CQC report explained · a nursing home
What the CQC found at Lightmoor View
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention and control, including protective equipment, testing, hygiene and managing outbreaks. They also considered staffing pressures and the effect of COVID-19-related staff shortages.
- Effective?
- Good
- This question was not assessed in this targeted inspection.
- Caring?
- Good
- This question was not assessed in this targeted inspection.
- Responsive?
- Good
- This question was not assessed in this targeted inspection.
- Well-led?
- Good
- This question was not assessed in this targeted inspection.
What inspectors found, June 2022
Lightmoor View was inspected but not rated; inspectors found good infection control, but visiting arrangements had caused unnecessary restrictions.
This was an unannounced, targeted inspection on 26 April 2022. Inspectors looked at infection prevention and control, visiting arrangements and whether staffing pressures were affecting the home.
Inspectors were assured that the home was using personal protective equipment safely, arranging testing, following infection control guidance and managing infection risks. Supplies of protective equipment were plentiful and accessible.
Inspectors found that some families had faced unnecessary visiting restrictions because the policy was not communicated consistently. The provider acted immediately by removing the need to book visits and telling families and staff about the change.
The home was inspected but not rated. This means the visit did not provide an overall quality rating.
Protective equipment
Protective equipment was plentiful, easy to access and used appropriately by staff.
“The provider ensured PPE supplies were plentiful and accessible throughout the buildings.” from the report
Infection control
The home followed national infection control guidance and regularly tested people living there and staff.
“Staff and people were regularly tested and national guidance for the prevention and control of infection was followed.” from the report
Action on visiting
After inspectors raised concerns, the provider removed the need to book visits and communicated the change to families and staff.
“We raised these concerns with the provider who took immediate action in reviewing the visiting policy and removed the need for appointments to be book” from the report
Inconsistent visiting information
needs fixingThe visiting policy was not communicated consistently. Some families faced unnecessary restrictions before the provider changed the policy.
“After the visit we spoke to family members who identified that visiting policy was not being consistently being communicated by staff and some families had faced unnecessary restrictions.” from the report
- 01What are the current visiting arrangements, and do family members still need to book visits?
- 02How do you make sure all staff give families the same information about visiting?
- 03How are COVID-19-related staffing pressures affecting the home now?
- 04How often are people living in the home and staff tested when infection risks arise?
- 05What protective equipment is available, and how do you check that it is being used safely?
This was an unannounced targeted inspection of infection prevention and control, visiting arrangements and staffing pressures; it did not assess the other four key questions or give an overall rating. This explanation was written from the published report of 10 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, December 2020
Inspected but not rated; inspectors were assured that infection control measures were in place during the Covid-19 pandemic.
This was an unannounced, targeted inspection on 24 November 2020. Inspectors checked infection prevention and control measures after receiving concerns about this area.
Inspectors were assured that the home was managing visitors, social distancing, admissions, protective equipment, testing, hygiene and possible outbreaks safely. They also found that the infection control policy was up to date.
The home was inspected but not rated. This report does not give an overall rating or ratings for the other four areas of care.
Visitor checks
Visitors had to complete Covid-19 screening and risk assessments before entering. Their temperature and mask use were also checked.
“Visitors were required to complete Covid-19 screening questionnaires and risk assessments prior to entering.” from the report
Protective equipment
Staff wore PPE in line with guidance and had training in infection prevention and control.
“People were supported by staff who wore Personal Protective Equipment (PPE) in line with current guidance and were trained regarding infection prevention and control.” from the report
Social wellbeing
People were supported to take part in activities while following social distancing rules.
“People were supported to engage in activities that were compliant with social distancing guidelines.” from the report
Covid-19 risk planning
The home had clear Covid-19 risk assessments and had put measures in place to reduce identified risks.
“Clear risk assessments relating to Covid-19 were in place.” from the report
Staff support
Staff had risk assessments and received support through Covid-19 debriefs and measures to reduce their risks.
“Staff risk assessments were completed and measures were put in place to keep staff who were disproportionately at risk of Covid-19 safe.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visitors currently screened before entering the home?
- 02How do you make sure staff use PPE safely and receive infection prevention and control training?
- 03How are people using the service and staff currently tested for Covid-19?
- 04What arrangements are in place to prevent or manage an infection outbreak?
- 05What is the home's current overall CQC rating, given that this inspection was not rated?
This was an unannounced targeted inspection of infection prevention and control measures only; it did not rate the other areas of care. This explanation was written from the published report of 22 December 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.
Every inspection of Lightmoor View
5 rated inspections over 4 years: the service has held its Good rating throughout.
- June 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- December 2020Inspected but not ratedSafe: Inspected but not rated
- March 2019Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2018Requires improvementup from InadequateSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- December 2017Inadequatedown from Requires improvementSafe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- February 2017Requires improvementdown from GoodSafe: Requires improvementEffective: GoodCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- March 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2013
Report published without a new overall rating.
- August 2012
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 24 November 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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Most charge £980 to £1,200 a week. 88 can care for a couple. 10 years' experience on average.
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