Lloyd Park Nursing Home

About the service

Lloyd Park Nursing Home is a residential care home providing personal and nursing care to up to 17 people. The service provides support to older people, people with disabilities, people living with dementia and people with a learning disability and/or autism. At the time of our inspection there were 17 people using the service.

People's experience of using this service and what we found

The service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture.

Right Support

Staff supported people to have the maximum possible choice, control and independence and people had control over their own lives. Staff focused on people’s strengths and promoted what they could do. Staff supported people to achieve their aspirations and goals. The service worked with people to plan for when they experienced periods of distress, so that their freedoms were restricted only if there was no alternative.

The service gave people care and support in a safe, clean, well equipped, well-furnished and well-maintained environment. People had a choice about their living environment and were able to personalise their rooms. People benefited from an interactive and stimulating environment. The service made reasonable adjustments for people so they could be fully involved in discussions about how they received support. Staff enabled people to access specialist health and social care support in the community.

Staff supported people to make decisions following best practice in decision-making. Staff communicated with people in ways that met their needs. Staff supported people with their medicines in a way that achieved the best possible health outcome. Staff supported people to play an active role in maintaining their own health and wellbeing.

Right Care

Staff and people cooperated to assess risks people might face. Staff promoted equality and diversity in their support for people. They understood people’s cultural needs and provided culturally appropriate care. People received kind and compassionate care. Staff protected and respected people’s privacy and dignity and they understood and responded to people's individual needs. Staff had training on how to recognise and report abuse, they understood how to protect people from poor care and abuse and the service worked well with other agencies to do so. The service had enough appropriately skilled staff to meet people’s needs and keep them safe. People’s care, treatment and support plans reflected their range of needs, promoted their wellbeing and aspirations and followed best practice.

Right Culture

People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff. People were supported by staff who understood best practice in relation to the wide range of strengths, impairments or sensitivities people with a learning disability and/or autistic people may have. This meant people received compassionate and empowering care that was tailored to their needs.

Staff knew and understood people well and were responsive to people’s wishes. Staff turnover was very low, which supported people to receive consistent care from staff who knew them well. Staff placed people’s wishes, needs and rights at the heart of everything they did. People and those important to them, including advocates, were involved in planning their care. Staff evaluated the quality of support provided to people, involving the person, their families and other professionals as appropriate. The service enabled people and those important to them to work with staff to develop the service. Staff valued and acted upon people’s views. People’s quality of life was enhanced by the service’s culture of improvement and inclusivity. Staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity.

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 (16 March 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service. We undertook a focused inspection to look at the key questions Safe and Well-led. 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 remained good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Lloyd Park Nursing Home on our website at www.cqc.org.uk

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

Lloyd Park 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.

Lloyd Park is registered to accommodate up to 18 elderly adults. At the time of our inspection there were 18 people living at the home, many of whom had a diagnosis of dementia. Lloyd Park is located in a residential road in South Croydon, close to good transport links.

The premises were well maintained. The environment was clean and the home was well stocked with hand sanitisers and personal protective equipment such as, gloves and aprons. Staff followed good practice in relation to infection control and maintained a good standard of hygiene and cleanliness. This helped to protect people from the risk and spread of infection. The equipment staff used to support people, such as hoists, was regularly serviced to ensure they were safe and in good working order.

People told us they felt safe living in the home. Staff had received training in safeguarding adults; they knew how to recognise and report abuse. There was information displayed on a notice board in a communal area of the home which gave people, staff and visitors information on how to report any concerns. People and relatives knew how to make a complaint and told us any issues raised had been dealt with to their satisfaction.

People had the opportunity to be involved in planning their care. Staff had good knowledge about people, including their backgrounds, family relationships and preferences. Care plans were in the process of being updated to better reflect a more person centred approach in line with staff knowledge of people’s individual needs. Staff adhered to the principles of the Mental Capacity Act (MCA) 2005. People were involved in decisions about their care and how it was provided such as, what time they woke up and went to bed, what they wore and where they ate.

Staff regularly reviewed people's health. Staff responded to changes in people’s needs by making appropriate referrals to their GP or other healthcare professionals. People were assisted to attend appointments with external health care professionals to ensure they received treatment and support for their specific needs. People received their medicines when they were due, in the correct dosage and the medicines they were taking were regularly reviewed. Medicines were well managed and stored in line with national guidance.

People’s privacy and diversity was respected, enabling people to be supported in the way they wanted to be. Staff supported people to keep in touch with their family and friends. Visitors were made to feel welcome and staff encouraged people to go out with their relatives.

People were very complimentary about the quality of their meals. They told us they had sufficient to eat and drink and that their meals were always well presented and enjoyable. Everybody we spoke to was satisfied with the quality of care they received. However, two people told us and we observed that the quality and frequency of organised activities could be improved.

Staff supported people at the end of their life to have a comfortable, pain free and dignified death. They worked with local health professionals ensuring people received individualised palliative care, and prompt pain relief.

The provider had a thorough recruitment process which was adhered to by the management and included conducting appropriate checks on staff before they began to work with people. Staff were well trained. People had confidence in the staff and told us the staff were competent and had the skills required to do their job. Staff told us they enjoyed working at the home and felt well supported by the registered manager and provider. There was a sufficient number of suitably qualified staff to meet people’s needs and help keep them safe.

The provider had quality assurance processes in place to monitor and improve the care people received. There were systems in place to share information and seek people's views about the running of the home. People's views were acted upon to improve the quality of care they received.

Further information is in the detailed findings below.

At our previous inspection in September 2015, we found a breach of legal requirements because the provider did not have appropriate arrangements in place to ensure care and treatment was provided to people with their consent. The provider sent us a report stating what they would do to meet legal requirements in relation to the breach.

Our inspection on 1 March 2017 was carried out to check the provider was now meeting the legal requirements. This report only covers our findings in relation to this topic. You can read the full report from our last comprehensive inspection, by selecting the 'All reports' link for Lloyd Park Nursing Home on the Care Quality Commission (CQC) website.

Lloyd Park Nursing Home is registered to provide nursing and personal care for up to 18 adults. At the time of our inspection there were 15 elderly adults living in the home.

The service had a registered manager. A registered manager is a person who has registered with the CQC to manage the service. Like registered providers, they are "registered persons". Registered persons have a legal responsibility for meeting the requirements of the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At our inspection on 1 March 2017, we found the provider had made the required improvements and the legal requirements were met. The provider had appropriate arrangements in place to ensure people's consent was obtained before care and treatment was provided. People's capacity to make particular decisions was assessed and regularly reviewed. Staff respected people's decisions. Where people lacked the capacity to make decisions regarding their care and treatment, there were up to date records detailing how and why decisions had been made in their best interests.

Staff understood the importance of obtaining informed consent from people before providing care or support. People told us they were given information which enabled them to make

decisions about their care.

Staff we spoke with said that they felt supported in their work and had opportunities to develop their skills. We saw that all staff received appropriate training including training about safeguarding. Staff competence to provide care was monitored regularly by the registered manager.

The home carried out a comprehensive programme of safety checks and was further developing their system for auditing service quality.