Background to this inspection
Updated
25 March 2016
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 31 December 2015 and was unannounced. The inspection was carried out by one adult social care inspector.
We reviewed the information we had about Lyndhurst. We contacted the local authority and safeguarding teams as part of the inspection. We spoke with one person who used the service during our visit and we were given contact details for relatives of two others. However, although we attempted to make contact we were unable to obtain any feedback. We spoke with the registered manager, the proposed new manager, the nominated individual, the service manager and three staff. We observed how people were cared for, inspected the premises and reviewed care records for one person. We also reviewed documentation to show how the service was run.
At the time of the inspection a Provider Information Return (PIR) was not available for this service. This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. On this occasion we had not asked the provider complete this document
Updated
25 March 2016
The inspection took place on 31 December 2015 and was unannounced. The service is a specialist residential home for young people aged between 16-25 years old, who have complex mental health needs and need a residential setting with a high level of support, often after leaving hospital or secure care. There home is registered to care for five people and there were four people living there at the time of the inspection. Only one person was present during the inspection. This was the first inspection since the home was registered.
There was a registered manager in post who was planning to leave to manage another home within the organisation. Another manager was recruited and was working alongside the registered manager. This manager had applied to the Care Quality Commission for registration but this was not complete at the time of our visit. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.’
Staff were very knowledgeable about how to support people to stay safe and there was a lot of emphasis on empowering people to manage risks in an enabling way. There was no environmental audit in place, although this was being considered.
Staff had a confident knowledge of safeguarding and how to ensure people were protected from abuse.
There was extensive support for staff and staff reported feeling fully supported by the organisation in every aspect of their work; as a result the people they felt equipped and resilient to support people in their care.
Staff were passionate, caring and dedicated to their work. People were involved and included in all aspects of their care and support. Staff were respectful and there was evidence of good relationships with people.
Care was highly person centred with young people at the heart of what took place in the home. People knew how to complain and there was access to independent advocacy if required.
There was evidence the organisation invested in the well-being of staff, who in turn were able to support young people effectively.
There was an open and communicative culture and a sense of cohesion between professionals supporting people in the home, with strong links and evidence of working together.
Not all documentation to illustrate the practice in the home was up to date or complete.
The home was well run, with joined up care and support, specialist input and a nurturing setting.