Background to this inspection
Updated
17 March 2022
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 COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on 22 February 2022 and was unannounced.
Updated
17 March 2022
This inspection took place on 10 and 15 January 2019 and was unannounced.
At our last inspection of 24 February 2017, we found a breach of Regulation 12 of the Health and Social Care Act Regulated Activities Regulations 2014 because risk assessments were not in place for the balconies and sensor mats. We served a requirement notice and the provider sent us an action plan detailing what they would do to meet the regulations.
During this inspection we found the registered manager had completed their action plan and there was no longer a breach of this regulation.
Lawnbrook 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.
Lawnbrook Care Home is a residential care for up to 30 people who may be living with dementia. The home is purpose built over three floors with communal sitting and dining areas are on the ground floor and the other floors are accessible by passenger lift. On the day of the inspection, twenty six people were living at Lawnbrook Care Home.
There was a registered manager in place. 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.
Risk assessments identified a range of environmental risks and plans were in place to minimise these risks. The provider had policies and procedures in place designed to protect people from abuse and staff had completed training in this. Regular safety checks were completed, for example, regarding gas and electrical items and lifting equipment.
People’s needs were met by suitable numbers of staff who knew people well. Effective recruitment procedures were in place which included a range of checks to ensure staff were safe to work with people living at Lawnbrook Care Home. Medicines were stored safely and accurate records were kept showing people received their medicines as prescribed. People were protected by the prevention and control of infection using risk assessments and maintaining the cleanliness of the home. Lessons were learned and improvements made when things went wrong.
Mental capacity assessments and best interests decisions were completed where necessary. People were supported by staff who were trained appropriately for their role. People were supported to eat and drink enough and were offered choices.
People were supported to access healthcare services and ongoing healthcare support when necessary. Staff supported people to take their medicines as prescribed. The environment was suitable to meet the needs of people living with dementia.
People were treated with kindness, respect and compassion and during the inspection we observed staff interacting positively with people. People were supported to express their views and be involved in making decisions about their care. People’s privacy and dignity was respected.
People received personalised care which was responsive to their needs. People had care plans in place which covered a range of information about people’s social histories, preferences and support needs. People enjoyed a range of activities. People were supported with end of life care where needed. The provider had a complaints procedure in place and it was displayed in the entrance hall.
The registered manager promoted a positive culture which was open and inclusive. There was a management system in place and individual responsibilities were clear. People and their relatives felt they were involved in how the service was run. The registered manager had put a range of audits in place to ensure they were able to monitor people’s changing needs. The registered manager regularly sought the views of people using the service and worked in partnership with other agencies to improve the quality of the service provided.