Background to this inspection
Updated
25 May 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
The inspection was carried out by two inspectors.
Service and service type
This service is a care home. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Lighthouse is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
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 Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. 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 information gathered as part of monitoring activity that took place on 24 February 2022. We used all this information to plan our inspection.
During the inspection
We spoke with five people about their experience of the care provided. We spoke with eight care staff including the registered manager and the area manager. We spoke to one visiting professional. We observed staff providing care, to help us understand the experience of people who used the service. We reviewed a range of records. This included two people’s care records, multiple medication records and a variety of records relating to the management of the service.
Updated
25 May 2022
About the service
Lighthouse is a residential care home and provides accommodation and support to adults with a substance misuse and associated needs, including mental health. The service provides support for up to 44 people and at the time of our inspection there were 37 people living at the home.
People’s experience of using this service and what we found
People were positive about the home and the support they received. People told us they received their medicines safely and when they needed them. Staff had received training in safeguarding and knew how to identify and report concerns. Accidents, incidents had been documented and lessons were learned where required. Staff received training and guidance to manage infection control effectively.
People had been involved in a very impressive refurbishment of the home and were pleased with the results. There was an established staff team that was motivated and trained to carry out their roles effectively. People found the staff supportive and care assessments were person centred and met their needs.
People and staff were positive about the culture in the home and we observed this during the inspection. Effective management systems were in place to improve the service and staff received good support and told us they enjoyed working at Lighthouse.
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.
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
The last rating for this service was requires improvement (published 15 October 2020) and there were 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.
At our last inspection we recommended that the provider reviewed their risk management policies, their approach to the recovery model and considered a programme of refurbishment. At this inspection we found the provider had acted on each recommendation and made noticeable improvements. This included an impressive refurbishment of the premises.
Why we inspected
We carried out a focused inspection of this service in September 2020 where breaches of legal requirement were found. The provider completed an action plan after the last inspection to show what they would do to improve staffing levels and governance within the service. We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions Safe, Effective and Well-led which contain those requirements.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Lighthouse on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.