We carried out an inspection of Lindisfarne Care Home Limited on 1 and 2 September 2016. The first day of the inspection was unannounced. We last inspected Lindisfarne Care Home in September 2013 and found the service was meeting the relevant regulations in force at that time.Lindisfarne Care Home Limited provides accommodation and personal care for up to 35 people, including people living with dementia. There were 34 people accommodated there at the time of our inspection.
The service had a registered manager in post. A registered manager is a person who has registered with the CQC 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. The registered manager was present and assisted us during this inspection.
People told us they felt safe and were well cared for. Staff took steps to safeguard vulnerable adults from harm and promoted their human rights. Incidents were dealt with appropriately, which helped to keep people safe.
The building was generally safe and well maintained. A small number of hazards were addressed during or shortly after the inspection. The property was adapted, and steps had been taken to make the building suitable for the people living there. Additional signage and control measures were used to highlight and minimise potential hazards. Other risks associated with the building and working practices were assessed and steps taken to reduce the likelihood of harm occurring. The home was clean throughout.
We observed staff acted in a courteous, professional and safe manner when supporting people. Staffing levels were sufficient to safely meet people’s needs. The provider had a robust system to ensure new staff were subject to thorough recruitment checks. Medicines were safely managed.
As Lindisfarne Care Home Limited is registered as a care home, CQC is required by law to monitor the operation of the Deprivation of Liberty Safeguards (DoLS) and to report on what we find. We found appropriate policies and procedures were in place and the registered manager was familiar with the processes involved in the application for DoLS. Arrangements were in place to assess people’s mental capacity and to identify if decisions needed to be taken on behalf of a person in their best interests. Where necessary, DoLS had been applied for. Staff obtained people’s consent before providing care.
Staff had completed safety and care related training relevant to their role and the needs of people using the service. Further training was planned on a regular cycle to ensure their skills and knowledge were up to date. Staff told us they were well supported by the registered manager and other senior staff. Formal supervision meetings were not frequently conducted, although staff told us they could seek guidance and advice from the registered manager. Staff performance was assessed and targets set for their on-going development.
People’s nutritional status was assessed and plans of care put in place. People’s health needs were identified and external professionals involved if necessary. This ensured people’s general medical needs were met promptly. People were provided with assistance to access healthcare services.
Staff displayed an attentive, caring and supportive attitude. We observed staff interacted positively with people. We saw that staff treated people with respect and explained clearly to us how people’s privacy, dignity and confidentiality were maintained.
Activities were offered within the home on a group and one to one basis. Visitors were able to come and go freely. The home had a variety of communal rooms and quiet spaces which enabled people to sit in company or enjoy a quiet atmosphere. Staff understood the needs of people and we saw care plans and associated documentation were clear, concise and person centred.
People using the service and staff spoke well of the registered manager and they felt the service had good leadership. All said they would recommend the home to family or friends. We found there were effective systems to assess and monitor the quality of the service, which included feedback from people receiving care and others.