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CQC report explained · a residential care home

What the CQC found at Lancaster and Morecambe Short Breaks Service

Outstandingpublished 21 November 2018, 7 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Good
People and relatives said they felt safe. Inspectors found suitable arrangements for managing risks, safeguarding, staffing, cleanliness, accidents and medicines.
Effective?
Outstanding
The home worked closely with families, hospitals and other professionals to meet complex health needs. Staff received regular training and understood mental capacity and liberty protection requirements.
Caring?
Outstanding
Staff were respectful, compassionate and sensitive to people's needs. Communication tools were used when people could not communicate verbally, and privacy and dignity were built into everyday care.
Responsive?
Outstanding
Care plans were individually designed. People were supported to choose activities, maintain community links, build confidence and develop independence.
Well-led?
Outstanding
Inspectors found strong leadership, open communication and a clear focus on improvement. Staff had champion roles to develop skills and share good practice.
The latest report, explained

What inspectors found, November 2018

Rated Outstanding overall; inspectors found exceptionally caring, effective, responsive and well-led support, with safety rated Good.

This was a comprehensive inspection covering the whole home. Visits took place between 27 September and 11 October 2018. The inspection was announced, with 48 hours' notice.

Inspectors spoke with people using the service, relatives, professionals, managers and staff. They observed care, reviewed records and checked the building, medicines, recruitment, safety systems and quality monitoring.

The home was rated Outstanding overall. Safe was rated Good. Effective, Caring, Responsive and Well-led were all rated Outstanding. Inspectors said the provider had continued to improve since the previous inspection in December 2016, when the home was rated Good overall.

What inspectors praised
  • Individual care

    Care was planned around each person rather than using standard plans. People and families were involved in planning and communication needs were carefully recorded.

    “Care plans were not standardised but were developed around the individual needs of the person.” from the report
  • Kind and respectful staff

    Inspectors found staff consistently treated people with dignity and responded sensitively, including during difficult situations.

    “We found, without exception, staff went the extra mile to ensure people were safe and happy whilst using the service.” from the report
  • Activities and independence

    People were supported to take part in activities they enjoyed, use community facilities and develop their confidence and independence.

    “There was an emphasis on empowering people, developing independence and enabling people to have positive outcomes within their life.” from the report
  • Strong improvement culture

    Managers used feedback, training and specialist champion roles to improve the service and share good practice.

    “There was a strong emphasis on continuous improvement based around best practice guidance.” 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 will you learn and record my relative's communication style if they cannot communicate verbally?
  2. 02What information do you need from us about medicines and health needs before the first stay?
  3. 03How will you support my relative to take part in their preferred activities and maintain community links?
  4. 04How will you involve our family in care planning and review what worked after each stay?
  5. 05What staffing levels and staff skills would be available for my relative's specific needs?

This was a comprehensive inspection of the whole home and all five CQC questions, including care, records, staffing, medicines, the building and quality monitoring. This explanation was written from the published report of 21 November 2018 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 Lancaster and Morecambe Short Breaks Service

2 rated inspections over 3 years: the service has improved, from Good to Outstanding.

  1. November 2018Outstandingcurrent ratingup from Good
    Safe: GoodEffective: OutstandingCaring: OutstandingResponsive: OutstandingWell-led: Outstanding

    Read what inspectors found at Lancaster and Morecambe Short Breaks Service →

  2. March 2016Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. March 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. August 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. August 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. February 2011

    Registered with the Care Quality Commission on 2 February 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

Weigh the report against the rest

Care at home

85 live-in carers within about an hour of Lancashire

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 £1,260 a week. 78 can care for a couple. 11 years' experience on average.

“She understands the needs of an elderly person in the early stages of dementia and has treated my mother with great kindness and skill.”
Simon W., about Ncebakazi V.
“Thanks to Tracy, Dad was always immaculately dressed and clean, his meals were all home cooked and nutritionally well balanced and his home was always kept really clean and tidy.”
Jackie S., about Tracy O.
See live-in carers near LancashireProfiles, rates and reviews are free to look at.

Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.