CQC report explained · a residential care home
What the CQC found at Lavanda Villa
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough suitable staff, safe medicine systems, appropriate safeguarding arrangements and risk plans that supported people while allowing positive risks.
- Effective?
- Good
- People received support from trained staff, had their health needs reviewed and were helped with food, drink, choices and access to health services. This rating improved from Requires Improvement at the previous inspection.
- Caring?
- Good
- This question was not inspected during this visit. Its previous rating was used to calculate the overall rating.
- Responsive?
- Good
- This question was not inspected during this visit. Its previous rating was used to calculate the overall rating.
- Well-led?
- Good
- Inspectors found effective quality checks, an open culture, good communication with relatives and health professionals, and a clear focus on independence.
What inspectors found, November 2023
Rated Good; inspectors found safe, effective and well-led care for four people with autism.
This was an announced, focused inspection by two inspectors on 31 October 2023. They spoke with people, relatives, staff and health professionals, observed care, and checked care, medicine, recruitment and management records.
The home was supporting four people in a clean, well-maintained and suitably equipped environment. Inspectors found enough trained staff, safe medicine support, good infection control and clear plans for managing risks.
People were supported to make choices about meals, activities, health care and their daily lives. Staff understood different ways of communicating, including signs, pictures, gestures, sounds and body language.
The overall rating stayed Good. Safe and well-led remained Good, while Effective improved from Requires Improvement at the previous inspection to Good. Caring and Responsive were not inspected during this visit, so their previous ratings carried forward.
Consistent staffing
The home had enough staff and did not use agency workers. This meant people were supported by staff who knew their routines and needs.
“The service did not use agency staff, so people were supported by a consistent staff team who knew them well.” from the report
Safe medicines
Staff were trained to give medicines safely. Records were complete, medicines given when needed had clear instructions, and audits were taking place.
“Medication Administration Records (MAR) were fully completed with no missing signatures.” from the report
Communication support
Staff understood people who communicated in different ways and used suitable methods to help them take part in care and daily life.
“They could interact with staff and others involved in their care and support because staff had the necessary skills to understand them.” from the report
Choice and independence
People helped choose meals and activities and were supported to try new things, including using public transport independently.
“People's records showed a positive risk-taking approach. This enabled people to have opportunities to try new things.” from the report
Working with health services
The home worked with health and social care professionals and made adjustments for appointments when people needed them.
“Lavanda Villa have requested reasonable adjustments for 1 person when they go into hospital for a regular procedure.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you assess and support my relative's preferred way of communicating?
- 02How do you review medicines given only when needed, and how often are medicine audits completed?
- 03How will my relative be involved in the weekly meetings about meals and activities?
- 04What changes were made after the previous Requires Improvement rating for Effective?
- 05How do you support people to take positive risks while keeping them safe, such as using public transport?
This was a focused inspection of Safe, Effective and Well-led only; Caring and Responsive were not inspected and their previous ratings carried forward. This explanation was written from the published report of 17 November 2023 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, December 2020
Inspected but not rated; inspectors were assured that Lavanda Villa had strong infection control measures.
This was an announced, targeted inspection on 12 November 2020. It looked only at infection prevention and control during the coronavirus pandemic.
Inspectors found the home was clean and airy. Staff followed hygiene, social distancing and personal protective equipment guidance. People were supported to understand masks and good hygiene.
The home had risk assessments, testing arrangements and plans to cover shifts if staff had to self-isolate. People had individual bedrooms and bathrooms that could support isolation.
The home was inspected but not rated. This means the report does not give an overall quality rating or a full rating for all five areas of care.
Clean environment
The home was clean and airy, with cleaning carried out several times a day and checked through audits.
“The environment was clean and airy. Robust cleaning procedures were implemented and carried out by staff several times a day.” from the report
PPE and hygiene
Staff supported people with masks, hygiene and social distancing, and used PPE in line with national guidance.
“Staff supported people safely, maintaining social distancing as far as possible and wearing their Personal Protective Equipment (PPE) in line with national guidance.” from the report
Planning for isolation
People had individual bedrooms and bathrooms, allowing them to isolate effectively if needed.
“People had individual bedrooms and bathrooms which, should they have to isolate, they could do this effectively.” from the report
Staffing cover
The home had permanent staff and plans to cover shifts if staff needed to self-isolate.
“There were permanent staff working at the service and contingency planning was in place to ensure shifts could be covered in case staff had to self-isolate.” from the report
Inspectors raised no specific concerns in this report.
- 01How have your infection prevention and control arrangements changed since the inspection on 12 November 2020?
- 02How do you currently manage visitors, testing and PPE?
- 03What happens if a resident needs to isolate, and how is their wellbeing supported?
- 04How do you cover shifts if staff need to self-isolate?
- 05Can we see the latest full inspection report or rating for the home?
This was a targeted inspection of infection prevention and control only; the home was inspected but not rated and the other areas of care were not assessed. This explanation was written from the published report of 3 December 2020 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 Lavanda Villa
3 rated inspections over 8 years: the service has held its Good rating throughout.
- November 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2020Inspected but not ratedSafe: Inspected but not rated
- August 2018Goodstayed GoodSafe: GoodEffective: Requires improvementWell-led: Good
- January 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- March 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 13 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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