Background to this inspection
Updated
7 December 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. 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.
Inspection team:
This inspection was carried out by one inspector.
Service and service type:
Lindsay House 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:
This inspection was announced. We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before the inspection:
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 reviewed other 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 also contacted commissioners who had a contract with the service. We used all of this information to plan our inspection.
During the inspection:
We spoke with two people who used the service. We also spoke with four staff members that included the registered manager, the manager and two mental health recovery workers. We reviewed a range of records. This included three people’s care and medication records. We looked at two staff files in relation to recruitment and staff supervision and examined a variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection:
We carried out telephone interviews with two relatives of people using the service to gain their views about the service. We continued to seek clarification from the provider to validate evidence found. We looked at training information and policies and procedures.
Updated
7 December 2019
About the service:
Lindsay House is a residential care home which is registered to provide a supported living service for people with a mental health diagnosis. The service can support up to 15 people who require personal care support.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided. At the time of our inspection five people were receiving personal care.
People’s experience of using this service and what we found:
People continued to receive safe care and were protected against avoidable harm, neglect and discrimination. There were systems in place to make sure the service was safe, with good staffing levels and skilled staff to deliver good quality care.
Risks to people were fully assessed and well managed. Staff had been safely recruited to meet people's needs and there were sufficient staff to support people. People’s medicines were safely managed, and systems were in place to control and prevent the spread of infection.
People's care needs were assessed before they went to live at the service. Staff received an induction and ongoing training that enabled them to have the skills and knowledge to provide effective care.
People were supported to eat and drink enough. Staff supported people to live healthier lives and access healthcare services when required.
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.
Staff provided care and support in a caring and meaningful way. They knew the people who used the service well. People and relatives, where appropriate, were involved in the planning of their care and support. People's privacy and dignity was maintained at all times.
Care plans supported staff to provide personalised care. People were encouraged to take part in activities and interests of their choice. There was a complaints procedure in place and systems in place to deal with complaints effectively. The service provided appropriate end of life care to people when required.
The service continued to be well managed. The provider had systems in place to monitor the quality of the service. Actions were taken, and improvements were made when needed. Staff felt well supported and said the management team were open and approachable. The service worked in partnership with outside agencies.
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 Good (published 29 June 2017)
Why we inspected
This was a planned inspection based on the previous rating.
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.