Lapstone House

The provider for the service changed to Cumberland Council following the local government reorganisation and creation of Cumberland Council and Westmorland and Furness Council. The service was previously carried on by Cumbria County Council.

People's experience of the service and what we found: People were safe and protected from abuse and avoidable harm. Risks to people's safety had been identified and managed. People received the care they needed because there were enough staff to support them. People received their medicines safely and as they needed. The registered manager learned and shared lessons from incidents to improve the safety of the service.

People received good care because staff were trained and skilled. People enjoyed the meals provided and staff supported them to make healthy eating choices. Staff worked with appropriate services to ensure people received the healthcare support they needed. Although the home had equipment and adaptations to promote people's independence, the premises were old and outdated. However, people told us they liked their rooms. The provider had a plan to refurbish the premises to provide more comfortable accommodation for people.

People's rights were protected because the registered manager and staff understood their responsibilities under the Mental Capacity Act 2005. 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 treated in a kind, caring and respectful way. Staff knew people well and supported them to make choices about their care. Staff respected people's privacy and dignity and supported people to maintain their independence.

People received person-centred care that met their needs and took account of their wishes. Visitors were made welcome in the home and people were supported to maintain relationships which were important to them. People were provided with a range of activities which they enjoyed. The registered manager had links with appropriate services which would support people at the end of life. The provider had a procedure to respond to complaints about the service.

The registered manager had developed a person-centred culture which promoted positive outcomes for people. People told us they would recommend the home. The registered manager sought people's feedback

and used it to further improve the service. People received care that met their needs because staff worked with other services to plan and provide their support.

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