13 April 2022
During an inspection looking at part of 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.