Lyndale Nursing Home

Updated 11 March 2023

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 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

This inspection was carried out by 1 inspector.

Service and service type

Lyndale Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under 1 contractual agreement dependent on their registration with us. Lyndale Nursing Home is a care home with 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 a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority 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 all this information to plan our inspection.

During the inspection

We carried out an inspection of the home to ensure it was safe and suitable to meet people's needs. We also observed the delivery of care and support at various times throughout the day. We spoke with 5 people who lived at the home, 1 relative, the registered manager, the registered provider, 2 nurses and 2 members of care staff.

We looked at records in relation to people who used the service including 3 care plans, medication records and systems for monitoring the safety and quality of the service provided. We looked at staff training and quality assurance records.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We spoke with 2 relatives on the telephone to help us understand their experience of the care and support their loved one received.

Updated 11 March 2023

About the service

Lyndale Nursing Home is a care home which provides residential and nursing care and is registered to support up to 25 older people. At the time of our inspection, the service was providing care and support to 23 people. Accommodation is over three floors, with a large garden to the rear.

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

At the last inspection we found the safety of people’s care was compromised. The registered manager had implemented an action plan to address the breaches of regulation and recommendations made at the last inspection, and had made improvements to all aspects of the service.

People living at Lyndale Nursing Home benefited from a service which was safe and well-led.

Regular safety checks of the environment helped ensure the home was a safe place in which to live. Risks to people were identified, managed and mitigated to help keep people safe from the risk of harm. Staff followed best practice guidance in relation to infection prevention and control to help minimise the risk of COVID-19 and other infections.

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 were looked after by dedicated staff, who were motivated to provide safe, high quality and individualised care and support. People and their relatives told us how staff were caring and kind. People received appropriate care and support in line with their needs, and documentation around people's care and support helped evidence this.

The registered manager had worked hard to make the required improvements, this demonstrated their commitment to driving improvements in the safety and quality of person-centred care. The registered manager was aware of their regulatory responsibilities and obligations.

The service worked in partnership with a wide range of healthcare professionals and external services, to ensure people had access to care and support appropriate to their needs, and to prevent unnecessary admissions to hospital.

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 (report published 26 August 2022). 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.

Why we inspected

We carried out an unannounced focused inspection of this service on 26 July 2022. A breach of legal requirement was found in relation to safe care and treatment. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

We undertook this 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.

The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Lyndale Nursing Home 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.