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CQC report explained · a residential care home

What the CQC found at Lancaster Court Residential Care Home

Goodpublished 19 May 2022, 4 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found safe staffing and recruitment, risk management, medicines, safeguarding and infection control. People said they felt safe and received their medicines when needed.
Effective?
Good
This question was not inspected during this focused visit. Its previous rating was used to calculate the overall rating.
Caring?
Good
This question was not inspected during this focused visit. Its previous rating was used to calculate the overall rating.
Responsive?
Good
This question was not inspected during this focused visit. Its previous rating was used to calculate the overall rating.
Well-led?
Good
Inspectors found effective quality checks, a positive culture and good involvement of people, relatives and staff. The home worked with other agencies to provide joined-up support.
The latest report, explained

What inspectors found, May 2022

Lancaster Court Residential Care Home was rated Good; inspectors found safe care and effective management.

This was a focused inspection on 28 April 2022. One inspector spoke with eight people using the home, two family members, staff and the manager. They observed care and checked care, medicines, recruitment and management records.

The home was rated Good for Safe and Well-led. Inspectors found enough suitably trained staff, safe recruitment, clear risk assessments, safe medicines arrangements and appropriate infection control. People said they felt safe and received their medicines on time.

Inspectors found a positive, person-centred culture. People, relatives and staff said the manager was supportive and approachable. Quality checks, feedback and partnership working were being used to monitor and improve the home.

The overall rating stayed Good. Effective, Caring and Responsive were not inspected during this visit. Their previous ratings were carried forward from the last comprehensive inspection.

What inspectors praised
  • Enough suitable staff

    People received care from enough suitably trained staff. Recruitment checks were completed before people were offered jobs.

    “People received safe care and support from the right amount of suitably trained staff.” from the report
  • Safe medicines

    Medicines records contained instructions and allergy information. Medicines were stored securely and given by trained staff.

    “Each person had a personalised medication administration record (MAR) detailing their prescribed medicines and instructions for use.” from the report
  • Good safeguarding and infection control

    Staff knew how to recognise and report abuse. Inspectors were assured that infection prevention measures, including the use of protective equipment, were in place.

    “Staff completed safeguarding training and were knowledgeable about their responsibilities for safeguarding people from the risk of abuse.” from the report
  • Positive culture

    People and relatives described a warm, friendly and inclusive home. They felt involved and listened to.

    “Family members commented on the warm and friendly atmosphere, they said the registered manager and staff were always friendly and welcoming and encouraged their involvement, ideas and opinions about the service.” from the report
  • Effective oversight

    The home carried out regular checks and audits covering care, the environment and staffing. The results were used to make improvements where needed.

    “There were effective systems to assess, monitor and review the quality and safety of the service.” 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 you currently checking the quality of care in the Effective, Caring and Responsive areas that were not inspected this time?
  2. 02What support would my relative receive if they have dementia or cannot make a particular decision for themselves?
  3. 03How would you assess and manage my relative's individual risks, and how often would their care plan be reviewed?
  4. 04How would you involve our family in care reviews and in decisions about my relative's care?
  5. 05How are visiting arrangements managed if there is an infection outbreak?

This was a focused inspection of Safe and Well-led only; Effective, Caring and Responsive were not inspected and their previous ratings were carried forward from the last comprehensive inspection. This explanation was written from the published report of 19 May 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, April 2021

Lancaster Court Residential Care Home was inspected but not rated; inspectors were assured about infection prevention and control.

This was an announced, targeted inspection on 17 March 2021. It looked at infection prevention and control during the coronavirus pandemic. There were 23 people living in the home, which could accommodate up to 30.

Inspectors found staff used personal protective equipment safely. Testing was in place for staff and residents. The home was clean, with frequent touch-point cleaning and regular environmental checks.

Visitors were tested on arrival, given protective equipment and visiting guidance, and used a dedicated room that was cleaned after each visit. Staff also provided foot massages and hairdressing when these needs were identified.

The home was inspected but not rated. This means the report does not give a Good, Requires improvement or Inadequate rating for the service.

What inspectors praised
  • Protective equipment

    Staff were using the required protective equipment and understood how to use and dispose of it safely.

    “Staff were wearing the required personal protective equipment (PPE). They were aware of the correct process for the use and safe disposal of PPE” from the report
  • Testing

    A frequent testing programme covered both staff and people living in the home.

    “A testing programme was in place to frequently test staff and people living at the home.” from the report
  • Clean environment

    The home had cleaning schedules, frequent touch-point cleaning and regular environmental audits.

    “Cleaning schedules were in place and touch-point cleaning was carried out frequently throughout the day.” from the report
  • Visiting arrangements

    Visitors were tested, given protective equipment and guidance, and used a dedicated room that was cleaned after each visit.

    “Family and friends were tested when they arrived for their pre-booked visit to their loved one.” from the report
  • Personal grooming and comfort

    Staff provided foot massages and hairdressing after these needs were identified.

    “In the absence of chiropody, the staff provided people with foot massages.” 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 often are staff and residents tested now, and what happens when a test is positive?
  2. 02How do you check that staff continue to use and dispose of protective equipment safely?
  3. 03How are visiting arrangements managed now, including testing, protective equipment and cleaning of the visiting room?
  4. 04How often are environmental audits and touch-point cleaning checks carried out now?
  5. 05How are residents' foot care and hairdressing needs supported if outside services are unavailable?

This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it did not rate the other four key questions or give an overall service rating. This explanation was written from the published report of 1 April 2021 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 Court Residential Care Home

4 rated inspections over 6 years: the service has improved, from Requires improvement to Good.

  1. May 2022Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Lancaster Court Residential Care Home →

  2. April 2021Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Lancaster Court Residential Care Home →

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

    Read this report on cqc.org.uk

  4. January 2017Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. September 2016Requires improvement
    Safe: InadequateEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. October 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. July 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. June 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. January 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. April 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  11. December 2010

    Registered with the Care Quality Commission on 23 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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