Updated 5 July 2022
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 Health and Social Care Act 2008.
Inspection team
Four inspectors, a specialist nurse advisor and an Expert by Experience completed this inspection. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. Three inspectors and a specialist nurse advisor visited the home and one inspector supported the inspection by making phone calls to staff. An expert by experience made calls to relatives of people who were cared for in the home.
Service and service type
Lanesborough House 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.
Notice of inspection
This inspection was unannounced.
Inspection activity started on 11 January 2022 and ended on 13 January 2022. We visited the location’s service on 11 January 2022.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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.
We spoke with three people who used the service and eight relatives about their experience of the care provided. We spoke with 13 members of staff including the registered manager, the deputy manager, two senior care workers, four unit managers, the head of care, the chef and three care workers. We also spoke with the nominated individual who is responsible for supervising the management of the service on behalf of the provider.
We reviewed a range of records. This included eight people’s care records and multiple medication records. We looked at two staff files in relation to recruitment. We reviewed multiple agency staff profiles. A variety of records relating to the management of the service were also reviewed.
After the inspection
We continued to review and consider information received from the provider following the inspection.