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CQC report explained · a residential care home

What the CQC found at Lavender Court Residential Home

Goodpublished 22 February 2024, 2 years ago

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

The five questions inspectors ask
Safe?
Good
People were protected from abuse and risks were assessed and managed. Medicines, staffing and infection control were found to be safe, although some recruitment reference gaps and incident tracking needed action.
Effective?
Good
People had individual assessments, trained staff, support with eating and drinking, and timely access to health professionals. The home adapted its environment and technology to meet people's needs.
Caring?
Good
People were treated with kindness, compassion, dignity and respect. Staff supported people to express their views and make choices about their care.
Responsive?
Good
Care plans were person-centred and changed when people's needs changed. People were supported with communication, activities, relationships, concerns and end of life wishes.
Well-led?
Outstanding
Inspectors found exceptional leadership, an open and positive culture, strong governance and highly motivated staff. The home used feedback, partnerships and technology to improve people's experiences.
The latest report, explained

What inspectors found, February 2024

Lavender Court Residential Home is rated Good overall, with Outstanding leadership and mostly strong findings across safety, care and support.

This was an unannounced comprehensive inspection on 7 December 2023. Inspectors spoke with people living in the home, a relative and staff. They also checked care plans, medicine records and management documents.

The home was rated Good for Safe, Effective, Caring and Responsive. Inspectors found people were protected from abuse, received medicines safely, had personalised care and were treated with kindness, dignity and respect.

The home was rated Outstanding for Well-led. Inspectors found a strong culture of openness, good teamwork, creative support for people's individual needs and close links with the local community. The overall rating is Good. Effective changed from Outstanding at the last inspection in 2017 to Good.

What inspectors praised
  • Kind and respectful care

    Staff built warm relationships and supported people in the way they wished. People were encouraged to make choices and remain as independent as possible.

    “People were treated with kindness, respect, and compassion.” from the report
  • Personalised support

    Care plans contained detailed information about people's preferences, communication and health needs. Staff adapted routines so people could receive care at times that suited them.

    “Care plans were very person-centred for each aspect of people's lives and care.” from the report
  • Strong leadership

    Inspectors found a deeply established culture where people, relatives and staff could give feedback and suggest improvements.

    “There was a thoroughly embedded culture of openness and positivity throughout the home.” from the report
  • Community links and activities

    People took part in activities inside the home and in the local community. Relatives and community groups were encouraged to be involved.

    “The home was thoroughly embedded in the local community.” from the report
What inspectors were concerned about
  • Recruitment records

    needs fixing

    Some references showed gaps in potential staff members' employment histories. The manager took immediate action after inspectors raised this.

    “We identified from some references where there had been gaps in the employment histories of some potential staff.” from the report
  • Incident tracking

    needs fixing

    Incidents were recorded and reviewed, but it was not always clear that records had been tracked and monitored. The manager took immediate action to address this.

    “However, it was not always clear that incident records had been tracked and monitored.” from the report
  • Dementia-friendly signs

    minor

    Some dementia-friendly signs were in place, but inspectors discussed expanding them further with the manager.

    “Some dementia friendly signage was in place. We discussed with the registered manager how this could be expanded further.” from the report
Questions to ask them, based on this report
  1. 01What action was taken to check and correct the gaps found in some employment histories?
  2. 02How are incidents now tracked and monitored, and can you explain what changed after the inspection?
  3. 03What further dementia-friendly signage are you planning to add?
  4. 04How will you make sure my relative's care plan is updated quickly if their needs or preferences change?
  5. 05What activities and community links would be available for my relative's interests and communication needs?

This was an unannounced comprehensive inspection covering all five key questions, including the care provided and the home environment. This explanation was written from the published report of 22 February 2024 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, October 2020

Lavender Court Residential Home was inspected but not rated; inspectors found good infection control and prevention practices.

This was an announced, targeted inspection on 11 August 2020. It looked only at infection control and prevention measures during the coronavirus pandemic.

Inspectors were assured that visitors were screened and supervised, social distancing was followed, PPE was used safely, and cleaning was thorough. The home also supported safer family contact, activities, walks and access to supplies.

The home was marked “Inspected but not rated”. This means the visit checked infection control arrangements rather than giving an overall quality rating or ratings for all five areas of care.

What inspectors praised
  • Controlled visits

    Visits were supervised, with screening questions and arrangements for social distancing and infection control. The home was also exploring safer visiting pods.

    “Staff supervised all visits to ensure social distancing and infection control guidelines were followed.” from the report
  • Safer family contact

    People could use video applications to stay in contact with their families, while the home worked with the local authority on safer visiting arrangements.

    “People chose to use applications such as facetime to maintain contact with their families.” from the report
  • PPE and guidance

    The provider kept up with best practice guidance, explained updates to people, families and staff, and stored PPE in designated stations.

    “Personal Protective Equipment was safely stored in designated stations throughout the service.” from the report
  • Thorough cleaning

    An extra cleaner carried out coronavirus-related cleaning and deep cleans. Cleaning routines continued through the day and night.

    “Cleaning schedules were thorough.” 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 visits currently screened and supervised, and what social distancing arrangements are in place?
  2. 02How do you tell residents, families and staff about changes to infection control guidance?
  3. 03Where are PPE stations located now, and how do you check that PPE is used safely?
  4. 04How often are high-use areas and other parts of the home cleaned, including at night?
  5. 05How are new people admitted safely to the home?

This was a targeted inspection of infection control and prevention measures only; the service was inspected but not rated overall. This explanation was written from the published report of 20 October 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.

The story over the years

Every inspection of Lavender Court Residential Home

3 rated inspections over 9 years: the service has held its Good rating throughout.

  1. February 2024Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Outstanding

    Read what inspectors found at Lavender Court Residential Home →

  2. October 2020Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Lavender Court Residential Home →

  3. July 2017Outstandingup from Good
    Safe: GoodEffective: OutstandingCaring: GoodResponsive: GoodWell-led: Outstanding

    Read this report on cqc.org.uk

  4. May 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Outstanding

    Read this report on cqc.org.uk

  5. November 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. April 2013

    Registered with the Care Quality Commission on 23 April 2013.

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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Care at home

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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 £1,030 to £1,420 a week. 14 can care for a couple. 7 years' experience on average.

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Beatrice N., about Rosemary H.
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Lucy K., about Emma H.
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