Lound Hall

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

People were protected from the risk of abuse. Staff understood the principles of safeguarding and how to raise concerns if there was a need to. Appropriate referrals were made where concerns had been raised and staff and management worked together to ensure people were kept safe and to minimise further risk. People’s risks were identified and managed appropriately. People and relatives were involved in care planning to ensure care plans were person-centred. Care plans and risk assessments contained detailed information to guide staff on how to support people safely; these were regularly reviewed. Staff were recruited safely. Records showed pre-employment checks and a Disclosure Barring Service (DBS) check were undertaken prior to staff starting employment. Disclosure and Barring Service (DBS) checks provide information including details about convictions and cautions held on the Police National Computer. The information helps employers make safer recruitment decisions. There were enough staff to meet the needs of people using the service. There were systems in place which the registered manager used to regularly review staffing levels to ensure the needs of people using the service were met. Staff received appropriate training which ensured they had the right knowledge and skills to support people safely. Recent de-escalation training was completed by staff enabling staff to support people safely with specific needs.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Learning culture during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Safe systems, pathways and transitions during this assessment. The score for this quality statement is based on the previous rating for Safe.

Processes were in place to keep people safe. The provider had processes in place to safeguard people from bullying, harassment, abuse, discrimination, avoidable harm and neglect. Safeguarding policies and procedures were in place, explaining what needed to be done if abuse was suspected. Accidents and safeguarding incidents were, investigated, monitored, and action taken to reduce the re-occurrence of similar future incidents. People’s human rights were respected and mental capacity assessments were completed for people who found it difficult to make decisions about their care and treatment.

We observed people receiving care and support that met their needs in a way that was safe and caring. We saw documentation evidencing staff received appropriate training on safeguarding and how to report concerns. For concerns that were identified these were investigated promptly and referred to the local safeguarding team as required.

People and relatives told us the home was safe and people felt safe from harm. Comments from people included, "I am safer here than where I was, and I realise that now” and “This place is safe and fantastic, and every home should be like this." Staff knew people’s wishes and preferences well and people’s safety was prioritised.

Staff understood how to raise a concern and protect people from the risk of abuse. One staff member told us, “I would record it and report it to management or the directors. If I wasn’t happy with the management decisions then I would report to safeguarding." Staff had confidence that the registered manager would act on any concerns raised.

Processes were in place to ensure people’s risks were managed. The registered manager knew people’s need well and spoke to us about care planning and details of how people and their relatives were involved with managing risks. The registered manager told us, “We would sit with the people and go through their care and support. Relatives have access to the electronic care plans live feed on daily notes, care plans and daily charts such as the happy scale.” We reviewed risk assessments as part of people’s care plans which included detailed information for staff to support people to manage risk and keep them safe.

People and their relatives told us they were fully involved in their care planning and care plan reviews. This meant people and their families were involved in managing risks. One relative told us, "We are due a care plan review this week and they happen regularly.” Another relative told us, “If anything needs reviewing it is always done straight away.”

Staff were able to tell us how they delivered person-centred care and treatment to people, this meant people’s risks were managed due to people’s individual needs being met. Care plans and risk assessments were up to date which meant staff had up-to date information to support people safely. Staff told us about ‘resident of the day’. On this day people’s risk assessments and care plans were reviewed and updated accordingly.

We observed people being supported safely and specialised equipment was in place to minimise risk of accidents and incidents, for example, sensor equipment to reduce the risk of falls.

We did not look at Safe environments during this assessment. The score for this quality statement is based on the previous rating for Safe.

People told us they felt there was enough staff to meet their needs. We were told visitors could call at any time and some had done this later in the evening, weekends or early morning and there were always plenty of staff in the home. One person told us, “There are always carers wandering around so if I am fed up, I just call out and they pop in.”

Processes were in place to ensure safe staffing levels. The registered manager monitored staffing levels regularly and used a specific tool to assess the number of staff needed in line with people’s dependencies. Staff were recruited safely. The process ensured that necessary checks were completed which included reference checks, proof of identity as well as Disclosure and Barring Service (DBS) checks. A DBS check is a way for employers to check an employee criminal record, to help decide whether they are a suitable person to work for them.

Staff told us they receive appropriate training to carry out their roles safely. Staff felt supported by management and received regular supervisions and more often if requested. New staff completed an induction which was comprehensive, one staff member told us, “The induction gave me everything I needed.”

On the day of inspection, there was enough staff to support people safely. We reviewed documents which evidenced staff had completed mandatory training. Staff were observed to support people in line with good practice.

We did not look at Infection prevention and control during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Medicines optimisation during this assessment. The score for this quality statement is based on the previous rating for Safe.