Lewin House

Lewin House is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. We regulate both the premises and the care provided, and both were looked at during this inspection.

The service can provide nursing care and treatment for up to 70 adults. At the time of our inspection, the service accommodated 64 people across four separate units, each of which had separate adapted facilities. Some of the units specialised in providing care to people living with dementia.

The provider is required to have a registered manager as part of their conditions of registration. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. At the time of our inspection, there was a registered manager in post.

At our last inspection on 10 and 11 August 2016, we rated the service "good". At this inspection we found the evidence continued to support the rating of "good" and there was no information from our inspection, or ongoing monitoring, that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Why the service is rated good:

We found people were protected against abuse or neglect. There were personalised risk assessments tailored to people's individual needs. Sufficient staff were deployed to provide support to the person and ensure their safety. Medicines were safely managed. There was appropriate infection prevention and control.

At our last inspection, we found a breach of the regulations regarding obtaining and recording people's consent to care and treatment. The service was now compliant with the requirements of the Mental Capacity Act 2005 (MCA) and associated codes of practice. People were assisted to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.

Staff received appropriate induction, training, supervision and support. This ensured their knowledge, skills and experience were relevant to their role. Access to other community healthcare professionals ensured the person could maintain a healthy lifestyle.

Staff had developed positive relationships with people who used the service and their relatives. There was

complimentary feedback from people, relatives and other healthcare professionals about staff and the service. People's privacy was respected and they received dignified support from staff.

The service provided person-centred care to people. We made a recommendation about equality, diversity and human rights training. People's care plans were detailed and contained information on how staff could provide the right care. There was a satisfactory complaints system in place. Care of people with dementia was a strength of the service, and staff were passionate to develop this area to an outstanding level.

The service was well-led. There was a positive workplace culture and staff felt that management listened to what they had to say. The management had appropriate methods in place to measure the safety and quality of care.

Further information is in the detailed findings below.

The five questions we ask about services and what we found