CQC report explained · a nursing home
What the CQC found at Lawton Rise Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found safe medicines management, suitable risk plans, safeguarding procedures and enough safely recruited staff. They saw two occasions when staff did not wash their hands between supporting different people, and this was raised with the manager.
- Effective?
- Good
- This question was not inspected in detail during this visit. Its previous rating was used when calculating the overall rating.
- Caring?
- Good
- This question was not inspected in detail during this visit. Its previous rating was used when calculating the overall rating.
- Responsive?
- Requires improvement
- This question was not inspected in detail during this visit. Its previous rating was used when calculating the overall rating.
- Well-led?
- Good
- Inspectors found effective quality checks, a positive culture, opportunities for feedback and a management team that was proactive and approachable.
What inspectors found, February 2022
Rated Good; inspectors found safe, well-managed care, but visiting restrictions and hand hygiene needed attention.
This was an unannounced inspection prompted by concerns about visiting arrangements. Inspectors spoke with two people living at the home, 13 relatives and nine staff. They observed care and reviewed care, medicines, risk, recruitment and management records.
The safe rating was Good. Inspectors found enough safely recruited staff, safe medicines arrangements, risk assessments and safeguarding systems. They also found infection control measures in place, although two occasions were seen where staff did not wash their hands between supporting different people.
The well-led rating was Good. Inspectors found effective checks on care quality and safety, a positive culture and approachable management. Visiting arrangements had been stricter than government guidance, but the provider changed its policy during the inspection.
Only Safe and Well-led were inspected in detail. The other ratings carried over from the previous comprehensive inspection, so the overall rating remained Good.
Safe medicines
Medicines were stored, checked and recorded safely. Inspectors found no unidentified missed or extra doses.
“Medicines were managed safely.” from the report
Risk management
People had plans for risks such as falls, mobility needs and periods of upset. Equipment matched care plans and moving and handling was observed to be safe.
“Risks were assessed and planned for to help keep people safe.” from the report
Safeguarding
Staff understood how to recognise and report abuse. The management team understood its safeguarding responsibilities.
“Staff understood their safeguarding responsibilities, could recognise different types of abuse and knew how to report concerns.” from the report
Management oversight
The home used audits, action plans and meetings to monitor care and improve the service. People, relatives and staff could give feedback.
“Effective quality assurance systems were in place to monitor the safety and quality of the service.” from the report
Hand hygiene
needs fixingInspectors saw two occasions when staff did not wash their hands between supporting different people. This was fed back to the manager for action.
“We observed two instances of staff not washing their hands between supporting different people.” from the report
Visiting restrictions
needs fixingThe home had imposed visiting restrictions that went beyond government guidance at the time. Relatives gave mixed views, and the provider changed its policy during the inspection.
“The provider had imposed additional restrictions on visiting, above the government guidance.” from the report
- 01What is the current visiting policy, and how does it reflect the latest guidance?
- 02What action was taken after inspectors saw staff not washing their hands between supporting different people?
- 03How does the home check that staffing is sufficient during its busiest times?
- 04How are medicines, care plans and risk assessments audited for each person?
- 05How can relatives raise concerns and receive updates about the care provided?
This began as a targeted inspection about visiting concerns and was widened to a focused inspection of Safe and Well-led; the other ratings carried over from the previous comprehensive inspection. This explanation was written from the published report of 16 February 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, March 2019
Rated Good overall, but inspectors found that care was not always responsive, especially for one person's needs and for people living with dementia.
This was an unannounced inspection on 26 February 2019. Inspectors observed care, spoke with people, relatives and staff, and checked care records, medicines, recruitment records and quality checks.
The home was rated Good for Safe, Effective, Caring and Well-led. Inspectors found enough staff, safe medicines arrangements, suitable training, access to health professionals, kind care and systems to monitor quality.
Responsive care was rated Requires Improvement. One person was not offered a drink with breakfast, and staff did not always use information in accessible formats or pictorial menus to help people living with dementia. The overall rating improved from Requires Improvement at the previous inspection.
Staffing had improved
Inspectors found enough staff available and saw that people did not have to wait for support. This was a clear improvement since the previous inspection.
“We saw there were enough staff available for people and they did not have to wait for support.” from the report
Safe medicines
Medicines were stored, given and recorded safely. There was guidance for medicines given when needed, and stock levels were checked.
“We saw there were effective systems in place to store, administer and record medicines to ensure people were protected from the risks associated to them.” from the report
Kind and respectful care
People and relatives spoke positively about staff. Inspectors saw a friendly atmosphere and staff supporting people with comfort, privacy and dignity.
“We saw people were supported in a kind and caring way.” from the report
Good access to health support
People were supported to see health professionals when needed, and staff monitored identified health risks.
“People had access to healthcare professionals when needed and their health was monitored within the home.” from the report
Activities were available
People could take part in activities they enjoyed, including music and exercise sessions.
“People had the opportunity to participate in activities they enjoyed.” from the report
A missed basic need
needs fixingOne person was not offered a drink with breakfast because staff did not communicate this need to each other. Staff acted after inspectors raised it.
“For example, we saw one person was not offered a drink with their breakfast, staff had not communicated this to each other.” from the report
Dementia information was not always used
needs fixingThe home had introduced signs and pictorial menus, but inspectors did not see staff consistently using the available information to help people make choices.
“We saw there were pictorial menus in place at mealtimes however these remain on the side and we did not see staff using these to help people make choices.” from the report
- 01How do you make sure each person's food and drink needs are communicated between staff and shifts?
- 02How are pictorial menus and other accessible information used in practice for people living with dementia?
- 03What extra support is available if a person needs one-to-one attention?
- 04How can relatives raise concerns with the management team, and how are they told what action was taken?
- 05What changes have been made since the previous inspection to maintain staffing levels?
This was a planned, unannounced inspection covering the home, the care provided and all five CQC questions, with particular follow-up after the previous Requires Improvement rating and reported concerns. This explanation was written from the published report of 27 March 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 Lawton Rise Care Home
4 rated inspections over 7 years: the service has slipped, from Outstanding to Good.
- February 2022Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
- March 2019Goodup from Requires improvementSafe: GoodWell-led: Good
- January 2019Requires improvementdown from OutstandingSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- July 2015OutstandingSafe: GoodEffective: OutstandingCaring: GoodResponsive: OutstandingWell-led: Outstanding
- November 2013
Registered with the Care Quality Commission on 29 November 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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