CQC report explained · a residential care home
What the CQC found at Lawrie Park Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People told inspectors they felt safe. Risk assessments covered areas such as mobility, refusing medicines and changes in mental health, and staff had plans to reduce these risks.
- Effective?
- Good
- Staff had induction, training, supervision and appraisals. People had choices about their care, food and where they ate, and staff supported access to healthcare services.
- Caring?
- Good
- People said staff were kind, listened to them and treated them with dignity and respect. People were involved in care assessments and had private bedrooms and spaces for private conversations.
- Responsive?
- Good
- Care plans recorded people's histories, needs, interests and preferences. Staff supported people to regain confidence, develop daily living skills, go out independently and take part in chosen activities.
- Well-led?
- Good
- Managers used audits, meetings and feedback to monitor the service and make improvements. Staff worked with health and social care professionals, and people and relatives were asked for their views.
What inspectors found, March 2020
Lawrie Park Lodge was rated Good; inspectors found safe, kind and personalised care, with one medicine error addressed through extra training.
The inspection took place without notice over three visits in December 2019 and January 2020. Inspectors spoke with people living there, a relative, staff and health and social care professionals. They also checked care records, medicine records, staff files and management records.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found safeguarding arrangements, accurate medicine records, enough staff, suitable training and systems to assess and manage risks.
People were involved in their care and were supported to make choices, stay independent and take part in activities. Inspectors found staff to be kind and respectful, and saw evidence that the home worked with health professionals.
The rating stayed Good, matching the previous inspection published in July 2017. The report did not identify any legal breaches or enforcement action.
Safe medicines management
Inspectors found that staff administered medicines as prescribed and completed the medicine records accurately. Staff also had competency checks.
“All the MARs we looked at were accurate which demonstrated people had their medicines as prescribed.” from the report
Kind and respectful staff
People said staff treated them well, listened to them and gave them time to discuss concerns. Inspectors found that privacy, dignity and equality were respected.
“People confirmed that staff treated them well and provided enough time for a discussion of any concern they had.” from the report
Support for independence
Staff helped people gradually rebuild confidence and daily living skills. This enabled some people to go out, attend appointments and take part in activities more independently.
“This planned and steady change in their behaviour helped the person to regain their confidence and they were able to do things they enjoyed on their own” from the report
Activities and community links
People could choose from activities at home and in the community. Staff also supported cultural interests, holidays and contact with relatives and friends.
“People took part in activities they chose to do and enjoyed.” from the report
Listening to feedback
The home gathered views through meetings, key-worker sessions and questionnaires. Inspectors saw that a request to change the menu had been acted on.
“Feedback was gathered in a range of ways.” from the report
A medicine error had occurred
needs fixingThe report records one medicine error by a staff member. The manager reviewed it, arranged extra training and used it as a learning case study, but families should ask how medicine safety is checked now.
“There was an incident where a member of staff made a medicine error.” from the report
- 01What extra checks are now in place following the medicine error mentioned in the report?
- 02How would you support my relative to maintain or regain independence in daily activities and going out?
- 03How would you assess and respond if my relative's mental health or mobility needs changed?
- 04What activities are currently available, and how are residents' interests and cultural needs included?
- 05How are relatives involved in care reviews, feedback and decisions about care?
This was an unannounced inspection covering all five CQC areas, including the care provided and the home environment. This explanation was written from the published report of 11 March 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.
What inspectors found, July 2017
Rated Good; inspectors found safe, effective, caring, responsive and well-led support.
The inspection was unannounced and took place on 28 April and 3 May 2017. One inspector spoke with five people, the manager, the provider, the chef and two care staff. They observed the home, checked five care records and medicine records for everyone living there, and reviewed other management records.
The home supported 19 people with mental health needs. Inspectors found people were protected from abuse, risks were assessed, staffing levels were sufficient and medicines were managed safely. The home was clean and staff had access to equipment to reduce infection risks.
People were supported to consent to their care, eat and drink well, use health services and take part in activities. Staff were described as kind and respectful. Care plans reflected people's needs and choices, and inspectors found effective management and systems to review quality.
The overall rating was Good, with Good ratings for Safe, Effective, Caring, Responsive and Well-led. The home was rated Good at the previous inspection on 29 October 2014 and remained Good at this inspection.
People felt safe
People told inspectors they felt safe. Staff understood safeguarding and followed processes to investigate concerns and protect people.
“People were kept safe from harm and abuse.” from the report
Clear risk planning
Care records identified risks linked to people's physical and mental health. They gave staff guidance about triggers and the action to take.
“Risk management plans continued to provide guidance for staff to manage and reduce the risks identified.” from the report
Choice and respectful care
People were involved in decisions about their care. Staff respected privacy, dignity, personal routines and individual preferences.
“People continued to be supported to make decisions regarding their care and support.” from the report
Activities matched people's interests
People could choose from activities in the home and in the community. Support also included education and voluntary work.
“People took part in activities which met their interests and needs.” from the report
Inspectors raised no specific concerns in this report.
- 01The report is from 2017. What has changed in the home since this inspection?
- 02How are people's mental health risks and health conditions assessed and updated now?
- 03How many staff are available on each shift, and how is cover arranged if someone is absent?
- 04How are people involved in choosing activities, holidays and community opportunities?
- 05How are medicines checked now, including records, supplies and any changes from health professionals?
This was an unannounced comprehensive inspection covering the overall quality of the home and all five CQC questions. This explanation was written from the published report of 20 July 2017 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 Lawrie Park Lodge
3 rated inspections over 5 years: the service has held its Good rating throughout.
- March 2020Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2014GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2013
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 11 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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At least 100 live-in carers within about an hour of Lewisham
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 £950 to £1,260 a week. 82 can care for a couple. 11 years' experience on average.
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