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Lighthouse Lodge Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 24 October 2020

About the service

Lighthouse Lodge is a care home that provides accommodation for up to 80 people who need help with their personal care. At the time of the inspection 48 people lived in the home. Some of the people living in the home, lived with dementia.

People's experience of using this service:

At the last inspection, the provider was rated requires improvement with a breach of regulation 17 of Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, with regard to record keeping. At this inspection, although care plans and risk assessments had improved this work was still ongoing. Enough improvement had been made however for the provider to no longer be in breach of regulation 17.

People’s risks were assessed but, information in some people’s care files was sometimes contradictory. Information on people’s medical conditions and the signs and symptoms to spot in the event of ill-health was very limited and required improvement.

Medicines were managed safely with people’s ability to manage their own medication positively supported. Some people required their drinks to be thickened with a thickening agent to prevent them from choking. Records relating to this were not always clear. The competency of staff to administer medicines also needed to be re-assessed. We spoke with the manager and the regional manager about this and both of these issues were acted upon without delay.

People’s daily records showed that they received the care and support identified in their care plan. People looked well looked after, relaxed and comfortable in the company of staff.

Staff recruitment was managed well. Staff spoken with were knowledgeable about people’s needs and the people they were caring for.

The home was safe, well maintained and clean. Infection control arrangements were in place to prevent and mitigate the risk of Coronavirus. Appropriate personal protective equipment (PPE) was place and staff were using this appropriately in the day to day delivery of care.

The systems in place to monitor the quality and safety of the service had improved since our last inspection. They were being used effectively to make improvements to the service. Since our last inspection, a new manager and regional manager had come into post and during our inspection they were approachable, open to feedback and committed to continuous improvement.

Rating at last inspection and update

The last rating for this service was requires improvement (published 30 January 2020). At their last inspection we identified a breach of regulations 17 (Good governance). After the inspection, the provider completed an action plan to show us what they would do and by when, to improve. At this inspection, the provider had achieved the improvements identified in their action plan.

Why we inspected

This was a planned focused 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 reinspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 24 October 2020

The service was always safe

Details are in our Safe findings below.

Effective

Good

Updated 24 October 2020

Caring

Good

Updated 24 October 2020

Responsive

Requires improvement

Updated 24 October 2020

Well-led

Good

Updated 24 October 2020

The service was well-led

Details are in our Well-Led findings below.