Background to this inspection
Updated
15 September 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
The inspection was carried out by two inspectors and a medicines inspector.
Service and service type
Lennon House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Lennon House is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced. We visited the service on 18, 23 and 25 August 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
We spoke with three members of staff including the registered manager and two senior support workers. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We gathered feedback from two professionals and spoke to one relative about their experiences of the care provided.
We reviewed a range of records. This included two people's care records and medication records. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
15 September 2022
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.
About the service
Lennon House is a residential care home providing personal care to up to three people. The service provides support to people that have a learning disability and autistic people. At the time of our inspection there were two people using the service.
People’s experience of using this service and what we found
Right Support
People had active and meaningful lives. People were supported by staff to pursue their interests, so people had a fulfilling and meaningful everyday life. Staff supported people to achieve their aspirations and goals.
The service gave people care and support in a safe, clean and well-maintained environment. We recommended the provider follow best practice in relation to the management of medicines.
People had a choice about their living environment and were able to personalise their rooms.
Staff enabled people to access health and social care support in the community.
Right Care
People received kind and compassionate care.
Staff protected and respected people's privacy and dignity. They understood and responded to their individual needs. Staff understood how to protect people from poor care and abuse. Staff had training on how to recognise and report abuse and they knew how to apply it.
The service had enough appropriately skilled staff to meet people's needs and keep them safe. We made a recommendation about the management of medicines.
People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs.
People's care, treatment and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life.
People received care that supported their needs and aspirations, was focused on their quality of life, and followed best practice
Right Culture
People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff.
Staff knew and understood people well and were responsive, supporting their aspirations to live a quality life of their choosing.
People were supported by consistent staff who knew them well.
People and those important to them, including advocates, were involved in planning their care.
Staff evaluated the quality of support provided to people, involving the person, their families and other professionals as appropriate.
The service enabled people and those important to them to work with staff to develop the service.
People's quality of life was enhanced by the service's culture of improvement and inclusivity. Quality assurance systems needed strengthening further and embedding into practice. We made a recommendation about the providers systems being strengthened.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 05 February 2021 and this is the first inspection.
Why we inspected
We undertook this inspection to assess that the service is applying the principles of Right support right care right culture.
We have found evidence that the provider needs to make improvements. Please see the well-led sections of this full report.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.