Lansdowne Hill Care Home

In this key question we assessed 5 quality statements relating to safeguarding, risk management, safe environments, medicine management and safe and effective staffing. Safeguarding processes were in place and staff knew how to keep people safe from abuse. The service had the appropriate health and safety checks in place in line with legislation and equipment was serviced regularly. Medicines were managed safely, however, there were some missing documents. Staff were knowledgeable about people’s individual risks and how to manage these, although records did not always reflect this. Staff, people and relatives felt staffing levels were not sufficient.

In this key question we assessed one quality statement in relation to the assessment of people’s needs and the care review process. Leaders explained the current process for assessing a person’s suitability for the service, however we received mixed responses from relatives in relation to their involvement with this process. People had care needs assessments in place and this information was transferred to people’s care and support plans.

In this key question we assessed 3 quality statements, in relation to independence choice and control, responding to people’s needs and workforce wellbeing. People were offered choices in a compassionate way and were invited to provide regular feedback about their care. Staff felt supported by the current leaders within the service. Staff had completed training in equality, diversity and inclusion. The culture of the organisation promoted these values by treating people as individuals and adopting a person-centred approach. However, staff were not always available to respond to people’s immediate needs and people and their relatives agreed with this.

In this key question we assessed 5 quality statements. Current leaders had the skills and experience to oversee the service safely, however, this was an interim arrangement until a new manager was permanently recruited. There was a culture of continuous improvement and reflection. Staff spoke positively about the current management arrangements and felt confident that any concerns would be listened to and acted on. The service worked well with other professionals. However, we found 2 incidents which has not been reported to the Commission, in line with their legal duties, and found audits had not been effective in identifying the concerns found during the assessment.