CQC report explained · a residential care home
What the CQC found at Lanrick Cottage
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home was managing infection risks, visits, testing, protective equipment and vaccination requirements. The provider also said it had measures to reduce the risks from COVID-19-related staff pressures.
- Effective?
- Good
- This question was not assessed in this targeted inspection.
- Caring?
- Good
- This question was not assessed in this targeted inspection.
- Responsive?
- Good
- This question was not assessed in this targeted inspection.
- Well-led?
- Good
- This question was not assessed in this targeted inspection.
What inspectors found, January 2022
Inspected but not rated; inspectors found good COVID-19 infection control arrangements at Lanrick Cottage.
This was a targeted inspection on 12 January 2022. It looked at infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures were affecting the home.
Inspectors found separate staffing for the main building and annex. There were plans for isolation, visitor health screening, infection control audits and arrangements for testing, vaccinations and personal protective equipment.
The home was meeting the requirement for non-exempt staff and visiting professionals to be vaccinated against COVID-19. The service was inspected but not rated, so this report does not give an overall quality rating.
Separate staffing
The home used separate staff for the main building and annex. Inspectors said this reduced the risk of COVID-19 spreading between the buildings.
“The service ensured separate staffing for the house and annex. This helped minimise the risk of transmission of COVID-19 between the two buildings.” from the report
Infection control planning
Plans were in place for people to isolate during an outbreak, taking account of their needs and preferences. The home also carried out infection control audits and followed up actions where needed.
“Plans were in place should people need to isolate in case of a COVID-19 outbreak.” from the report
Safe visits and vaccination
Visitors were screened before visits, and the home was meeting the COVID-19 vaccination requirement for non-exempt staff and visiting professionals.
“Visitors were screened for symptoms and answered set questions relating to COVID-19 to ensure their visit could take place safely in line with current guidance.” from the report
Mental capacity processes
When people could not consent to COVID-19 tests or vaccinations, the provider followed the Mental Capacity Act process.
“Where people had been unable to consent to COVID-19 tests or vaccinations, the provider had ensured the Mental Capacity Act 2005 had been followed.” from the report
Inspectors raised no specific concerns in this report.
- 01How are staff for the main building and annex kept separate now?
- 02What would happen if my relative needed to isolate during a COVID-19 outbreak?
- 03How are visitors currently screened and supported to visit safely?
- 04How do you record and review COVID-19 infection control audits?
- 05How do you make decisions if a person cannot consent to testing or vaccination?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; it did not assess the other key questions. This explanation was written from the published report of 22 January 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.
What inspectors found, May 2018
Rated Good; inspectors found safe, kind and personalised care, with improvements in mental capacity assessments.
This was an unannounced inspection on 7 March 2018. One inspector spoke with people, relatives, managers and care staff. They observed care, reviewed three care plans and checked medicines, incidents, safety checks and quality audits.
The home supports four people with learning disabilities and autism. Inspectors found enough staff, safe medicines practices, good infection control and clear guidance for managing risks. Staff knew people well and supported their choices, activities, health and relationships.
All five areas were rated Good. The overall Good rating continued from the previous inspection. The Effective rating had improved to Good because mental capacity assessments and best-interest decision-making had improved.
No serious risks or concerns were identified during this inspection. End of life care was not assessed because nobody was receiving it at the time.
Safe staffing and medicines
Inspectors found enough staff to meet people's needs safely. Recruitment checks and medicines systems were in place.
“There were enough staff to ensure that people's needs were met safely.” from the report
Improved decision-making
Mental capacity assessments had improved since the last inspection. Families and other professionals were involved when best-interest decisions were needed.
“At this inspection we found that this improvement had been made and it was clear how decisions were made.” from the report
Kind and respectful care
Staff had positive relationships with people and supported privacy, communication, choice and contact with family and friends.
“People had caring, kind supportive relationships with the staff who supported them.” from the report
Personalised support
Staff knew people well and supported their interests, goals, activities and household involvement. Care plans were reviewed regularly.
“People were supported by staff who knew them well and helped them to plan for things they wanted to do.” from the report
Open management
People, relatives and staff could speak with managers. The home used audits and feedback to develop care.
“There were quality audits in place to measure the success of the service and to continue to develop it.” from the report
Inspectors raised no specific concerns in this report.
- 01How are mental capacity assessments and best-interest decisions kept up to date for my relative?
- 02What communication tools and accessible information would you use to help my relative express choices and feelings?
- 03How do you check that new staff are trained and competent before working alone with residents?
- 04How are activities, menus and staffing arranged around each person's weekly goals and interests?
- 05What support could you provide if my relative later needed end of life care?
This was an unannounced inspection of the overall service and all five key questions; end of life care was not reviewed because nobody was receiving it at the time. This explanation was written from the published report of 10 May 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.
Every inspection of Lanrick Cottage
2 rated inspections over 2 years: the service has held its Good rating throughout.
- January 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- May 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2016GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- June 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- October 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 11 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.
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