people. Medicine was managed safety and reviewed when necessary.
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. Independence was encouraged and supported. People could choose how they spent their day.
Activities were available and people had been encouraged to be part of the planning. Their views mattered and any comments or suggested improvements had been followed.
The care plans reflected people’s needs. These included those in relation to culture and communication. People had been able to connect with the staff and had established positive relationships.
The registered manager completed a range of audits to reflect on the quality of the care being provided. These had been used to consider trends or to drive improvement. We had received notifications and the provider understood their responsibilities under their registration.
Partnerships had been established with health care professionals and this enabled good communications in promoting people’s health care needs. This included people’s nutritional requirements. These were supported and people were able to make choices in relation to their meals.
The environment was kept clean to reduce the risk of infection. The home was purpose built and provided space for people to socialise with other or to have some private space. People had been encouraged to personalise their own space.