Lanesborough House Care Home

Updated 5 July 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

Four inspectors, a specialist nurse advisor and an Expert by Experience completed this inspection. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. Three inspectors and a specialist nurse advisor visited the home and one inspector supported the inspection by making phone calls to staff. An expert by experience made calls to relatives of people who were cared for in the home.

Service and service type

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

Notice of inspection

This inspection was unannounced.

Inspection activity started on 11 January 2022 and ended on 13 January 2022. We visited the location’s service on 11 January 2022.

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 (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

What we did before 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.

We spoke with three people who used the service and eight relatives about their experience of the care provided. We spoke with 13 members of staff including the registered manager, the deputy manager, two senior care workers, four unit managers, the head of care, the chef and three care workers. We also spoke with the nominated individual who is responsible for supervising the management of the service on behalf of the provider.

We reviewed a range of records. This included eight people’s care records and multiple medication records. We looked at two staff files in relation to recruitment. We reviewed multiple agency staff profiles. A variety of records relating to the management of the service were also reviewed.

After the inspection

We continued to review and consider information received from the provider following the inspection.

Updated 5 July 2022

About the service

Lanesborough House is a residential care home providing personal and nursing care to up to 91 people. Lanesborough House is a purpose-built home where each floor of the building has separate adapted facilities that accommodate people who require nursing, dementia and residential care. At the time of our inspection there were 83 people using the service.

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

People did not always have important aspects of their care effectively monitored.

The provider had established systems and processes to review and maintain oversight of the quality of care being provided. There was a clear management structure and staff were aware of the roles the management team.

People and staff told us there were enough staff to provide people with the support they needed.

People’s risk assessments contained the information staff needed to keep people safe. Peoples care records were comprehensive and detailed.

People felt safe living in Lanesborough House and told us they were happy living in the home. Relatives also told us that people were well cared for.

Staff told us there was enough training available to support them in their roles and regular supervision. Staff felt supported and listened to by the management team.

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; systems and policies in the service supported this practice.

People’s care was person centred. People and their relatives were involved with their support plans. These detailed people’s wishes likes and dislikes as well as their physical and mental health needs and helped staff identify people’s interests.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

This service was registered with us on 16 January 2020 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively. This included checking the provider was meeting COVID-19 vaccination requirements.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.