Lister House Nursing Home

Updated 26 February 2022

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to care homes with outbreaks of COVID-19, we are conducting reviews to ensure that the Infection Prevention and Control (IPC) practice is safe and that services are compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on 17 February 2022 and was announced. We gave the service 24 hours' notice of the inspection.

Updated 26 February 2022

About the service:

Lister House Nursing Home is a 31 bedded service providing nursing or personal care to older people, people living with dementia and people with physical disabilities. At the time of our visit there were 26 people using the service.

People’s experience of using this service:

We found no breaches of regulations at the inspection in January 2018 but identified some improvements needed to be made in relation to medicines management and quality assurance systems needed to be embedded and tested over time. On this inspection we found improvements had been made.

Staff were caring. People we spoke with were complimentary about the service and said they would recommend the home. There was a culture within the service of treating people with dignity, respect and compassion.

Activities were on offer to keep people occupied both on a group and individual basis.

Medicines were being administered safely and people’s dietary and healthcare needs were met.

Staff were recruited safely and there were enough of them to keep people safe and to meet their care needs. Staff were receiving appropriate training which was good and relevant to their role. Staff were supported by the manager and were receiving formal supervision where they could discuss their on-going development needs.

Care plans were up to date and detailed the care and support people wanted and needed. Risk assessments were in place and showed what action had been taken to mitigate any risks which had been identified. Appropriate referrals were being made to the safeguarding team when this had been necessary.

There was a complaints procedure available which enabled people to raise any concerns or complaints about the care or support they received.

The manager, who was in the early stages of registering with CQC, provided staff with leadership and was described as being very approachable. Audits and checks were carried out and used to drive continuous improvements to the service people received.

People’s feedback was used to make changes to the service.

Quality audits had been maintained, but we identified some additional areas which needed to be included as part of these audits.

More information in Detailed Findings below:

Rating at last inspection:

Requires improvement (report published 9 February 2018).

Why we inspected:

This was a planned inspection based on the rating at the last inspection. We found improvements had been made since our last inspection and the service has met the characteristics of Good in four areas and requires Improvement in Well- Led.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.