Archived: Layston Grove Care Home

Layston Grove Care Home is a care home providing accommodation for up to 66 people older people, some of whom are living with dementia. At the time of the inspection there were 26 people living at the home.

People’s experience of using this service and what we found

At the last inspection, the service was failing to ensure people’s safety was promoted and did not have effective governance systems. As a result, there was found to be a breach of regulation 12 (Safe care and treatment).

At this inspection we found that the required improvements had been found and systems implemented to address the shortfalls had been effective.

People felt safe and told us the staff were kind and friendly. Relatives felt the staff team were very good. People’s safety and welfare was monitored. If an incident or concern arose, the management team identified and resolved it. Incident, events and unexplained injuries were recorded and investigated. Where needed, incidents were reported appropriately.

People were treated with dignity and respect. People and staff had developed positive relationships and staff knew people well. Care plans were detailed giving staff the appropriate information to meet people’s needs.

Records were reviewed to help ensure people’s needs had been met. Staffing was monitored to help ensure staffing numbers were effective.

Staff felt they had enough training and support to do their role and found the leadership of the management team to be good. Training relating to infection control and COVID-19 had been delivered. Staff knew how to reduce the risk of transmission of COVID-19. However, we found that staff did not always work safely in relation to COVID-19. The registered manager advised that additional training was scheduled following the inspection to address this.

Medicines were now managed safely, and these were checked through an audit system.

Governance systems to monitor and identify concerns had been developed and these had been effective as the issues found at the last inspection had been addressed.

Rating at last inspection

The last rating for this service was Requires Improvement (published 15 May 2019) and there was a breach of regulation. The provider sent us an action plan stating how they would make the required improvements.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 09 April 2019. A breach of legal requirement was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.

We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

Please see the safe section of this full report. You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Layston Grove Care Home on our website at www.cqc.org.uk.

Follow up

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

People’s experience of using this service:

This was the first inspection of the service since it registered on 27 March 2018.

People had their individual risks assessed and staff were aware of these. However, staff needed further development to ensure they could recognise increased risk and the need to take the required remedial action. There were no monitoring or reporting systems for unexplained bruises. This may have aided the management team in identifying shortfalls with moving and handling practice.

The provider had systems in place to help them to strive to provide good quality care and ensure staff were trained. However, observation and supervision of staff competency needed further development and systems did not identify the issues we found as part of the inspection.

People were happy at the service and were supported by staff who knew them well. People felt in most cases privacy and dignity was promoted, however there were elements that could be improved. People were able to choose how to spend their time and encouraged to make decisions about their care.

People told us they had enough to do and enjoyed the activities available. People had the opportunity to go out regularly. People told us were supported by enough staff and told us they felt their needs were met. Staff were recruited safely.

The registered manager was well known throughout the home and people and staff were positive about them. The providers were also well known by people living at the service. All staff were clear that the ethos of the home was about good quality care and putting people first and enjoyed working at the service.

The service met the characteristics for a rating of "Requires improvement" in two key questions and met the characteristics for a rating “Good” in three key questions.

More information about our inspection findings is in the full report.

Rating at last inspection: This was the first inspection since the home opened and was registered with us.

Why we inspected:

This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.

Follow up: The provider has been asked to send us an action plan on how they will address the shortfalls identified in this report. We will continue to monitor the service to ensure it provides safe and effective care. We will plan further inspections in the future.