About the service Lumley Residential Home is a care home, which can accommodate up to 40 people who need support with their personal care. The service is split into a service, which provides personal care for older people, some of who are living with dementia. There is a separate 7 bed facility for adults with learning disabilities called Jeffrey Court. On the day of inspection there were 27 people living on Lumley Residential Home and Jeffery Court.
Lumley Residential Home is located in the same building as another registered care home Brancepeth Court.
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 regularly asked for their opinions and gave them freely. People were involved in discussions about their support and given information in a way they understood. Staff supported people to take part in activities and pursue their interests in the local area. People told us they could choose their own social interests and were supported by staff to do this. Where people had support, they told us this was flexible, available when required and to the level they needed. Staff supported people to play an active role in maintaining their own health and wellbeing. People were supported safely with medicines. Infection prevention and control practices needed to reflect current guidance, the manager ensured this happened.
Right Care
Staff promoted equality and diversity in their support for people. Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. The service had enough appropriately skilled staff to meet people’s needs and keep them safe. Staff had training on how to recognise and report abuse and they knew how to apply it. Staff protected and respected people's privacy and dignity. People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs. The provider understood the new electronic assessment tool required further enhancement to ensure it fully covered people’s needs. The manager had introduced comprehensive and effective care records for Jeffrey Court.
Right Culture
The service was open to new ways of working and ongoing improvements were introduced to promote independence and inclusivity. People received good quality care, support and treatment because trained staff could meet their needs and wishes. Additional training needs were explored with staff and provided to meet people’s needs. Staff placed people’s wishes, needs and rights at the heart of everything they did. They sought advice and feedback from everyone involved in people's care. Staff were aware of and working to best practice guidance for supporting people with a learning disability and/or autistic people.
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 (published 2 April 2020).
At the time we found the service was in breach of 3 regulations regarding medicine management, the effectiveness of the service’s quality assurance and staff training. 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.
At our last inspection we recommended about following best practice guidelines for people with a learning disability. At this inspection we found the provider had acted on the recommendations and had made improvements.
Why we inspected
We undertook this focused 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.
This report only covers our findings in relation to the Key Questions safe, effective, responsive and well-led which contain those requirements. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.