Lumley Residential Home

Updated 21 December 2022

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 Health and Social Care Act 2008.

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

An inspector carried out the inspection.

Service and service type

Lumley Residential Home is a ‘care home’. People in care homes receive accommodation and personal care as a single package under one contractual agreement dependent on their registration with us. Lumley Residential Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was not a registered manager in post. A manager had recently applied but left the service during the inspection and prior to their application being fully processed.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local commissioners and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used information gathered as part of monitoring activity that took place on 20 April 2022 to help plan the inspection and inform our judgements. We used all this information to plan our inspection.

During the inspection

We spoke with 14 people who used the service about their experience of the care provided and contacted 12 relatives. We spoke with the director, regional manager, manager, 2 seniors, 6 care staff members, the cook and a domestic.

We reviewed a range of records, which included 5 people’s care records, staff files and a variety of records relating to the management of the service, including policies and procedures.

Updated 21 December 2022

About the service

Lumley Residential Home is a care home, which can accommodate up to 40 people who need support with their personal care. The service is split into a service, which provides personal care for older people, some of who are living with dementia. There is a separate 7 bed facility for adults with learning disabilities called Jeffrey Court. On the day of inspection there were 27 people living on Lumley Residential Home and Jeffery Court.

Lumley Residential Home is located in the same building as another registered care home Brancepeth Court.

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

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support

People were regularly asked for their opinions and gave them freely. People were involved in discussions about their support and given information in a way they understood. Staff supported people to take part in activities and pursue their interests in the local area. People told us they could choose their own social interests and were supported by staff to do this. Where people had support, they told us this was flexible, available when required and to the level they needed. Staff supported people to play an active role in maintaining their own health and wellbeing. People were supported safely with medicines. Infection prevention and control practices needed to reflect current guidance, the manager ensured this happened.

Right Care

Staff promoted equality and diversity in their support for people. Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. The service had enough appropriately skilled staff to meet people’s needs and keep them safe. Staff had training on how to recognise and report abuse and they knew how to apply it. Staff protected and respected people's privacy and dignity. People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs. The provider understood the new electronic assessment tool required further enhancement to ensure it fully covered people’s needs. The manager had introduced comprehensive and effective care records for Jeffrey Court.

Right Culture

The service was open to new ways of working and ongoing improvements were introduced to promote independence and inclusivity. People received good quality care, support and treatment because trained staff could meet their needs and wishes. Additional training needs were explored with staff and provided to meet people’s needs. Staff placed people’s wishes, needs and rights at the heart of everything they did. They sought advice and feedback from everyone involved in people's care. Staff were aware of and working to best practice guidance for supporting people with a learning disability and/or autistic people.

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 2 April 2020).

At the time we found the service was in breach of 3 regulations regarding medicine management, the effectiveness of the service’s quality assurance and staff training. 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.

At our last inspection we recommended about following best practice guidelines for people with a learning disability. At this inspection we found the provider had acted on the recommendations and had made improvements.

Why we inspected

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements.

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.

This report only covers our findings in relation to the Key Questions safe, effective, 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.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.