CQC report explained · a residential care home
What the CQC found at Lavender House Care Home
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- Inspectors were assured that the home was preventing and managing infections, using PPE safely, supporting testing and keeping its infection control policy up to date.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Outstanding
- Are people treated with kindness and dignity?
- Responsive?
- Outstanding
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, February 2021
Inspected but not rated; inspectors found strong infection control measures during the coronavirus outbreak.
This was an unannounced, targeted inspection on 11 January 2021. It looked only at infection prevention and control because of coronavirus outbreaks in care homes.
Inspectors were assured that the home was managing infection risks. People entering had their temperature checked, completed a health questionnaire and wore full personal protective equipment. Staff used protective equipment for people who tested positive or negative for COVID-19.
The building was clean and uncluttered. The home had arrangements for testing, cleaning, visiting when visits resumed, and support from a GP. The service was inspected but not rated, so this report does not give a quality rating for the home.
Entry checks
People entering the home had temperature checks, completed a health questionnaire and wore full PPE, including a face visor.
“Any person entering the building had their temperature taken, completed a health questionnaire and wore full personal protective equipment (PPE) including a face visor.” from the report
Use of PPE
Staff used full PPE for people who were COVID-19 positive or negative. The report says this was intended to reduce the spread of infection.
“People were supported by staff in full PPE, whether that person was COVID-19 positive or negative.” from the report
Clean environment
Inspectors found the building clean and free from clutter. Communal areas and frequently touched surfaces were cleaned regularly.
“The building was clean and free from clutter.” from the report
Visiting arrangements
Visits had been paused during the inspection, but the home had a booking system and a dedicated visiting room ready for when visits resumed.
“The service had a dedicated visiting room which had a purpose-built wall and built in communication system.” from the report
Clinical support
The home said it was working closely with the local GP, who had been allocated as a clinical lead for the service.
“The GP had been allocated to the service as a clinical lead, and they were well supported as a result.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection prevention and control arrangements are in place now, and how have they changed since the inspection on 11 January 2021?
- 02How are visits currently arranged, and is the dedicated visiting room still being used?
- 03How often are frequently touched areas, communal areas, carpets and soft furnishings cleaned?
- 04How are residents and staff tested for COVID-19 or other infections now?
- 05What support does the home currently receive from the GP acting as clinical lead?
This was an unannounced, targeted inspection of infection prevention and control practices only; the service was inspected but not rated and the other care questions were not assessed. This explanation was written from the published report of 13 February 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.
What inspectors found, July 2019
Rated Outstanding; inspectors found exceptionally caring and responsive care, with safe, effective and well-led services rated Good.
This was an unannounced inspection on 12 June 2019. Inspectors spoke with nine people, one relative and six staff. They also reviewed care and medicines records and management documents.
People were described as safe, well cared for and treated with kindness and respect. Staff knew people's histories, wishes and needs. They supported activities, community links, personal relationships and religious needs in flexible and creative ways.
The overall rating improved from Good to Outstanding. Caring and Responsive improved from Good to Outstanding. Safe, Effective and Well-led remained Good. The report says people received good outcomes and exceptionally caring and responsive support.
Kind and personal care
Staff were described as highly compassionate and knew people very well. They made personal efforts to support people's emotional wellbeing and important relationships.
“People received outstanding care and support by a registered manager and staff team that were very committed, compassionate and knowledgeable.” from the report
Choice and involvement
People were involved in decisions about their own care and how the home was run. They helped create menus and interview potential staff.
“People's wishes, suggestions and concerns were listened to, respected, and acted on.” from the report
Meaningful activities
Staff helped people continue hobbies and take part in activities inside the home and in the local community. They used creative ideas to reduce loneliness and support wellbeing.
“Staff were flexible and responsive to people's individual needs and preferences, finding creative and innovative ways to help people live as full and meaningful a life as possible.” from the report
Personalised care planning
Care plans were detailed and agreed with people and their relatives or representatives. They were reviewed to reflect current wishes and needs.
“Everyone had a personalised and detailed care and support plan in place.” from the report
Safety and learning
Staff knew how to report abuse and manage risks. Accidents and incidents were reviewed so the home could reduce the chance of them happening again.
“Risk management plans provided detailed information for staff on how to reduce and monitor the risks to people's health and welfare.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you make sure staff still know each person's history, preferences and personal wishes?
- 02How are people currently involved in menus, activities and decisions about how the home is run?
- 03How do you check that medicines continue to be stored, given and recorded safely?
- 04What activities and community links are available now for someone with my relative's interests and needs?
- 05How have you maintained the improvements that led Caring and Responsive to improve from Good to Outstanding?
This was an unannounced planned inspection covering all five CQC questions; inspectors spoke with people, a relative and staff and reviewed care, medicines and management records. This explanation was written from the published report of 17 July 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.
Every inspection of Lavender House Care Home
3 rated inspections over 4 years: the service has improved, from Good to Outstanding.
- February 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- July 2019Outstandingup from GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Good
- December 2016Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2015GoodSafe: GoodEffective: Requires improvementCaring: Requires improvementResponsive: GoodWell-led: Good
- November 2013
Report published without a new overall rating.
- September 2013
Report published without a new overall rating.
- June 2013
Registered with the Care Quality Commission on 21 June 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.
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Fees, photos and reviews from families
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39 live-in carers within about an hour of Peterborough
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 £980 to £1,370 a week. 34 can care for a couple. 11 years' experience on average.
“I honestly feel lucky to have found her and have already booked her for another visit.”
“Magda was always positive and proactive about trying new things to keep dad busy. She also introduced new ideas for keeping dad healthy.”
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.