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Lumley Residential Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 2 April 2020

About the service

Lumley Residential Care Home provides personal care to 26 older people, who are living with dementia. There is a separate seven bed facility for adults with learning disabilities called Jeffrey Court. On the day of inspection there were 23 people living on Lumley Court and six people living on Jeffery Court.

Jeffrey Court had been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service did not always receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

The provider had recognised that further work to support people with a learning disability was needed and had started to implement improvement plans.

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

Medicines were not managed safely, and we observed staff on both Lumley Court and Jeffrey Court, not following best practice.

People felt safe and supported by staff who knew them well. Risk assessments were in place. Staffing levels were appropriate to people’s needs. Incidents and accidents were documented and analysed to help identify any developing patterns. Staff worked in conjunction with a range of external healthcare professionals.

Staff said they felt supported. However, supervisions were more about discussing policies or overall staff concerns such as mobile phone use, rather than the staff members wellbeing. The registered manager said they had recognised this and changed the way they hold supervisions as from January 2020. Staff were not fully up to date with their training.

We have made a recommendation about ensuring supervisions were more supportive and training was up to date.

The dining experience needed improving. Food and fluid charts did not evidence that people were receiving enough food and fluids throughout the day.

People's needs were assessed and reviewed. People did not always receive person centred care on Jeffrey Court, we found there was a lack of choice, control and independence.

We have made a recommendation about following best practice guidelines for people with a learning disability.

We received a mixed response about the activity provision. People’s rooms were pleasantly decorated to their tastes.

The provider had quality assurance and auditing processes in place. However, these had failed to recognise all the concerns we found.

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 (published 27 September 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to the safe management of medicines and records at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 2 April 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 2 April 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 2 April 2020

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 2 April 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 2 April 2020

The service was not always well-led.

Details are in our well-led findings below.