Lyndale

Updated 14 September 2019

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:

This inspection took place on 17 July 2019, by one inspector, and was unannounced.

Service and service type:

Lyndale is a ‘care home’. People in care homes receive accommodation and 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 home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

What we did before the inspection:

We reviewed information we had received about the home since the last inspection in November 2016. This included details about incidents the provider must notify us about, such as abuse. We assessed the information we require providers to send us at least once annually (the Provider Information Return) to give some key information about the service, what the home does well and improvements they plan to make. We checked for feedback from local authorities and commissioning bodies. We used all this information to plan our inspection.

During the inspection-

We looked at the information we had gathered. We met and spoke with three people living at Lyndale, we spent time observing staff working with and supporting people in communal areas during the inspection. We spoke with three care staff, which included carers, team leaders and the registered manager.

We reviewed a range of records in paper form and computer held records. This included two people's care records and medication records. We also looked at the training records of all staff and staff rotas and one staff file. We reviewed records relating to the management of the home and looked at a small selection of policies and procedures developed and implemented by the provider.

Updated 14 September 2019

About the service

Lyndale is registered to provide personal care to ten people with learning disabilities, aged 18 and over. Lyndale accommodates eight people in one adapted building and has two independent living style flats attached.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence.

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

People who lived at the home continued to receive good care. Staff knew people well and provided support that met people's needs and enabled them to take part in activities within the home and community in line with their preferences. People were supported with kindness and consideration. Staff knew how to keep people safe and had received training in how to reduce the risks of harm from occurring.

People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them. The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

People received medications safely and risks to people had been assessed and managed to identify and reduce the impact of any known risks. People were supported to access healthcare services as needed and staff responded promptly to changes in people's health. Routine checks and audits were carried out to ensure that all aspects of the service were being delivered safely.

People's rights were upheld and protected, and people received kind support and assistance to have choice and control over their day to day lives. People's preferences were known by staff and enabled people to do as much as possible for themselves.

Effective monitoring systems were in place enabling people to have a good quality of life. People and staff were encouraged to provide feedback about the home and the management team were keen to identify other improvements that could be made to support people to further improve their lives.

The registered manager was aware of their responsibility to report events that occurred within the home to the CQC and other external agencies, complying with the regulations.

Rating at last inspection:

The service was rated Good at the last inspection (report published 02 November 2016).

Why we inspected:

This was a planned inspection based on the previous rating.

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk