Updated 11 January 2024
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 team consisted of 1 inspector, 1 regulatory coordinator and 2 Experts by Experience. A regulatory coordinator is a new role which is part of the new inspection team changes within The Care Quality Commission. They were shadowing the inspection and talking to staff. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Lanercost 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. Lanercost House is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
The inspection was unannounced.
What we did before the inspection
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 contacted the local authority safeguarding team, the local infection control team, the local fire service and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all this information to plan our inspection.
During the inspection
We spoke with 18 people about their experience of the care provided. We spoke with 20 relatives to gain their feedback on the care provided to their loved one. We spoke with the registered manager, deputy manager, 2 unit managers and the regional manager. We gained feedback from a further 14 members of nursing and care and support staff.
We contacted the 12 health and social care professionals to gain their feedback and received responses from 6.
We reviewed recruitment records for 4 staff and a range of records relating to the management of the service, including audits, risk assessments, and policies. We also reviewed the care plans of 8 people who lived at the home.