Loyd House

Staff knew how to recognise abuse and the registered manager had raised concerns appropriately with the local authority and CQC.

“People were safeguarded from abuse and avoidable harm.” from the report

Inspectors saw enough staff to meet people's needs, including one-to-one support where a higher level of care was required.

“The provider ensured there were sufficient numbers of suitable staff.” from the report

Care plans contained information about people's communication, sensory needs and personal preferences. People and families were involved in creating and reviewing them.

“Care plans reflected a good understanding of people's needs, including relevant assessments of people's communication support and sensory needs” from the report

People were supported to keep in touch with others, attend day services and take part in activities suited to their interests.

“People were supported to maintain relationships, follow their interests and take part in activities that were relevant to them.” from the report

Staff noticed changes in people's health and sought advice promptly. The home's multidisciplinary team worked with health professionals.

“Records showed action was taken when people's health or wellbeing deteriorated.” from the report

As-needed medicine protocols did not always explain when medicines should be given. Cream records were incomplete, and some staff may have carried medicines for more than one person on a tray.

“People were supported to receive their medicines in a way that was not always safe.” from the report

Staff did not consistently follow infection control rules. Inspectors saw jewellery and watches being worn, missing protective aprons and gloves not changed between people.

“People were not always protected from the risk of infection as staff were not consistently following safe infection prevention and control practices.” from the report

Some training was out of date and supervision was not consistent. Inspectors observed poor moving and handling techniques when someone slipped down in a chair.

“The provider had failed to ensure staff were suitably trained, skilled, competent and supervised to carry out their duties.” from the report

Care was often focused on completing tasks, with little meaningful time spent with people. Mealtimes were described as functional and sometimes chaotic.

“Staff were often task focused and spent little meaningful time with people.” from the report

Food and fluid information was left in communal areas, putting confidentiality at risk. Other records also lacked important information or were not completed consistently.

“The provider and registered manager had not identified records were left in community areas putting people's confidentiality at risk.” from the report

Audits and management systems did not identify several safety and record-keeping problems. Some staff also did not feel able to raise concerns without fear of repercussions.

“Systems and processes were not sufficient to identify the issues we found during the inspection.” from the report