Lyndhurst Residential Care Home

Updated 17 March 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service and to provide a rating for the service under the Care Act 2014.

This inspection took place on 20 February 2018 and was unannounced.

The inspection was completed by one inspector and an Expert by Experience. An Expert-by-Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Prior to the inspection we asked the provider to complete a provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We also looked at the notifications we received from the provider. Notifications are important events providers are required in law to notify us about.

During the inspection we spoke with three people and three relatives. We also spoke with the registered manager, one team leader, two care workers, the chef and the well-being assistant. We looked at three people's care files, four staff files and other records relating to the management of the service.

Updated 17 March 2018

This inspection was carried out on 20 February 2018 and was unannounced. At our last inspection on 28 June 2017 the service was rated required improvement overall and inadequate in well-led. During this inspection the provider and registered manager demonstrated that improvements had been made and is no longer rated as inadequate in the key question of well-led.

At the previous inspection we found two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At this inspection we found the provider had made improvements and met the requirements of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Lyndhurst Residential Care Home is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Lyndhurst Residential Care Home accommodates 20 people in one adapted building. At the time of our inspection there were 16 people using the service.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The registered manager had registered since the last inspection and had made significant improvements to the service. These improvements had a positive impact on people, relatives and staff. The registered manager promoted a person-centred, caring culture that put people at the centre of all the service did.

Effective systems had been introduced to monitor and improve the service. People, relatives and staff were involved in the development of the service and were positive about the approachability of the registered manager.

Care plans were accurate and up to date. People were involved in the development and review of their care plans. Care plans reflected people’s personal choice. Risks to people were identified and assessed. Where risks were assessed there were plans in place to ensure risks were managed.

There had been significant improvements in the well-being of people. There had been a change in culture that resulted in all staff taking time to speak and engage with people. People spent time engaged in activities that interested them. This promoted a relaxed, cheerful atmosphere which made people and relatives feel ‘at home’.

Staff felt valued and listened to. Staff were supported through regular supervision and had access to training and development opportunities. This ensured staff had the skills and knowledge to meet people’s needs.

People were kept safe through systems that ensured the environment and equipment were well maintained. Medicines were managed safely. Staff followed good infection control practices.

The provider had a safeguarding policy and procedure in place. Staff were clear about their responsibilities to identify and report any concerns relating to abuse.

People’s dietary needs were met and people were offered a choice of food to meet their personal preferences.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.