Lydfords Care Home
Lewes, BN8
ResidentialDementia
Rated 3 years agoReport explained
CQC report explained · a residential care home, run by Barchester Healthcare
Wimborne
Selsmore Road, Hayling Island, PO11 9JZ
Requires improvementpublished 17 May 2024, 2 years ago
Rated Requires improvement: inspectors found the service was not performing as well as it should and told it what to change.
The latest report, explained
What inspectors found, October 2023
Requires Improvement; inspectors found unsafe medicines and risk management, although staff were kind and responsive.
This was an unannounced focused inspection on 17 and 18 August 2023. Inspectors looked only at Safe and Well-led. They spoke with people, relatives, staff and health and social care professionals, and checked medicines, records, staffing and quality checks.
The home was not always safe. Medicines were not always given as prescribed, instructions were sometimes incomplete, and risk assessments did not always contain enough information. Some incidents were not investigated promptly and seven historic safeguarding concerns had not been reported to the relevant agencies as required.
The home was also not consistently well-led. Quality checks had missed important problems with medicines, assessments and risk plans. There were positive findings too, including kind care, activities, effective staff deployment and suitable infection control arrangements.
The overall rating changed from Good at the previous inspection in 2019 to Requires Improvement. The provider must send an action plan, and the CQC will monitor progress with the provider and local authority.
What inspectors praised
Staff responded promptly
Inspectors found enough staff deployed during the visit and saw staff respond to people's needs in a timely way.
“During our inspection we observed staff responding to people's needs in a timely way.” from the report
Kind and welcoming care
People and relatives gave positive feedback about staff's kindness and the welcome for visitors.
“Feedback about the visiting arrangements was positive and all relatives said they felt welcome at the service.” from the report
Activities and engagement
People were offered different activities, and inspectors saw positive interactions between staff and people.
“People were provided with opportunities to participate in activities including ball games, singing and board games.” from the report
Safe recruitment
The home completed pre-employment checks, including DBS checks, before staff started work.
“Staff were recruited safely and pre-employment checks were completed before staff commenced in post.” from the report
Infection control
Inspectors were assured that the home had suitable arrangements for preventing and managing infection.
“We were assured that the provider was using PPE effectively and safely.” from the report
What inspectors were concerned about
Medicines were not consistently safe
seriousInstructions for some medicines were incomplete, records referred to another person, and some medicines were not given as prescribed. Inspectors said this increased the risk of administration errors.
“We were not assured that people consistently received their medicines as prescribed.” from the report
Risk assessments were incomplete
seriousSome people's risks had not been fully identified or recorded. This included risks linked to diabetes and anxiety-related behaviour.
“Pre-admission assessments and care records had not always been fully completed therefore guidance to support people to stay safe were not comprehensive.” from the report
Incidents and safeguarding notifications
seriousSome incidents were not investigated promptly and required notifications were not always sent to the CQC, local authority and safeguarding agencies. Seven historic safeguarding concerns were reported retrospectively.
“Seven historic safeguarding concerns had not been notified as required.” from the report
Quality checks missed problems
needs fixingThe home's governance systems did not consistently identify medicines errors, incomplete assessments or missing risk plans.
“Quality checks had not always been used effectively to identify shortfalls, errors and omissions.” from the report
Questions to ask them, based on this report
- 01What changes have been made to ensure medicines are given at the correct dose and at the correct times?
- 02How are 'as required' medicines and variable doses now recorded and reviewed?
- 03How do you make sure every person's risks, including diabetes and anxiety-related behaviour, are fully assessed and kept up to date?
- 04How are safeguarding incidents and other notifiable events now investigated and reported on time?
- 05What evidence can you show that the action plan from this inspection has been completed?
This was an unannounced focused inspection of Safe and Well-led only; the ratings for Effective, Caring and Responsive were carried forward from the previous inspection. This explanation was written from the published report of 11 October 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
The story over the years
Every inspection of Wimborne
4 rated inspections over 8 years: the service has held its Requires improvement rating throughout.
- October 2023Requires improvementcurrent ratingdown from GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- September 2019Goodstayed GoodSafe: GoodWell-led: Good
- March 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2015Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- May 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- September 2012
Report published without a new overall rating.
- May 2011
Report published without a new overall rating.
- February 2011
Registered with the Care Quality Commission on 15 February 2011.
Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.
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