This inspection took place on 19 and 23 October 2015 and was unannounced. This meant the staff and provider did not know we would be visiting.
Lindisfarne Care Home provides care and accommodation for up to 61 elderly people with residential and nursing care needs. On the day of our inspection there were 60 people using the service, some of whom had a dementia type illness.
The home had a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.
Lindisfarne Care Home was last inspected by CQC on 13 November 2013 and was compliant.
There were sufficient numbers of staff on duty in order to meet the needs of people who used the service. The provider had an effective recruitment and selection procedure in place and carried out relevant checks when they employed staff.
Accidents and incidents had been fully recorded and analysis carried out to identify any trends.
People were protected against the risks associated with the unsafe use and management of medicines.
Staff training was up to date and staff received regular supervisions and appraisals, which meant that staff were properly supported to provide care to people who used the service.
The home was clean, spacious and suitable for the people who used the service.
The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The Act requires that as far as possible people make their own decisions and are helped to do so when needed. When they lack mental capacity to take particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible.
People can only be deprived of their liberty to receive care and treatment when this is in their best interests and legally authorised under the MCA. The application procedures for this in care homes and hospitals are called the Deprivation of Liberty Safeguards (DoLS).
We checked whether the service was working within the principles of the MCA, and whether any conditions on authorisations to deprive a person of their liberty were being met. We discussed DoLS with the registered manager and looked at records. We found the provider was working within the principles of the MCA.
All of the care records we looked at contained evidence of consent.
People who used the service, and family members, were complimentary about the standard of care at Lindisfarne Care Home.
Staff treated people with dignity and respect and helped to maintain people’s independence by encouraging them to care for themselves where possible.
We saw that the home had a programme of activities in place for people who used the service.
Care records showed that people’s needs were assessed before they moved into Lindisfarne Care Home and care plans were written in a person centred way.
Risk assessments were in place where required and were regularly reviewed.
The provider had a complaints policy and procedure in place and complaints were fully investigated.
The provider had a robust quality assurance system in place and gathered information about the quality of their service from a variety of sources.
The service had good links with the local community.