The Care Quality Commission
  • Care Home
  • Care home

Archived: Lauriston House

Overall: Good read more about inspection ratings

Bickley Park Road, Bromley, Kent, BR1 2AZ

Provided and run by:
Larchwood Care Homes (North) Limited

Important: The provider of this service changed. See old profile
Important: The provider of this service changed. See new profile

All Inspections

4 and 6 August 2014

During a routine inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008 and to pilot a new inspection process being introduced by CQC which looks at the overall quality of the service.

This was an unannounced inspection. At our last inspection on 22 November 2013, we found that the provider was meeting the regulations we checked.

Lauriston House provides nursing and personal care for to older people and is situated in the London Borough of Bromley. At the time of the inspection the home was providing nursing care and support to 37 people. There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service and has the legal responsibility for meeting the requirements of the law; as does the provider.

People using the service told us they felt safe and that staff treated them well. Safeguarding adults from abuse procedures were robust and staff understood how to safeguard the people they supported.

There was good contact with healthcare professionals. A GP visited the home twice a week to attend to people’s needs and people had access to a range of visiting health care professionals such as dentists, dieticians, opticians and chiropodists. There were appropriate arrangements in place to support people using the service with their medicines.

People said they knew how to make a complaint if they needed to. They were confident the provider would listen to them and they were sure their complaints would be fully investigated and action taken if necessary.

Staff said they felt well supported by the manager and senior members of staff and there was an out of hours on call system in operation that ensured management support and advice was always available when they needed it.

People using the service and the relatives we spoke with said they had noticed significant improvements at the home since the provider, Orchard Care Homes.com (3) Limited, and the current management team took over in April 2013. One relative said, “The manager is very good; he has pulled this place from the ashes.” The local authority that commission services from the provider said the home had experienced 12-18 months of “great unrest” however things had settled down. They said the manager had put a lot of effort into improving the quality of the service.

22 November 2013

During an inspection looking at part of the service

We spoke with some people who used the service and some people's relatives. People told us that they were happy living at the home and they felt they were being looked after well. One person told us the staff were "very kind" and one person's relative said they had been "quite pleased" with the care that staff had provided to their family member. People also told us that staff sought their consent before helping them with any intimate care.

We checked to see if the provider had made improvements since our last inspection in relation to consent, safeguarding and quality assurance. We found appropriate procedures were in place to seek people's consent and the provider acted in accordance with the Mental Capacity Act (2005). We found the provider had implemented improvements in relation to safeguarding vulnerable adults and had informed the Care Quality Commission when concerns were raised. The provider had suitable quality assurance systems in place to monitor the quality of the service, and we found improvements had been made as a result.

18 June 2013

During a routine inspection

People using the service and their relatives or representatives told us they felt well cared for. A person told us staff took time to speak with people and facilitated trips out of the home. Another person told us they were "happy with nearly everything" at the home and had seen recent improvements. We found that people's care was planned and delivered in line with their care plan in most cases and that staff had completed the required training.

However we found that the provider did not always assess people's capacity to make important decisions related to their care and treatment. The home did not always respond appropriately to allegations of abuse by reporting them to the Care Quality Commission (CQC) as they were required to do. We also found that the home did not take action to address issues identified by their quality monitoring processes.