CQC report explained · a nursing home
What the CQC found at Lawton Manor Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found people were protected from abuse and avoidable harm. Risks, medicines, staffing, the premises and infection control were managed through established systems.
- Effective?
- Good
- People’s needs were assessed before admission, staff were trained and people received suitable support with food, drink and healthcare. Inspectors also found consent and mental capacity processes were being followed.
- Caring?
- Good
- Staff were observed to be patient, kind and compassionate. People’s privacy, dignity, independence, routines and choices were respected.
- Responsive?
- Good
- Care plans were detailed and person-centred. People had access to activities, visitors, accessible information and a complaints process.
- Well-led?
- Good
- The manager was visible and approachable, and inspectors found effective audits, governance meetings and feedback systems. The home worked with health and social care professionals.
What inspectors found, June 2022
Rated Good in all five areas; inspectors found kind, safe and well-organised care, with high agency use because of staff sickness.
Inspectors visited unannounced on 4 April and 22 April 2022. They spoke with people, relatives, staff and a healthcare professional. They observed care and reviewed care plans, medicines records, staff files and other records.
The home was accommodating 30 older people, although it had space for up to 63. Inspectors found detailed care plans, regular risk reviews, safe medicines systems and suitable infection control. People and relatives said staff were kind, responsive and competent.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. These ratings were unchanged from the previous inspection, published in December 2018.
Safe medicines management
Medicines records were accurate and up to date. The home had clear guidance for medicines given when needed, along with checks to reduce errors.
“The management and administration of medicines was robust with clear procedures in place.” from the report
Kind and responsive staff
People and relatives spoke positively about staff. Inspectors observed patient and compassionate interactions.
“They said staff were extremely kind and responsive to their needs.” from the report
Personalised care planning
Care plans included people’s health needs, communication, interests and preferences. They were reviewed regularly.
“People's care plans and risk assessments were detailed and reviewed regularly.” from the report
Good partnership working
The home worked with healthcare professionals to support people’s health and achieve good outcomes.
“The staff and management team worked closely with health and social care professionals to ensure the best outcomes for people.” from the report
Effective quality checks
The management team used audits and meetings to identify improvements and follow up actions.
“Auditing systems and processes were used to identify areas for development and improvement.” from the report
High agency staff use
minorThere was a high level of agency use because of staff sickness. Inspectors found enough staff, and the manager said agency workers were block booked to support continuity.
“There was a high level of agency use due to staff sickness.” from the report
Refurbishment had been delayed
minorPlanned redecoration and refurbishment had not yet taken place because of the prolonged impact of COVID-19.
“The registered manager told us the service was due to undergo a period of planned redecoration and refurbishment which had been delayed due to the prolonged impact of COVID-19.” from the report
- 01How many agency staff are currently being used, and has the level of staff sickness improved?
- 02How do you make sure agency staff know each person’s care plan, risks and preferences?
- 03Has the planned redecoration and refurbishment taken place, and what work remains?
- 04How quickly are call bells answered during busy periods now?
- 05How are relatives involved in reviews of care plans and decisions about care?
This was an unannounced inspection covering all five key questions and infection prevention and control, with evidence from observations, discussions and records. This explanation was written from the published report of 18 June 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.
What inspectors found, April 2021
Lawton Manor Care Home was inspected but not rated; inspectors found strong infection control arrangements during the COVID-19 pandemic.
Inspectors visited on 19 March 2021. This was an announced, targeted inspection looking at infection prevention and control during the coronavirus pandemic.
They found that visitors were screened, given temperature checks and provided with masks and other protective equipment. The home had safe admission procedures, regular COVID-19 testing, increased cleaning and individual COVID-19 risk assessments.
Inspectors said they were assured about all the infection control areas they checked, including PPE, testing, hygiene, social distancing and outbreak arrangements. The service was inspected but not rated, so this report does not give an overall quality rating.
Visitor infection controls
Visitors had health screening, temperature checks, masks, PPE and access to handwashing and sanitiser.
“All visitors were asked to complete a health screening form, have their temperature checked and were provided with face masks to wear throughout their visit.” from the report
Clean environment
Cleaning routines had been increased and inspectors found the environment clean and hygienic.
“The service had increased the cleaning schedules and routines to reduce the risks of cross infection.” from the report
PPE and testing
Staff were observed wearing the correct PPE, and people and staff took part in regular COVID-19 testing.
“People and staff were taking part in regular COVID19 testing. An area was allocated for this and the process was very clear.” from the report
Safe admissions
The home had procedures for admitting people safely in line with national guidance.
“The service had procedures and protocols in place which ensured people were admitted safely in accordance with national guidance.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection prevention and control arrangements are in place now?
- 02How are visitors screened and supported to use PPE?
- 03How often are people and staff tested, and how are test results managed?
- 04How are individual infection-related risk assessments reviewed when people's needs change?
- 05When was the home's last full CQC inspection, and what were the ratings for the other areas of care?
This was a targeted inspection of infection prevention and control under Safe; the service was inspected but not rated and the other areas were not assessed. This explanation was written from the published report of 1 April 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.
Every inspection of Lawton Manor Care Home
3 rated inspections over 6 years: the service has held its Good rating throughout.
- June 2022Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2021Inspected but not ratedSafe: Inspected but not rated
- December 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2015
Report published without a new overall rating.
- September 2014
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- June 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 10 December 2010.
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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