Lyndhurst

Updated 5 January 2023

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

This inspection was carried out by 2 inspectors.

Service and service type

Lyndhurst is a ‘care home.' People in care homes receive accommodation and nursing as a single package under one contractual agreement dependent on their registration with us. Lyndhurst 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 provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

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 it first registered. We sought feedback from the local authority and professionals who work with the service, including 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 all this information to plan our inspection.

During the Inspection

We spoke with 3 people who received a service. We also spoke with 2 support workers, a senior support worker, the deputy manager, the registered manager and the deputy head of residential services. We reviewed a range of records. This included 3 people's care records, as well as 2 medication records. We looked at the recruitment of 2 staff members as well as records relating to the management of the service, including policies and procedures.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at further quality assurance records.

Updated 5 January 2023

About the service

Lyndhurst is a residential care home providing accommodation and personal care to up to 5 people who have mental health care needs. At the time of our inspection there were 3 people using the service.

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

The service was led by a management team who demonstrated outstanding values. They showed excellent insight into the complex needs of the people who they cared for and greatly valued and supported their staff team. The culture and values of the service were consistently shared across the staff team. Staff spoke passionately and positively about working at this home. The way the service was led meant outcomes for people empowered them to grow in confidence and learn new skills. Partnership working was a strong feature of this service and systems to demonstrate oversight were robust.

People were firmly in control of their daily routines with support from staff where this was needed. Staff understood they worked in someone’s home and respected their privacy and dignity. Equality, human rights, diversity and inclusion was a strong feature of this service.

People were treated as partners in the management of their own risks. Risk assessments were detailed and provided strategies for how to reduce levels of risk. The service actively looked to learn lessons and continuously improve. Where incidents took place, an open and reflective approach was used to update risk records, with the person at the centre of those discussions.

People’s safety was a priority. Staff worked with partners to help ensure people were safe when out in the community, or for example, where they were using online services. Staff had received various safeguarding training sessions and knew how to respond to safety concerns.

People received their medicines as prescribed from staff who were trained and assessed as competent. One person was responsible for their own medication routine. There were enough staff who had been safely recruited to meet people’s needs.

People took part in meal planning and helped prepare meals which they were encouraged to eat together. People were supported to take part in education, with one person celebrating a significant achievement on the day of our inspection.

People’s care plans were person-centred and fully reflected each person’s care journey. People spoke positively about the support they received from staff and the management team.

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. People received support from a variety of health professionals. The provider had its own clinical support team, but where needed, external health professionals were also involved.

Complaints were managed appropriately. Systems of audit were effective and demonstrated oversight of the service. The culture in the service was found to be extremely positive, with staff feeling exceptionally valued and supported to deliver high quality care. Suitable steps had been taken to ensure infection control was well managed.

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

Rating at last inspection

This service was registered with us on 28 September 2020 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.