Archived: Lymewood Court Nursing Home

Updated 16 October 2020

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

The inspection was carried out by two inspectors. The inspection site visit was carried out on 15 September 2020 by one inspector.

Service and service type

Lymewood Court Care Home 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

We gave a short period notice of the inspection. Due to the impact of the COVID-19 pandemic we were mindful of the amount of time inspectors were on site. Therefore, records and documentation were requested prior to the site visit and one of the inspectors reviewed this information remotely.

What we did before inspection

We reviewed information we had received about the service since the last inspection and sought feedback from the local authority. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spent time around people who used the service and contacted six of their family members about their experience of the care provided. We spoke with seven members of staff including the registered manager, nurses and care staff.

We reviewed a range of records that included people’s care and medication records. We looked at two staff files in relation to recruitment and records relating to the management of the service.

After the inspection

We continued to seek clarification from the registered manager in relation to the management of the service.

Updated 16 October 2020

About the service

Lymewood Court Nursing Home is a care home providing personal and nursing care for up to 46 people. Accommodation is provided across two units, both of which are situated on the ground floor of the building. across three units with one unit specialising in providing care to people living with dementia and one specialising in supporting people requiring rehabilitation following discharge from hospital. There were 21 people using the service at the time of the inspection.

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

The systems for checking on the quality and safety of the service had improved. However, we identified that further improvement was needed to in relation to monitoring and review of records to ensure that they contained clear up to date information about people’s needs.

Safe systems were in place for the management of people’s medicines. This was an improvement from the previous inspection.

Information and guidance was available to protect people from abuse. Family members told us that they felt their relatives were safe living at the service.

Risks to people were considered and planned for and clear plans were in place to keep people safe in the event of any emergency. Safe recruitment processes were followed to ensure staff were suitable to work with vulnerable adults. There was enough suitably skilled and experienced staff on duty to safely meet people's needs.

Accidents and incidents were recorded and where required actions were taken to prevent further occurrence. This included making changes to procedures and further staff training to mitigate any future risks. There were clear procedures to prevent and control the spread of infection. The service had managed the impact of the COVID-19 pandemic.

The service had an on-going improvement plan to continue to improve the service that people received. These plans involved improvement initiatives from the Clinical Commissioning Group.

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 24 May 2019) and there was one breach of regulation. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

We carried out unannounced focussed inspection of this service on 24 May 2019. A breach of legal requirements was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve the systems to assess, monitor and improve the quality and safety of the service.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those 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 coronavirus and other infection outbreaks effectively.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Lymewood Court Care Home on our website at www.cqc.org.uk.