13 July 2023
During an inspection looking at part of the service
The Lombrand is a residential care home providing accommodation and personal care for up to 21 people who need support with their mental health. At the time of our inspection 14 people were living at the home.
People's experience of using this service and what we found
People received kind and compassionate care from staff who knew them well. People were happy and relaxed being supported by staff, and staff supported people to be independent and respected their privacy and dignity.
Staff were skilled, experienced, and had the training to support people effectively.
People were supported safely with food and drink, and to see health and social care professionals if this support was necessary.
The environment was suitable to people's needs.
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 personalised care which met their support needs and their preferences. People were encouraged and supported to do things that they enjoyed.
The registered manager and staff team promoted a positive culture at the home. The registered manager completed audits to monitor the quality of the service and put actions in place to continually improve the service. People, and the staff team were regularly asked to give their feedback about the service.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was requires improvement (published 24 May 2023).
Why we inspected
This focused inspection was prompted by a review of the information we held about this service.
This report only covers our findings in relation to the key questions of effective, caring, responsive and well led which contain those requirements.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.
Please see the effective, caring, responsive and well led sections of this report.
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.
You can read the report from our last inspection, by selecting the 'all reports' link for The Lombrand on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.