Lindsey Hall Care Home

Updated 12 August 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.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was completed by two inspectors 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.

Service and service type

Lindsey Hall Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement dependent on their registration with us. Lindsey Hall Care Home 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. We sought feedback from the local authority who work with the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with nine people who use the service about their experience of the care provided. We spoke with 15 members of staff including the nominated individual, area manager, registered manager, deputy manager, senior carer workers, care workers, activities co-ordinator, cook, housekeeper, receptionist and maintenance person.

We reviewed a range of records. This included nine people's care records and multiple medicines records. We looked at five staff files in relation to recruitment and supervision. A variety of records in relation to the

management of the service, including policies and procedures were reviewed.

After the inspection

Following our visit, we spoke by telephone with the relatives of 10 people who used the service about their experience of the care provided. We also spoke with three health professionals. We continued to seek clarification from the provider to validate evidence found.

Updated 12 August 2022

About the service

Lindsey Hall Care Home is a residential care home providing accommodation and personal care for up to 79 people who may be living with dementia and/or physical disability. The home is a conversion of an old school building and has retained the front façade. All accommodation is provided on one floor and there are three units; the main residential unit and two further units (Haven and Thorpe), for people living with dementia. There are 69 single en-suite rooms and five suites which can be used as shared accommodation. The service has an extensive variety of communal areas and facilities. At the time of our inspection there were 68 people using the service.

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

Medicine were safely ordered, stored and administered, however ‘as required’ medicine guidance was not always clear.

We have made a recommendation in relation to ‘as required’ medicine guidance to support staff with the safe administration.

People were not always supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not always support this practice.

We have made a recommendation in relation to the principles of the Mental Capacity Act 2005.

At this inspection we found evidence that demonstrated people received caring, kind and positive support. Everyone we spoke with provided positive feedback about how caring, professional and supportive the staff were and so often went the extra mile to ensure people were happy and felt well cared for.

People felt safe and supported at Lindsey Hall and had chosen to live there over other alternatives. People continued to receive care and support that was personalised and reflected their needs and preferences. People's communication needs were clearly documented in their care plans.

People and staff spoke positively about the management of the service. Staff continued to receive guidance and support from management readily. People's views were regularly sought to drive improvements. Records confirmed the registered manager worked in partnership with stakeholders.

Staff continued to receive training that enhanced their skills. People were supported to have access to healthcare services to monitor and maintain their health and well-being. People were encouraged to maintain a healthy diet, where people had specific dietary requirements, these were catered for.

People had support from safely recruited and appropriately trained staff. Staff also understood their role and responsibilities to protect people from abuse. Staff and the senior management team advocated for people to promote their safety and human rights.

People and staff were proud of the home and its facilities. The home was well equipped, and staff said that if ever the need for equipment was identified all they had to do was report this to the registered manager and

it was provided. Staff understood the importance of infection control. The home was clean and well maintained throughout.

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 1 April 2021 under a new provider and this is the first inspection.

The last rating for the service under the previous provider was outstanding, published on 29 November 2017.

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.