Libury Hall

Updated 8 October 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 was carried out by one inspector.

Service and service type

Libury Hall is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. 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.

Notice of inspection;

This inspection was unannounced.

What we did before 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. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

We used all of this information to plan our inspection.

During the inspection;

We spoke with six people, and two people’s relatives about their experience of the care provided. We spoke with the registered manager and their management team, and four members of staff. 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 reviewed a range of records. This included four people’s care records and multiple medication records along with a variety of records relating to the management of the service.

After the inspection –

We continued to seek further evidence from the registered manager to validate evidence found.

Updated 8 October 2019

About the service

Libury Hall is a residential care home providing personal care to 39 people aged 65 and over at the time of the inspection. The service can support up to 39 people.

Libury Hall accommodates people across several individual buildings. 11 people, who require higher levels of support, live within the main house. The remaining 28 people live within one of the 28 separate bungalows. These are designed to support their independence, whilst still retaining key safety features such as pendant alarms to alert staff if people require assistance.

People's experience of using this service

The service provided exceptionally responsive, person-centred support to people which consistently achieved outstanding outcomes for people. Staff consistently went the extra mile to find out what people have done in the past. This enabled people to carry out person-centred activities, which enriched the quality of their lives. People were supported to maintain and develop new relationships that mattered to them and protected them from the risk of social isolation and loneliness. The registered manager used concerns to improve the service. The service worked closely with healthcare professionals to support people with end of life care, which ensured people experienced a comfortable, dignified and pain-free death.

People were protected from avoidable harm and abuse by staff. Risks to people's safety had been identified and assessed. Staff followed people’s risk management plans to keep them safe. People received their prescribed medicines safely, from staff who had their competency to administer medicines assessed. People’s medicines were reviewed regularly to ensure continued administration was still required to meet their needs. Cleanliness and hygiene were maintained throughout the home, which reduced the risk of infection. Staff followed the required standards of food safety and hygiene, when preparing, serving and handling food.

Staff felt valued and respected by the management team. Staff had the required skills to meet people’s needs effectively, which led to good outcomes for people’s care and support and promoted their quality of life. People’s care plans were well maintained providing staff with the required information about their needs and how to meet them. The registered manager had worked effectively with local organisations, health and social care professionals and multi-disciplinary teams.

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.

People were supported by a stable core staff group who were kind, caring and inspired by the registered manager to deliver high quality, personalised care.

The service was led by a management team who were respected by staff and people, and who led by example. Governance systems in the service supported the high quality care people received and improvement plans continually sought ways to develop the care further.

Rating at the last inspection

At the last inspection on 23 November 2016 the service was rated Good (report published 11 January 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We did not identify any concerns at this inspection. We will therefore aim to re-inspect this service within the published time scale for services rated good. We will continue to monitor the service through the information we receive.

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