The inspection took place on 23 November 2017 and was unannounced. Lynmere Nursing Home provides nursing care for up to 24 people. Accommodation is single storey and comprises of two communal lounge rooms one of which includes a dining area. The smallest lounge leads onto an enclosed rear garden. All bedrooms are single and four have en-suite facilities available. Car parking is available at the front of the building. There were 22 people living at the home at the time of our visit.

At the last inspection on 17 and 18 November 2014, the service was rated 'Good'. At this inspection, we found the service remained 'Good'.

There was 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.

There were sufficient staff to meet the needs of the people who used the service. However, one person’s family member felt the call bells were not always responded to in a timely manner.

The recruitment procedure was robust and measures were taken to help ensure employees were suitable to work with vulnerable people.

Systems for the management and administration of medicines were safe. It was clear that people had received their medicine as prescribed. Regular medicines audits were consistently identifying if errors occurred. However, guidelines for when people needed 'as required' medicines were not in place. The registered manager was keen to ensure this was put in place as soon as possible.

People received support that continued to be caring and respectful. People's privacy and dignity was respected by those providing assistance.

People had care and support plans that continued to reflect their personal needs and preferences. When changes occurred in people's personal and medical circumstances, these plans were reviewed to reflect the changes.

People had access to a wide range of meaningful activities. Two activity co-ordinators were in post who arranged regular activities for people. One to one activity was provided for people who were being cared for in their bedrooms.

Staff demonstrated their understanding of the Mental Capacity Act, 2005 (MCA). Staff gained people's consent before providing personal care. People were involved in the planning of their care which was person centred and updated regularly, however the provider needed to ensure care plans reviews were clearly evidenced.

Staff members knew people's likes and dislikes and supported them in the manner they preferred. People and their relatives were encouraged to raise any concerns or complaints. The provider had systems in place to address any issues raised with them.

The service had an open culture which encouraged communication and learning. People, relatives and staff were encouraged to provide feedback about the service and it was used to drive continuous improvement.

The provider had quality assurance systems in place to review the quality of the service to help drive improvement.

During our unannounced inspection we spoke to the registered manager, the deputy manager, four members of staff, two people using the service and three relatives.

The staff we spoke to were clear on how to maintain people's dignity and privacy and gave examples of how they achieved this. One member of staff told us; “It’s their home, it’s important that we respect that.”

We saw that staff interacted well with people using the service and were kind and caring in the way that they delivered care to people.

Relatives we spoke to confirmed that they were happy with the food provided at the home, they told us; “The meals are freshly cooked and they are very nice.”

Systems were in place to audit and monitor the quality of care provided to people using the service. This meant that people using the service were protected against unsafe care.

We asked the deputy manager what systems she had in place for dealing with complaints, she told us that there was a complaints policy and a folder for recording any investigations. We were able to confirm that a suitable policy and recording mechanism was in place.

We completed an unannounced inspection visit to Lynmere Nursing Home 30 July 2012. We spoke with five people who used the service, three relatives, five staff members and a visiting health professional as well as the manager during the course of our inspection.

The people we spoke with told us they had no concerns about the staff respecting their privacy or dignity and one person told us they were treated with "the utmost respect."

People said that there were choices available to them in their day-to-day lives and one person told us: "I get to choose what I want to do each day, which isn't too much these days, I get up when I want I just ask the staff to help me."

The people we spoke with during the inspection said they were happy with the care they received and found the staff "friendly" and "kind.” We saw that staff were interacting well with people in order to ensure they received the care and support they needed. The relationships we saw were warm, respectful, dignified and with smiles and laughter when appropriate.

One relative told us: "You can approach the staff or the manager with any issues or concerns. They deal with your questions in a professional way. We are very happy with the care provided here."

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014. This was an unannounced inspection.

A registered manager was 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 service met all of the regulations we inspected against at our last inspection on 17 April 2013.

The home provides nursing care for up to 24 people. Accommodation is single storey and comprises of two communal lounge rooms one of which includes a dining area. The smallest lounge leads onto an enclosed rear garden. All bedrooms are single and four have en-suite facilities available. Car parking is available at the front of the building. There were 23 people living at the home at the time of our visit.

Staff working in the nursing home understood the needs of the people who lived there and we saw that care was provided with kindness and dignity. The provider had skilled staff employed at the service to make sure the care provided was in line with best practice. People using the service and their families told us they were happy with the care being provided and the staff working at the home.

Staff were appropriately trained and skilled and provided care in a safe environment. They had all received a thorough induction when they started work at the service and fully understood their roles and responsibilities, as well as the values and philosophy of the home. The staff had completed appropriate training to help make sure that the care provided to people was safe and effective to meet their needs.

Throughout our inspection we saw examples of people and their families being included and consulted in the planning of their care and were treated with dignity, privacy and respect.

The registered manager consistently assessed and monitored the quality of care using an established in house system that was being completed regularly. Workforce management was being monitored using an effective workforce intelligence system.

The provider encouraged feedback from people using the service and their families. Feedback was given in the form of complaints, comments, compliments and an annual service user satisfaction survey. People we spoke with knew how to make a complaint and felt confident to approach any member of the staff team if they required. Feedback received was used to make improvements to the service.