We inspected Lloyd Park on 9 February 2018. The inspection was unannounced. At the last inspection in 2017, the service was rated 'Good'. At this inspection we found the service remained 'Good'.

Lloyd Park is a care home. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Lloyd Park is registered to accommodate up to 18 elderly adults. At the time of our inspection there were 18 people living at the home, many of whom had a diagnosis of dementia. Lloyd Park is located in a residential road in South Croydon, close to good transport links.

The premises were well maintained. The environment was clean and the home was well stocked with hand sanitisers and personal protective equipment such as, gloves and aprons. Staff followed good practice in relation to infection control and maintained a good standard of hygiene and cleanliness. This helped to protect people from the risk and spread of infection. The equipment staff used to support people, such as hoists, was regularly serviced to ensure they were safe and in good working order.

People told us they felt safe living in the home. Staff had received training in safeguarding adults; they knew how to recognise and report abuse. There was information displayed on a notice board in a communal area of the home which gave people, staff and visitors information on how to report any concerns. People and relatives knew how to make a complaint and told us any issues raised had been dealt with to their satisfaction.

People had the opportunity to be involved in planning their care. Staff had good knowledge about people, including their backgrounds, family relationships and preferences. Care plans were in the process of being updated to better reflect a more person centred approach in line with staff knowledge of people’s individual needs. Staff adhered to the principles of the Mental Capacity Act (MCA) 2005. People were involved in decisions about their care and how it was provided such as, what time they woke up and went to bed, what they wore and where they ate.

Staff regularly reviewed people's health. Staff responded to changes in people’s needs by making appropriate referrals to their GP or other healthcare professionals. People were assisted to attend appointments with external health care professionals to ensure they received treatment and support for their specific needs. People received their medicines when they were due, in the correct dosage and the medicines they were taking were regularly reviewed. Medicines were well managed and stored in line with national guidance.

People’s privacy and diversity was respected, enabling people to be supported in the way they wanted to be. Staff supported people to keep in touch with their family and friends. Visitors were made to feel welcome and staff encouraged people to go out with their relatives.

People were very complimentary about the quality of their meals. They told us they had sufficient to eat and drink and that their meals were always well presented and enjoyable. Everybody we spoke to was satisfied with the quality of care they received. However, two people told us and we observed that the quality and frequency of organised activities could be improved.

Staff supported people at the end of their life to have a comfortable, pain free and dignified death. They worked with local health professionals ensuring people received individualised palliative care, and prompt pain relief.

The provider had a thorough recruitment process which was adhered to by the management and included conducting appropriate checks on staff before they began to work with people. Staff were well trained. People had confidence in the staff and told us the staff were competent and had the skills required to do their job. Staff told us they enjoyed working at the home and

We carried out a focused inspection of Lloyd Park Nursing Home on 1 March 2017. The inspection was unannounced.

At our previous inspection in September 2015, we found a breach of legal requirements because the provider did not have appropriate arrangements in place to ensure care and treatment was provided to people with their consent. The provider sent us a report stating what they would do to meet legal requirements in relation to the breach.

Our inspection on 1 March 2017 was carried out to check the provider was now meeting the legal requirements. This report only covers our findings in relation to this topic. You can read the full report from our last comprehensive inspection, by selecting the 'All reports' link for Lloyd Park Nursing Home on the Care Quality Commission (CQC) website.

Lloyd Park Nursing Home is registered to provide nursing and personal care for up to 18 adults. At the time of our inspection there were 15 elderly adults living in the home.

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

At our inspection on 1 March 2017, we found the provider had made the required improvements and the legal requirements were met. The provider had appropriate arrangements in place to ensure people's consent was obtained before care and treatment was provided. People's capacity to make particular decisions was assessed and regularly reviewed. Staff respected people's decisions. Where people lacked the capacity to make decisions regarding their care and treatment, there were up to date records detailing how and why decisions had been made in their best interests.

We spoke to four of the 12 people who were using the service and two relatives. We also spoke to staff and inspected records and files. People said that they were happy in the home and liked living there. They said that they felt safe at the home and that the care provided was appropriate for their needs. People received individualised care and support based on an assessment and on-going reviews. People told us they would like to see more activities and things to do during the day.

Staff understood the importance of obtaining informed consent from people before providing care or support. People told us they were given information which enabled them to make

decisions about their care.

Staff we spoke with said that they felt supported in their work and had opportunities to develop their skills. We saw that all staff received appropriate training including training about safeguarding. Staff competence to provide care was monitored regularly by the registered manager.

The home carried out a comprehensive programme of safety checks and was further developing their system for auditing service quality.

We spoke to 4 of the 12 people who currently use the service. People told us staff looked after them well and there were enough staff to care for them. People we spoke with said staff respected their independence and privacy. One person told us they liked living in the home as it suited their needs. They said 'I like it here and it’s handy for me. I’m very independent and like to get out'. Another person said they would like to do more activities that they enjoyed. People told us the home was kept clean and tidy.

We inspected Lloyd Park Nursing Home on 10 and 15 September 2015. The inspection was unannounced. Lloyd Park Nursing Home is registered to provide accommodation for up to 18 people who require nursing or personal care. On the days of our inspection there were 16 people living in the home.

The home had a registered manager. 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.’

People told us they were safe. This was also the view of their relatives. Care was planned and delivered to ensure people were protected from avoidable harm. There were procedures in place to protect people from abuse. Staff were familiar with these procedures and knew how to identify abuse and report any concerns.

There was a sufficient number of suitable staff with the right skills, training and experience to help keep people safe and meet their needs.

People’s medicines were appropriately managed so they received them safely. Staff understood their responsibilities in relation to infection control. People were protected from the risk and spread of infection because staff followed the procedures in place.

People received care that met their personal care, health and dietary needs but people’s social needs were not always met in a way that suited them.

Staff responsible for conducting people’s capacity assessments had limited knowledge of the Mental Capacity Act 2005 and how it applied to people in their care. This meant there was a risk of people having decisions made for them when they were capable of making decisions for themselves.

Staff enjoyed working with the people in their care. People were treated with respect, compassion and kindness. People were supported to express their views and give feedback on the care they received.

There were procedures in place to regularly check and monitor the quality of care people received which were consistently applied by staff.

We found a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 in relation to how the provider obtained consent for people’s care and treatment.

You can see what action we told the provider to take at the back of the full version of the report.