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CQC report explained · a residential care home

What the CQC found at Laureston House Residential Home

Goodpublished 26 November 2019, 6 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured about the home's infection prevention and control arrangements. This included visiting, admissions, PPE, testing, cleaning and managing outbreaks.
Effective?
Good
Effective was not assessed in this targeted inspection.
Caring?
Good
Caring was not assessed in this targeted inspection.
Responsive?
Good
Responsive was not assessed in this targeted inspection.
Well-led?
Good
Well-led was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, April 2021

Inspected but not rated; inspectors were assured about the home's infection prevention and control arrangements.

This was an announced, targeted inspection on 17 March 2021. It focused on how the home prevented and controlled Covid-19 infections.

Inspectors were assured that visiting, social distancing, new admissions, protective equipment, testing, cleaning and infection outbreak arrangements were managed safely. The home had a visitor pod, video calls and an arrangement for an essential care giver to support a relative.

The home was inspected but not rated overall, and Safe was also inspected but not rated. This report does not give ratings for Effective, Caring, Responsive or Well-led.

What inspectors praised
  • Safer visiting

    Visits were by appointment and a visitor pod allowed relatives to visit without entering the service.

    “There was a visitor pod in the vestibule so relatives could safely visit their family members.” from the report
  • Keeping families connected

    People could use video calls with family members, and relatives received regular newsletters about developments and Covid-19 safety.

    “There was a video portal enabling people living in the service to see and speak with their family members.” from the report
  • Safe admissions

    New residents had Covid-19 testing, a 14-day isolation period and health monitoring.

    “A negative test for Covid-19 and a 14-day isolation period were in place.” from the report
  • Clean environment

    The home had cleaning schedules and infection control audits, with actions followed up when needed.

    “There were cleaning schedules in place. The service was neat and clean.” 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 do visiting arrangements work now, and is the visitor pod still being used?
  2. 02How would an essential care giver be supported to contribute safely to a relative's care?
  3. 03What testing and isolation arrangements are used when someone new moves into the home?
  4. 04How do you check that staff and visitors are using PPE safely?
  5. 05How are cleaning schedules and infection control audit actions monitored?

This was a targeted inspection of infection prevention and control during the Covid-19 pandemic; it did not provide a full service rating or assess the other four questions. This explanation was written from the published report of 9 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.

An earlier report, explained

What inspectors found, November 2019

Laureston House Residential Home was rated Good; inspectors found safe, kind and responsive care, with clear improvements since the previous Requires Improvement rating.

This was an unannounced inspection by two inspectors on 01 November 2019. They spoke with eight people, four relatives, a visiting health professional, the manager and five care staff. They also observed care and checked care, medicine, recruitment and management records.

All five areas were rated Good. Inspectors found that care plans were clearer, medicines were managed safely, staffing levels were suitable and people were treated with kindness and respect. People had activities, access to healthcare and support with food, drinks and communication.

The home had improved from Requires Improvement at the previous inspection. Earlier problems with safe care, person-centred care and management records had been addressed, and the provider was no longer in breach of those regulations.

What inspectors praised
  • Kind and respectful care

    People and relatives described staff as caring. Inspectors saw relaxed, friendly relationships and found that privacy, dignity and independence were respected.

    “People were positive about staff and the support they received.” from the report
  • Safer medicines and care planning

    Care plans were clear and up to date. Medicines were stored, recorded and administered safely, with guidance for as-needed medicines and thickeners.

    “Care plans contained the information staff needed to reduce risks to people.” from the report
  • Activities and personal choice

    The range of activities had improved. People were supported to follow their interests, spend time with others or enjoy activities in their rooms.

    “The level and variety of activity on offer had improved as a result and people were lively and engaged and told us they were happy.” from the report
  • Improved management

    The management structure, staff support, audits and records had improved since the previous inspection. The provider had acted on earlier failings.

    “At this inspection we found improvements had been made and the provider was no longer in breach of regulations.” from the report
What inspectors were concerned about
  • End of life decisions still being developed

    minor

    End of life care plans were in place, but work was still continuing with people and relatives to record advanced decisions about treatment.

    “The registered manager was continuing to build upon these plans and was working with people and their relatives to put in place advanced decisions.” from the report
Questions to ask them, based on this report
  1. 01How do you check that care plans remain clear, accurate and up to date?
  2. 02How do you monitor medicines records, including as-needed medicines, creams and liquids?
  3. 03What activities are currently available for people who prefer to stay in their rooms?
  4. 04How are people's end of life wishes and advanced decisions recorded and reviewed?
  5. 05How do people and relatives raise concerns, and how are the concerns acted on?

This was a planned inspection covering all five CQC questions, the premises and the care provided; it followed a previous Requires Improvement rating. This explanation was written from the published report of 26 November 2019 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 Laureston House Residential Home

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

  1. April 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Laureston House Residential Home →

  2. November 2019Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Laureston House Residential Home →

  3. December 2018Requires improvementdown from Good
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. January 2017Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. December 2015Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. September 2015

    Registered with the Care Quality Commission on 15 September 2015.

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

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Most charge £980 to £1,260 a week. 33 can care for a couple. 12 years' experience on average.

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