Landscore House

Updated 22 May 2018

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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 20 April 2018 and was unannounced.

One social care inspector and an expert-by-experience undertook the inspection. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care home. The expert-by-experience for this inspection had experience in the care and support of older people.

Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection we spoke with all 13 people living in the home. We spoke with the provider, registered manager, three care staff, five relatives and representatives, and one visiting healthcare professional. We looked at four care plans; medicine administration records; three staff files; staff training and supervision records; quality audits and records relating to the management of the service.

Updated 22 May 2018

Landscore House is a residential care home for up to 14 older people. At the time of this inspection there were 13 people living at the home. People who live in the home receive nursing care through the local community health team. The home provides both short and long term care. The care home accommodates people in one adapted building. There are two floors and people with limited mobility could use the stair lift to get up and downstairs.

At our last inspection in January 2016 we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

At this inspection we found the service remained Good.

Why the service is rated Good

People felt safe at the home. People told us there was enough staff to meet their needs and to spend time socialising with them. One person said “There are plenty of staff here. I leave my door open and they are always waving and stopping for a chat”. Risk assessments were carried out to enable people to retain their independence and receive care with minimum risk to themselves or others. People received their medicines safely.

People received effective care because staff had the skills and knowledge required to support them. Staff monitored people's healthcare needs and advice and support was sought from healthcare professionals when needed. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People enjoyed their meals at the home and were offered a wide variety of foods. One person said “The food is great. I get three roasts a week. I can always choose from the menu. If I didn’t like anything, I could ask for anything else”.

Staff provided a caring service to people. People told us, and we observed, that staff were kind, caring, and patient. Comments included “All the staff are lovely” and “If there’s anything I want I ask”. The atmosphere in the home was warm and welcoming and we saw laughter and warmth between people and staff. People were involved in decisions about the care and support they received.

Staff were responsive to people's individual needs. Care and support was personalised to each person which ensured they were able to make choices about their day to day lives. As the provider and registered manager were always visible in the home, people were able to talk with them if they had any concerns. Each person we spoke with told us they were happy with everything and didn’t need to complain about anything.

The service was well led. People and staff told us the management team were open and approachable. The registered manager and provider sought people's views. Comments included “5 stars plus” and “This is such a lovely home, we cannot think of any way it could be better.” The registered manager and provider had monitoring systems which enabled them to identify good practice and areas of improvement.

Further information is in the detailed findings below.