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What the CQC found at Lawnbrook Care Home

Requires improvementpublished 26 June 2026, 3 months ago

Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.

The latest report, explained

What inspectors found, March 2022

Inspected but not rated; inspectors found good infection control and arrangements for visiting, but this was a limited COVID-19 focused inspection.

Inspectors visited the home without notice on 22 February 2022. They looked mainly at infection prevention and control, visiting arrangements, and whether COVID-19 staffing pressures affected care.

Inspectors were assured that the home was managing infection risks. This included the use of protective equipment, testing, cleaning, social distancing, admissions and infection outbreaks. Equipment such as wheelchairs was used by one person to reduce cross-infection.

The home was inspected but not rated overall. The Safe question was also inspected but not rated. This means the report does not provide a Good, Requires improvement or Inadequate rating.

What inspectors praised
  • Infection control

    Inspectors were assured that the home had measures in place to prevent and manage infections. Cleaning schedules and audits were being used.

    “We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
  • Cleaner shared equipment

    Wheelchairs and other equipment were used by one person only to reduce the risk of cross-infection.

    “Where people used equipment such as wheelchairs, these were used by one person only, to reduce the risk of cross-infection.” from the report
  • End-of-life contact

    The manager made arrangements for people nearing the end of their lives to spend time with people close to them, within the COVID-19 restrictions in place.

    “The manager ensured people who were at the end of their lives, had time with those close to them, within necessary COVID-19 restraints.” from the report
  • Visiting access

    Visitors could use the stairs to reach different floors rather than entering the smaller space used by residents. Essential care givers were beginning to visit bedrooms.

    “Visitors were able to access different floors by using the stairs rather than the lift.” 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 essential care givers currently able to visit people in their bedrooms?
  2. 02Are visitors still required to pre-book visits and take a lateral flow test?
  3. 03What measures are currently used to manage COVID-19-related staffing pressures?
  4. 04How often are cleaning schedules and infection-control audits checked?
  5. 05How are people supported to go out on trips while infection-control arrangements remain in place?

This was an unannounced targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; the service was inspected but not rated and the other key questions were not covered. This explanation was written from the published report of 17 March 2022 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, February 2019

Rated Good; inspectors found safe, kind and personalised care, and confirmed earlier safety concerns had been addressed.

The inspection was unannounced and took place on 10 and 15 January 2019. Inspectors spoke with people living in the home, visitors, staff, the registered manager and the provider. They also observed care and checked care plans, staff recruitment records and quality audits.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found suitable staffing, safe medicines practices, appropriate training, kind care and personalised support. People were supported with food, healthcare, activities and end of life care.

At the previous inspection in February 2017, the home breached Regulation 12 because some risks had not been assessed. The provider received a requirement notice. This inspection found that the action plan had been completed and there was no longer a breach.

What inspectors praised
  • Risks were assessed

    The home had assessments and plans for a range of risks, including balconies, sensor mats, mobility and equipment.

    “Risk assessments identified a range of environmental risks and plans were in place to minimise these risks.” from the report
  • Kind and respectful care

    Inspectors saw positive interactions. People said staff were kind, respectful and knew their needs well.

    “People were treated with kindness, respect and compassion and during the inspection we observed staff interacting positively with people.” from the report
  • Personalised support

    Care plans covered people's histories, preferences and support needs. Activities were adapted to people's interests and choices.

    “People received personalised care which was responsive to their needs.” from the report
  • Previous issues addressed

    The provider completed the action plan following the 2017 inspection. The inspectors found no continuing breach of the earlier safety regulation.

    “During this inspection we found the registered manager had completed their action plan and there was no longer a breach of this regulation.” 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 risk assessments kept up to date for balconies, sensor mats, mobility and equipment?
  2. 02How will you support my relative's particular dietary needs, including any soft, pureed or gluten-free food?
  3. 03How often will my relative's care plan be reviewed if their needs change?
  4. 04What activities and one-to-one support would be available if my relative did not want to join group activities?
  5. 05How can relatives raise a concern, and how would the home keep us informed about the response?

This was an unannounced inspection of the overall service, including the care provided and the premises, with all five CQC questions rated. This explanation was written from the published report of 23 February 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 Lawnbrook Care Home

4 rated inspections over 2 years: the service has improved, from Inadequate to Good.

  1. March 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Lawnbrook Care Home →

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

    Read what inspectors found at Lawnbrook Care Home →

  3. December 2017Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. August 2017Requires improvementup from Inadequate
    Safe: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. April 2017Inadequate
    Safe: InadequateEffective: InadequateCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. April 2016

    Registered with the Care Quality Commission on 6 April 2016.

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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