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CQC report explained · a residential care home

What the CQC found at 216 Lightwood Road

Goodpublished 10 January 2019, 7 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured about infection prevention and control, visiting arrangements, testing, protective equipment and the management of COVID-19-related staffing pressures.
Effective?
Good
This area was not covered by this targeted inspection.
Caring?
Good
This area was not covered by this targeted inspection.
Responsive?
Good
This area was not covered by this targeted inspection.
Well-led?
Good
This area was not covered by this targeted inspection.
The latest report, explained

What inspectors found, February 2022

Inspected but not rated; inspectors were assured about infection control, visiting arrangements and COVID-19 safety measures.

This was a targeted, announced inspection on 25 January 2022. Inspectors looked mainly at infection prevention and control, visiting arrangements and staffing pressures linked to COVID-19.

The home was clean and hygienic. Inspectors were assured that visitors were managed safely, people were admitted safely, personal protective equipment was used properly and testing was available.

The home had visiting plans to support people's social contact. Staff had checks to make sure they followed personal protective equipment guidance, and the provider said it had measures to manage COVID-19-related staffing pressures.

The service was inspected but not rated. This report does not give a new overall quality rating or ratings for the other areas of care.

What inspectors praised
  • Safe visiting

    The home had arrangements for receiving visitors safely and plans to support people's social contact needs.

    “Systems were in place so the service could receive visitors safely, in line with government guidance.” from the report
  • Clean environment

    Audits and cleaning schedules were in place to support a clean and hygienic home.

    “Infection prevention and control audits were completed, and cleaning schedules were in place to ensure the service was clean and hygienic.” from the report
  • Protective equipment

    Inspectors were assured that protective equipment was being used safely. Staff competency checks had been completed.

    “Competency checks had been undertaken to ensure staff were complying with PPE guidance correctly.” from the report
  • Testing and vaccination

    The home followed the latest testing guidance and met the vaccination requirement for non-exempt staff and visiting professionals.

    “The service was meeting the requirement to ensure non-exempt staff and visiting professionals were vaccinated against COVID-19.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01What are the current arrangements for visits, and how do you support each person's social contact needs?
  2. 02How do you currently manage COVID-19 testing and protective equipment for staff and people living in the home?
  3. 03How do you manage staffing pressures when staff are absent because of COVID-19?
  4. 04What were the home's ratings for Effective, Caring, Responsive and Well-led at its previous full inspection?
  5. 05What changes have been made since the inspection on 25 January 2022?

This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it did not provide ratings for the other areas of care. This explanation was written from the published report of 1 February 2022 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.

An earlier report, explained

What inspectors found, January 2019

216 Lightwood Road was rated Good; inspectors found safe, kind and personalised care, with some building improvements still planned.

Inspectors made an unannounced visit on 5 December 2018. They spoke with people using the service, two relatives, staff and the manager. They observed care, reviewed three care records and checked staffing, recruitment and quality records.

They found enough staff who knew people well. People were treated with kindness, dignity and respect, and were supported to make choices, stay safe and take part in activities. Care plans were personalised and staff had suitable training and support.

The home had improved since the previous inspection, when it was rated Requires Improvement. All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Some bathroom access, decoration and carpet work was planned and was to be checked at the next inspection.

What inspectors praised
  • Enough familiar staff

    The home had enough staff to meet people's needs, including providing extra support for community activities. Staff knew people well.

    “We observed there were enough staff to meet people's individual needs.” from the report
  • Kind and respectful care

    Inspectors saw a clear improvement in staff culture. People were treated with kindness and their dignity was maintained.

    “We saw that staff consistently treated people with kindness and respect, maintaining their dignity.” from the report
  • Personalised choices

    People were involved in decisions about their care, food, activities and communication. Staff supported individual hobbies and preferences.

    “People had access to activities they enjoyed and were supported to pursue their hobbies and interests.” from the report
  • Good management

    The manager was registered, approachable and involved in daily life at the home. Quality systems were used to make improvements.

    “The registered manager and provider had effective systems in place to monitor quality and safety.” from the report
What inspectors were concerned about
  • Bathroom access

    needs fixing

    Some people could not access a bath because their mobility needs could not be accommodated. The provider had plans to improve bathroom access, but inspectors intended to check that this work was completed.

    “Some people were unable to access a bath if they wanted one, as their mobility needs could not be catered for.” from the report
  • Decoration and carpets

    minor

    The home needed redecoration and some carpets needed replacing. Plans were in place, but the work had not yet been completed at the inspection.

    “The service needed redecorating and carpets needed renewing in some areas.” from the report
Questions to ask them, based on this report
  1. 01Have the planned bathroom changes been completed so people with mobility needs can access a bath?
  2. 02Have the planned redecoration and carpet replacement works been completed?
  3. 03How will staffing levels be adjusted if a person's needs change or they need two staff in the community?
  4. 04How are people and their relatives involved in reviewing care plans and communication needs?
  5. 05How are incidents, concerns and complaints recorded and used to improve care?

This was an unannounced planned inspection of the care home, covering all five CQC areas and both the premises and the care provided. This explanation was written from the published report of 10 January 2019 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 216 Lightwood Road

4 rated inspections over 3 years: the service has improved, from Requires improvement to Good.

  1. February 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at 216 Lightwood Road →

  2. January 2019Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at 216 Lightwood Road →

  3. November 2017Requires improvementdown from Good
    Safe: Requires improvementEffective: GoodCaring: Requires improvementResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. April 2016Goodup from Requires improvement
    Safe: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. December 2015Requires improvement
    Safe: Requires improvementEffective: GoodCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. September 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. June 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. January 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. January 2011

    Registered with the Care Quality Commission on 27 January 2011.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

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Care at home

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These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.

Most charge £980 to £1,190 a week. 93 can care for a couple. 9 years' experience on average.

“She's shown compassion, patience and a level of understanding that no other carer has given.”
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