About the service: Lansbury Court Nursing Home can accommodate up to 56 people in one adapted building and on the date of this inspection there were 40 people living at the service.

People’s experience of using this service: People and their relatives were very positive about the support they received from staff. Staff were kind and caring with people and respected their privacy and dignity.

The service worked in partnership with people, relatives, staff and other health care professionals to create individual care plans that helped to promote people’s independence. People had regular reviews of their needs and all aspects of their care were consented to.

People continued to receive support with medicines safely. Care records were very detailed, reflected the current needs of the person and were in line with best practice guidance. The service was using an electronic care plan system which allowed all staff to access real-time information about people and what support they had received.

People continued to be engaged in meaningful activities and social interactions within the service and in the wider community. The premises were safe for people living at the home and adapted appropriately.

Staff continued to be safely recruited and received regular refresher training. New staff to the service were provided with an in-depth induction which provided them with all knowledge and skills needed to safely support people.

The registered manager and provider continued to monitor the effectiveness of the service through robust quality and assurance systems. These systems allowed the service to address issues, provide action plans and improve the quality of care provided to people.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

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

Rating at last inspection: Good (report published October 2017).

Why we inspected: This inspection was brought forward due to concerns we had received relating to the care provided to people and the effectiveness of the staff at the service. We found staff were effective and people were well cared for.

Follow up: We will continue to monitor the service through information we receive from the service, provider, the public and partnership agencies. We will re-visit the service in-line with our inspection programme. If we receive any concerning information we may inspect sooner.

This inspection took place on 8 September 2017 and was unannounced. This meant the provider and staff did not know we were coming.

This was the first inspection of Lansbury Court Nursing Home since Indigo Care Services Limited became the registered providers in October 2016.

Lansbury Court provides accommodation for up to 56 persons who require nursing or personal care. Some people using the service were living with dementia. The service is set in its own grounds in a residential area.

The service had a registered manager in place. ‘A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.’

The provider had a robust recruitment process in place to ensure only appropriate staff were employed to work at the service to support people safely. Staffing levels were appropriate to the needs of the people using the service. The manager used a dependency tool to ascertain staffing levels.

Risks to people and the environment were assessed and control measures in place to mitigate against risks. We found these were reviewed regularly or when there was any change in circumstances. The provider ensured appropriate health and safety checks were completed. We found up to date certificates were in place which reflected that fire inspections, gas safety checks and portable appliance tests (PAT) had taken place.

The provider had a business continuity plan in place for staff guidance in case of an emergency. People had Personal Emergency Evacuation Plans (PEEPS) in place which were updated regularly. Accidents and incident were recorded and analysed regularly to identify any patterns or themes that may need to be addressed.

There were systems in place to keep people safe. We found staff were aware of safeguarding processes and now to raise concerns if they felt people were at risk of abuse or poor practice.

Medicines were managed safely by staff who were appropriately trained and had their competency to administer medicines checked regularly. This meant the provider had systems in place to ensure the people who lived at Lansbury Court were safe.

Staff received an induction on commencement of their employment, which included shadowing experienced staff. The manager kept an electronic matrix to monitor staff training. Staff training was either up to date. Staff received regular supervision and an annual appraisal to support with their development.

People had access to health care professionals to maintain their general health and wellbeing. People’s nutritional needs were assessed on admission and reviewed regularly. Staff supported people to eat a healthy varied diet. Records of nutritional intake were maintained where necessary.

Steff were caring in their approach with the people they supported. Staff knew people's abilities and preferences, and were knowledgeable about how to communicate with people. Staff supported people to maintain relationships with relatives as part of their caring role.

Information about advocacy services were accessible to people and visitors. At the time of inspection no one was using an advocate.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

The provider used an electronic care planning system. Care plans were personalised focussing on people's assessed needs. Plans were reviewed and evaluated regularly to ensure planned care was current and up to date. Where appropriate people had emergency health care plans in place. People were supported to attend appointments designed to promote their health and well-being.

The provider had an activity planner with a range of differ