Lyndhurst Park Nursing Home

Updated 18 March 2021

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.

As part of CQC’s response to the coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.

This inspection took place on 4th March 2021 and was announced.

Updated 18 March 2021

About the service:

Lyndhurst Park Nursing Home is a nursing home that provides accommodation with nursing and personal care for up to 27 people. When we visited, 25 people lived there.

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

People were supported by staff that were caring, compassionate and treated them with dignity and respect. Staff understood the needs of the people they supported and their communication needs. Staff spoke positively about the people they supported, and we made positive observations.

Risks of abuse to people were minimised because staff understood safeguarding reporting processes. Staff were confident any reported matters would be addressed by the provider. The registered manager had an oversight of current and historical safeguarding matters and communicated with external agencies when needed.

There were effective systems that ensured the service was safe. Health and safety checks, together with effective checks of the environment were completed. People, their relatives and staff commented positively on the number of staff on duty to support people and the provider operated safe recruitment procedures.

People were supported by trained staff who performed their roles competently. Staff were supported through supervision and appraisal. Staff at the service worked together with a range of healthcare professionals and followed professional advice and guidance when 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. Staff understood the Mental Capacity Act 2005 and applied the principles of the Act when performing their role.

People’s records were personalised, and staff knew the history and background of people. There were systems to ensure care was responsive. People's concerns and complaints were listened and responded to. People has escalation plans relating to end of life care decisions.

People and their relatives gave us positive feedback about the quality of care people received. The feedback on the leadership of the service and the registered manager was positive. There were quality monitoring systems operated by the provider.

The provider had failed to inform the Care Quality Commission of all notifiable incidents as required by law, as a result we have rated the ‘Well Led’ key question as Requires Improvement.

Rating at last inspection (and update): The last rating for this service was Requires Improvement (published August 2018) and there were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected:

This was a planned inspection based on the previous rating.

Follow up:

We will continue to monitor the service through the information we receive. We will inspect in line with our inspection programme or sooner if required.

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