About the service Lynncare 2000 is a residential care home providing personal care to seven people with learning disabilities at the time of the inspection. The service can support up to eight people.
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 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. Some environmental risk, aspects of medicines management and individual risk assessments required improvement to ensure people were safe. Action was taken to address this. Staff were recruited safely and in line with the provider’s policy.
Right Care:
The prevention and control; of infection was not always managed safely and the wearing of personal protective equipment needed to be improved. People received personalised care from staff who knew them well and ensured their rights and dignity were promoted and protected. Risk assessments required more detail, but people were safe, and staff understood their role in maintaining this.
Right Culture:
Oversight of the home and processes used to monitor the quality and safety of people needed to be improved however the registered manager promoted a positive culture where support and care of people was the highest priority. People showed they were happy with the care they received. The registered manager and staff worked with other professionals to achieve good outcomes for people.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 28 December 2019).
Why we inspected
We received concerns in relation to staffing, administration of medicines and the culture of the home. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
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.
The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.
We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.
You can see what action we have asked the provider to take at the end of this full report.
The provider took immediate action to make improvements to mitigate any risks to people.
Enforcement
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.
We have identified breaches in relation to assessing risk to people and the oversight and management of this at this inspection.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.