Lilbourne Court Nursing Home

People received their medicines as prescribed and overall, medicines were ordered, stored, administered and disposed of safely. However, medicine administration was not always recorded effectively. Improvements were required to the management of covert medicines, and medicines prescribed on a 'when required' basis.

People told us there were not always enough staff to meet their needs and preferences. At times, there was limited staff oversight of the communal spaces to ensure people remained safe. The new manager told us one of their key priorities was to review the staffing numbers to ensure they met the current needs of people living in the home.

Internal systems and processes were in place to check and monitor the quality of care provided. However, these had not always been used effectively. Some checks, in the absence of a registered manager, had not always been completed in line with the providers expectations. Some of the concerns we found, such as the management of risks to people's health had not been identified by the providers own internal audits.

The new manager was open and transparent about areas they had already identified as requiring improvement. An action plan had been created by the new manager to drive forward the required improvements.

Some risks associated with people's health and wellbeing had been identified, and records contained enough information to guide staff on what action to take to mitigate risks associated with areas such as catheter care and moving and handling.

Staff understood their responsibilities to protect people from the risk of abuse. Where people did raise concerns about their safety, action was taken to investigate and respond appropriately. The new manager understood their safeguarding responsibilities and had made appropriate referrals to the local authority as necessary.

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.

The home was clean and tidy. Staff followed good infection control processes.

People and relatives told us the home was well managed and spoke positively about the impact the new manager already had on the home.