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Inspection Summary


Overall summary & rating

Good

Updated 28 December 2019

About the service

Laverstock Care Centre is a nursing home in Salisbury. Accommodation is provided over three floors for up to 80 people some of whom live with dementia. Each floor had two separate units with their own lounges and dining areas. All rooms have their own en-suite facilities. At the time of our inspection there were 63 people living at the home.

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

People’s care was delivered by sufficient numbers of staff on duty. Staff had been recruited following safe systems to carry out the required pre-employment checks. Staffing numbers were kept under review by the registered manager and increased if needed. People benefited from safe systems of medicine management and their medicines were administered as prescribed. People told us their medicines were given to them on time. Risks to people and the environment had been assessed and there were management plans in place. Staff kept these all under review and changed them if needed.

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. People were cared for by a staff team who were trained and regularly coached by designated staff. New staff were given a thorough induction and then able to have training updates in a range of areas. Healthcare referrals were timely and appropriate, and the service worked in partnership with many local healthcare professionals.

People enjoyed the food and had a choice of meal. If they did not like the options, the chef made sure alternatives were available. Meals were relaxed and unhurried and there was enough staff to support people where needed. People told us staff were kind and caring and respected their dignity at all times. People were involved in their care and where they wished relatives were also involved. People had a choice of activities to enjoy if they wished. Activity staff were employed and planned events that people enjoyed. If people did not want to join in group activities staff made sure they had a one to one session to do an activity that was more personalised.

Individual care plans contained the guidance needed for staff to meet their needs. Care plans were reviewed monthly or sooner if needed. Some people needed additional monitoring which was carried out by staff responsively. For example, some people had food and fluid monitoring charts in place and some had re-positioning charts in place. All were completed in full and checked by nursing staff.

People told us the home was well-managed. There was quality monitoring carried out and regular checks for safety. The provider had employed a new home manager who was having an induction period to enable them to get to know people, relatives and staff. The registered manager was overseeing operational day to day management so the new manager could take uninterrupted time to settle in.

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 requires improvement (published 11 December 2018).

Why we inspected - This was a planned inspection based on the previous rating.

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.

Inspection areas

Safe

Good

Updated 28 December 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 28 December 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 28 December 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 28 December 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 28 December 2019

The service was well-led.

Details are in our well-led findings below.