CQC report explained · a residential care home
What the CQC found at Lansdowne Road
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found safe systems for medicines, staffing, recruitment, infection control, fire safety and risk management. Problems with medicines identified at the previous inspection had been addressed.
- Effective?
- Good
- Staff had suitable training and support. People were helped with food, healthcare, consent and decisions under the Mental Capacity Act.
- Caring?
- Good
- Staff treated people with kindness, respect and dignity. People had privacy, personal belongings and support to make daily choices and work towards greater independence.
- Responsive?
- Good
- Care plans described people's preferences, communication needs, goals and support needs. People were supported to take part in activities, access the local community and plan holidays.
- Well-led?
- Good
- Inspectors found an open and inclusive culture, approachable management and regular checks on care, safety and records. People and relatives were asked for feedback.
What inspectors found, December 2018
Rated Good; inspectors found safe, kind and personalised care, with previous medicines concerns addressed.
The announced inspection took place on 7 November 2018. Inspectors spoke with people, relatives, staff and a healthcare professional. They observed care, checked medicines and records, and reviewed staffing, training, complaints and quality checks.
The home supported up to nine people with a learning disability. Inspectors found that people were safe, treated with kindness and dignity, and supported to make choices. Care plans were detailed and regularly reviewed. People were supported with food, healthcare, activities and contact with family and friends.
The previous inspection had found problems with some medicines records and guidance. Inspectors found these issues had been addressed. They also recommended that the provider consult CQC before future building changes, so these follow current guidance.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. This means inspectors found the service met the required standards at the time of this inspection, although a Good rating does not mean every aspect was perfect.
Kind and respectful care
Inspectors saw staff speak politely, listen carefully and give people time to respond. People were treated with compassion and dignity.
“People were treated with kindness and compassion.” from the report
Choice and independence
People were involved in everyday decisions and supported to be as independent as possible. Their goals were discussed and reviewed with them and their families.
“People had a great deal of independence.” from the report
Personalised support
Care plans included people's likes, dislikes, communication needs, goals and preferences. Staff used different ways to help people understand and express themselves.
“People's care plans contained details of the best way to communicate with them.” from the report
Activities and community life
People took part in activities in the home and local area. They were helped to plan holidays and maintain their interests.
“People had been able to choose and help plan their own holidays.” from the report
Medicines improvements
The home had acted on the medicines problems found at the previous inspection. Medicines were stored correctly and staff were trained and checked as competent.
“At this inspection we found these issues had been addressed.” from the report
Quality monitoring
Senior staff carried out regular checks on safety, care, records and infection control. Feedback from people and relatives was used to identify shortfalls and plan improvements.
“Senior staff continued to monitor the quality of the service by regularly completing quality assurance audits of the care and support provided” from the report
Future building changes
minorThe report recommended consulting CQC before planned or future alterations, to make sure changes follow current guidance. This was a recommendation rather than a stated breach.
“We recommend the provider consults with CQC, 'Registering the right support' document to ensure any planned or future alterations are in line with current guidance.” from the report
- 01Have any building or accessibility changes been made since the inspection, or are any planned?
- 02How are medicines checked now, including as-required medicines, stock balances and expiry dates?
- 03How would you support my relative's preferred way of communicating and making choices?
- 04What activities, community outings and holidays could my relative take part in?
- 05How would you involve my relative and our family in care plan reviews and feedback?
This was an announced inspection covering all five rating areas, with a detailed review of oral health support as part of a national review; the previous inspection in 2016 had also rated the service Good. This explanation was written from the published report of 14 December 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 Lansdowne Road
2 rated inspections over 3 years: the service has held its Good rating throughout.
- December 2018Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2016GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2014
Report published without a new overall rating.
- July 2013
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 28 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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46 live-in carers within about an hour of Brighton and Hove
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 £1,020 to £1,280 a week. 37 can care for a couple. 10 years' experience on average.
“Lottie showed incredible patience and empathy, adapting her routine to fit in with Mum's moods. Most importantly, Lottie's cheerful manner helped Mum to get some enjoyment out of life.”
“He was infinitely patient with them and got on very well with us to the extent that we now regard him as a personal friend.”
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.