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CQC report explained · a residential care home

What the CQC found at Laburnum House Shaw Limited

Goodpublished 19 September 2023, 3 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found effective safeguarding, enough staff, safe recruitment, safe medicines management and good infection control. Risks, accidents, equipment and fire safety were regularly checked.
Effective?
Good
Staff were trained and supervised, and people's nutrition, hydration and health needs were monitored. Inspectors found that the home followed the Mental Capacity Act principles and made healthcare referrals when needed.
Caring?
Good
People and relatives described staff as kind, attentive and helpful. Inspectors saw staff respecting privacy, dignity, independence and people's everyday choices.
Responsive?
Good
Care plans were detailed and staff knew people well. Activities were available, but comments about whether there was enough to do were mixed.
Well-led?
Good
Inspectors found an open and supportive culture, approachable management and regular audits. Relatives could give feedback through care reviews and meetings.
The latest report, explained

What inspectors found, September 2023

Rated Good; inspectors found safe, kind and well-managed care, with mixed views about activities.

The inspection was unannounced. Two inspectors and an Expert by Experience visited on 23 August 2023, with inspection work continuing until 4 September 2023. They spoke with people, relatives and staff, observed care, meals and medicines, looked around the home, and checked care, medicines, recruitment and management records.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines practice, good infection control, suitable staff training, kind care and regular checks on the quality and safety of the home.

People and relatives were generally very positive. Inspectors received mixed comments about activities, although they saw evidence of classes, music, games, trips and celebrations. Some bedroom furniture was old, but the home had an ongoing maintenance and refurbishment programme.

What inspectors praised
  • Safe staffing and medicines

    Inspectors found enough staff to meet people's needs and found that medicines were managed, stored and given safely.

    “The provider ensured staff were recruited safely and sufficient staff were deployed to meet people's needs.” from the report
  • Kind and respectful care

    People were treated warmly and staff supported their privacy, dignity and independence.

    “People looked comfortable and relaxed with the staff and staff regularly stopped and chatted with them.” from the report
  • Good health and nutrition support

    The home monitored people's weight, followed dietary guidance and involved health professionals when required.

    “People were weighed regularly and advice was sought from health professionals if people lost weight.” from the report
  • Open management

    Relatives could speak with managers and give feedback. Regular checks were used to review quality and safety.

    “Regular audits and checks were carried out by the registered manager and senior staff.” from the report
What inspectors were concerned about
  • Activities were not seen as sufficient by everyone

    minor

    Some people said there was not enough to do, although inspectors saw a range of activities and evidence of trips, classes and events.

    “We received mixed comments about the activities at the service, with some people feeling there was not enough to do.” from the report
  • Some bedroom furniture was old

    minor

    Inspectors noted that furniture in some bedrooms was rather old. The home had an ongoing maintenance and refurbishment programme.

    “The bedroom furniture in some rooms was rather old.” from the report
Questions to ask them, based on this report
  1. 01How often are activities provided, and how will you match them to my relative's interests and abilities?
  2. 02Which bedrooms are included in the maintenance and refurbishment programme, and when will the furniture be replaced?
  3. 03How will you keep me informed about changes in my relative's health, care needs or weight?
  4. 04How can relatives raise concerns, attend care reviews or take part in relatives' meetings?
  5. 05How quickly do staff usually respond to the call buzzer, including at night?

This was an unannounced inspection covering all five CQC key questions, including infection prevention and control, and the home was visited on 23 August 2023. This explanation was written from the published report of 19 September 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.

An earlier report, explained

What inspectors found, December 2020

Laburnum House Shaw Limited was inspected but not rated; inspectors were assured that infection prevention and control arrangements were safe.

The CQC carried out an announced, targeted inspection on 26 November 2020. It was part of checks on care homes during coronavirus outbreaks and looked at infection prevention and control.

Inspectors were assured about visitor controls, social distancing, shielding, admissions, personal protective equipment, testing, cleaning, outbreak management and the infection control policy.

People who were isolating or unwell received extra one-to-one support and help with practical tasks. Staff rotas kept the same staff working together to reduce close contact.

What inspectors praised
  • Careful entry arrangements

    People entering the home were asked to sign in electronically, use hand gel and wear a mask.

    “The service had an extremely robust procedure for people to follow when entering the home.” from the report
  • Support during isolation or illness

    People who were isolating or unwell received extra one-to-one interaction and practical help with eating and drinking.

    “Very good support was given to people who had been isolating or poorly.” from the report
  • Consistent staff teams

    Staff rotas kept the same staff working together to reduce the number of people they came into close contact with.

    “Staff rotas ensured the same staff worked together all the time to minimize the number of people they were in close contact with.” 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. 01How are visitors currently asked to sign in, use hand gel and wear a mask?
  2. 02How do you support people who are isolating or unwell, including with eating and drinking?
  3. 03How do staff rotas reduce the number of people staff come into close contact with?
  4. 04How are residents and staff currently tested for coronavirus?
  5. 05What arrangements are in place to prevent or manage an infection outbreak?

This was a targeted inspection of infection prevention and control practices only; the service was inspected but not rated. This explanation was written from the published report of 16 December 2020 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 Laburnum House Shaw Limited

3 rated inspections over 7 years: the service has improved, from Requires improvement to Good.

  1. September 2023Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Laburnum House Shaw Limited →

  2. December 2020Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Laburnum House Shaw Limited →

  3. October 2017Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. September 2016Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. May 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. October 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. December 2010

    Registered with the Care Quality Commission on 13 December 2010.

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.

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