Lightbowne Hall

People felt safe living at Lightbowne Hall. Risks were identified and guidance was in place to manage them. Additional details would improve the risk assessments for when people may become agitated. People received their medicines as prescribed. Thickeners used to reduce the risk of choking were not recorded when used. This was rectified during the inspection.

There were enough staff to meet people's needs, although staff were busy on the ground floor due to people's support needs. Staff were safely recruited. Equipment was regularly checked and serviced in line with legal guidelines. Incidents and accidents were reviewed for any learning to reduce further occurrences. The home was clean throughout, and infection control was well managed.

Staff had the training and support to carry out their roles. Staff said the management team were visible in the home and approachable if they needed to speak with them. People's health, nutritional and hydration needs were being met. Referrals were made to medical professionals when required.

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 and relatives said the staff were kind, caring and respectful. Staff knew people's needs and preferences. People's cultural needs were met.

Care plans provided guidance for staff in meeting people's needs. People and their relatives were involved in agreeing and reviewing their care plans. Two members of staff took the lead for arranging activities and trips out. Staff organised activities on each floor and had completed training for armchair exercises. People's wishes for their care and support at the end of their lives was recorded.

A quality assurance system was in place. Regular audits were completed, and any actions identified assigned to a named person with agreed timescales for completion. The provider had oversight of the service through provider audits. Relatives said there was good communication with the staff team and any concerns they had were addressed. Staff said they enjoyed working at Lightbowne Hall.