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Inspection carried out on 15 February 2021

During an inspection looking at part of the service

The Lindsay is a purpose-built home and is registered to accommodate a maximum of 62 people who require either nursing or personal care. There were 54 people living there at the time of our inspection. The home is well equipped and has good communal facilities, which include a café, cinema and hairdressing salon.

We found the following examples of good practice.

People, staff and visitors to The Lindsay were protected from risks of infection as policies and staff practices reflected best practice guidance. This included admissions to the home, staff deployment and people required to self-isolate, for example if returning from hospital.

There were robust procedures in place for all visitors. Visits were by appointment only and supported by trained staff. Visitors had to complete a health declaration, have their temperature taken and have a rapid Covid-19 test. This indicated a positive or negative test result within 30 minutes. There was a designated visitors pod with sound loop for those hard of hearing. Personal protective equipment (PPE) was supplied as necessary. Video calls, emails and telephones were used as alternatives when visits were not possible.

The home looked visibly clean and hygienic throughout. There was a regular cleaning schedule in place which included a checklist for frequently touched areas such as door handles, handrails and keypads. There was a full complement of domestic staff. Spot checks were undertaken to ensure standards were maintained and the risk of infection minimised. The home used cleaning products as recommended by the local NHS Clinical Commissioning Group. All staff had received training in infection prevention and control (IPC).

The home had a plentiful supply of all required PPE and staff were observed wearing this correctly. Staff had received links to videos advising how to put on and take off their PPE. This helped ensure a consistency of approach.

People and staff were tested in line with government guidance and were participating in the national Covid-19 vaccination programme. The home had secured people’s consent for this in line with the Mental Capacity Act 2005 (MCA). Where people did not have capacity to consent to Covid-19 related procedures contact had been made with relevant person’s including legal representatives.

The registered manager and provider understood the importance of supporting people and staff member’s mental wellbeing during the pandemic. People had individual Covid-19 risk assessments and had regular one to one sessions to keep socially stimulated. Staff were supported to shield where they had been identified as extremely clinically vulnerable. Where staff had experienced hardship, they had been supported to access a provider hardship fund.

Inspection carried out on 21 July 2017

During a routine inspection

This was an unannounced inspection that took place on 21 July 2017. We started the inspection at 6.00 am because we wanted to assess the care and support people received at a time outside of the usual working day. The aim of the inspection was to carry out a comprehensive review of the service.

The service was registered in January 2017 and this was therefore the first inspection of The Lindsay.

The Lindsay is a purpose built home and is registered to accommodate a maximum of 62 people who require either nursing or personal care. There were 31 people living there at the time of our inspection. The home is well equipped and has good communal facilities, which include a café, cinema and hairdressing salon.

The home was being led by an acting manager who confirmed that they had applied to be registered with the Care QualityCommission. They had previously been registered at another BUPA service. 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.

All of the people living at the home and visitors told us that they felt safe and well cared for. We received only positive comments about The Lindsay throughout our inspection. Staff were also positive about the home and the service they provided. They told us they felt well supported by the management team that was in place.

People told us that their care and support needs were met and that staff were kind, caring and respectful. People also said they felt safe and had confidence in the staff. There were appropriate numbers of staff on duty to meet people’s needs. People’s needs were assessed and plans were in place to ensure that their needs were met. People’s choices and decisions were respected and staff enabled people to retain their independence.

Staff knew people well and understood their needs. Care plans were detailed and regularly reviewed. This meant that there was always information for staff to refer to when providing care for people.

The provider had satisfactory systems in place to recruit and train staff in a way that ensured relevant checks and references were carried out and staff were competent to undertake the tasks required of them. The number of staff employed at The Lindsay, and the skills they had, were sufficient to meet the needs of the people they supported and keep them safe.

People were protected from harm and abuse wherever possible. There were systems in place to reduce and manage identified risks and to ensure medicines were managed and administered safely. Staff understood how to protect people from possible abuse and how to whistle blow. People knew how to raise concerns and complaints and records showed that these were investigated and responded to.

Observations and feedback from staff, relatives and professionals showed us that the home had an open and positive culture. There was a clear management structure in place. People and staff said was the acting manager was approachable and supportive.

There were systems in place to monitor the safety and quality of the service. This included the use of audits and surveying the people who used the service and their representatives.