About the service Lansdowne Care Home is a service for older people who need nursing care. Lansdowne Care Home provides accommodation to a maximum of ninety-two people some of whom may have dementia. The home is split into 3 units. On the day we inspected there were 91 people living in the home.
People’s experience of using this service and what we found
The service demonstrated a compassionate awareness and understanding to end of life care. They had made improvements to end of life support for people since our last inspection.
People had access to healthcare services and were involved in decisions about their care. Partnerships with other agencies and health professionals enabled effective outcomes for people.
People's care was planned and risks to their safety and wellbeing were assessed. The service reviewed these plans regularly, involving people in these reviews and asking for their opinions.
Staff had completed safeguarding training and understood their role in identifying and reporting any concerns of potential abuse or poor practice. Medicines were managed safely.
People told us they enjoyed the food and were referred to dieticians when required, however the recording of daily fluid charts were not always accurately recorded .The registered manager took immediate action after our inspection to address this issue.
People and staff praised the managers of the service and agreed that they were approachable, knowledgeable, fair and did their job well. The staff team worked well together and supported the registered manager.
The staff team was committed to providing a high-quality service. They had undertaken training so that they were skilled and knowledgeable to effectively meet people’s needs. Staff understood their responsibilities to report any concerns.
Staff encouraged people to be as independent as possible and respected people’s privacy and dignity.
Staff consistently strived to ensure that people had the best possible care, and that they were supported in a compassionate, dignified and safe way
People were given choices about the way in which they were cared for. Staff listened to them and knew their needs well.
Care plans contained information about each person’s individual support needs and preferences in relation to their care and we found evidence of good outcomes for people.
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.
Recruitment practices were safe and relevant checks had been completed before staff worked at the service.
The managers of the service actively sought the views of people and their relatives about the running of the service and they dealt promptly with any concerns that people raised.
The provider had systems in place to monitor and improve the quality and safety of the service provided. There was a positive culture throughout the service. Staff told us they enjoyed working at the service and felt valued.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
At the last inspection we rated this service Good. The report was published on 31 October 2019.
Why we inspected
This inspection was prompted by a review of the information we held about this service. This report only covers our findings in relation to the Key Questions Safe, Effective, Responsive and Well Led. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
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.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.