Lyngate Care Home

Updated 23 June 2021

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 Care Act 2014.

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 carried out 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.

Service and service type

Lyngate 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. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. 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.

Notice of inspection

We gave the service 24 hours’ notice of the inspection.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection

We spoke with ten people who used the service about their experience of the care provided. We spoke with the registered manager, the activities coordinator and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We also spoke with a visiting health professional.

We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with one relative about their experience of the care provided. We spoke with four members of staff, including one senior carer, two carers and a domestic staff member. We contacted another health and social care professional who regularly visits the service.

Updated 23 June 2021

About the service

Lyngate Care Home is a care home which is registered to provide accommodation for up to 41 adults requiring personal care. The home is situated on the main road in the Deane area of Bolton. At the time of the inspection there were 29 people using the service.

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

Improvements had been made within the service and medicines systems were now safe. Medicines records were now complete and up to date.

Records of personal care had improved and were now complete and accurate. Documentation of risks was now more comprehensive and included information about how to mitigate risks effectively. Required health and safety records were complete and up to date.

People’s dignity was respected and people were well-presented and looked warm and comfortable. People told us they were well looked after and staff spoke to people in a kind and friendly manner. People and, where appropriate, their friends and family were involved in all aspects of their care and support.

Systems were in place to help safeguard people from the risk of abuse. Staff were recruited safely and there were enough staff to meet people’s needs effectively. Measures were in place to help prevent and control the spread of infection.

People were given choices and their opinions listened to. There was a range of activities on offer and people were encouraged to pursue their particular interests.

Individual methods of communication were documented clearly within the care files. People were supported to maintain contact with people who were important to them. People’s wishes for when they were nearing the end of life were clearly documented.

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.

Complaints were responded to appropriately and the service had received a number of compliments. Audits were completed and any issues addressed with actions. The service took learning from these to facilitate improvement to service provision.

Staff were well supported and given information to help them do their jobs effectively.

The service worked well with partner agencies, including the local authority teams district nurses and mental health services.

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 26 February 2020) and there were three 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.

Why we inspected

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, Caring, Responsive and Well-led which contain those requirements.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. 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 Lyngate Care Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.