Lyndon Hall Nursing Home

Updated 4 September 2019

Lyndon Hall Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

This inspection was unannounced.

Inspection team

The inspection was carried out by an inspector, a specialist advisor, a pharmacist inspector and one Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. The specialist advisor was a nurse specialising in dementia care.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with 12 people who used the service and seven relatives about their experience of the care provided. We spoke with seven members of staff including the registered manager, assistant manager, nurse and the chef. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included five people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including the providers own audits, accident and incident records, complaints records and maintenance records.

Updated 4 September 2019

About the service

Lyndon Hall is a 'care home’ providing personal and nursing care. The care home accommodates 78 people across four separate wings, each of which has separate adapted facilities. Two of the wings specialise in providing residential or nursing care to people living with dementia. At the time of the inspection, there were 68 people living at the home.

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

People were kept safe as staff knew how to identify and report any concerns of abuse. Risks to people’s safety were managed well. Staff had been recruited safely and there were enough staff to meet people’s needs. Medicines were given in a safe way, and people had a clean environment to live in.

People were supported by staff who had received appropriate training. People’s needs had been assessed and their dietary needs were met. 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. The décor of the premises needed improvement to meet people’s specific needs. People had access to healthcare services where required.

People were supported by staff who knew them well and with whom they had positive relationships. People had access to some recreational and social activities, but these needed to be further developed. There was a complaints procedure in place and people knew how to raise complaints.

Everybody felt the service was well managed and that the registered manager was approachable and supportive. The registered manager had a visible presence around the service. There were effective systems in place, which were used consistently to monitor the quality of the service. People were given opportunity to provide feedback about the service.

Rating at last inspection The last rating for this service was requires improvement (published 03 August 2018) and there were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Lyndon Hall on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.