Archived: Lisieux House

Updated 26 June 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was carried out by one adult social care inspector and an expert by experience. An expert by experience is someone who has personal experience of using or caring for someone who uses this type of service.

Service and service type:

Lisieux House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Lisieux House accommodates up to 12 people in to adjacent buildings. The main house is a three story building where 8 people live while four people live in the bungalow which can be accessed Via the main building’s garden.

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:

The inspection was unannounced.

What we did:

We reviewed information that we held about the service such as notifications. These are events that happen in the service that the provider is required to tell us about. We also considered the last inspection report and information that had been sent to us by other agencies. We looked at the Provider Information Return (PIR). We reviewed three people’s detailed care records, three staff records, Medicine Administration Records, records of accidents, incidents and complaints and audits and quality assurance reports.

We spoke with five people using the service, two relatives, six members of staff, the registered manager in the week following the inspection and one visiting health professional. Following the inspection, the registered manager sent us further information about how the service was organised including meeting minutes and details of the service quality assurance processes.

Updated 26 June 2019

About the service: Lisieux House is a residential care home which was providing support and accommodation for 12 people with learning disabilities at the time of our inspection.

People’s experience of using this service: People were relaxed and comfortable in Lisieux House. There were enough staff available to meet people’s needs and staffing levels were increased at weekends to enable people to access the community when they wished. People were confident requesting support and staff responded promptly to meet people’s needs.

Staff had received safeguarding training and understood how to protect people from all forms of abuse or discrimination. Risks were well managed and staff understood how to meet people’s care and support needs.

Staff were recruited safely and had received induction training in line with current best practice. Staff training was regularly updated to ensure staff had the skills necessary to meet people needs.

Care plans were accurate and informative. They provided staff with detailed guidance on people’s individual needs and communication preferences. These records had been regularly updated and included information about people’s backgrounds to help staff understand their individual needs.

The service was developed and designed before the introduction of Registering the Right Support and other best practice guidance. The principles of Registering the Right Support reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence.

The service supports up to 12 people which is significantly more that current best practice guidance. However, the service consists of two buildings, the main house which supports eight people and the bungalow in which a further four people live. People received individualised support in each building and staff were allocated separately to each building each day.

People were encouraged to be as independent as possible and supported to engage with a variety of activities, tasks and chores within the service.

Staff were well motivated and told us their managers were supportive and approachable. Quality assurance systems were appropriate and people’s feedback was valued and acted upon.

Rating at last inspection: At our previous inspection the service was rated Good overall but requires improvement in well led. This was because of issues with record keeping and the service’s quality assurance systems. (Report published 2 December 2016.)

Why we inspected: This was a planned inspection based on the previous rating.

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

The full details can be found on our website at www.cqc.org.uk