CQC report explained · a residential care home
What the CQC found at Lincolnshire House Association
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm, and staff understood risks and how to respond. Medicines, recruitment, staffing and infection control were well managed, but individual evacuation plans were not in place.
- Effective?
- Good
- People's needs were assessed and reviewed, and staff had suitable training, supervision and support. People were supported with food, drink, healthcare, communication and decisions about their care.
- Caring?
- Good
- Inspectors saw kind and positive relationships between people and staff. People were involved in decisions, treated with dignity and supported to maintain their independence and relationships.
- Responsive?
- Outstanding
- Support was exceptionally personalised and helped people achieve goals, develop confidence and live fuller lives. The home supported a wide range of activities, work, friendships and community involvement.
- Well-led?
- Good
- People, relatives and staff spoke positively about the management. Quality checks, feedback and meetings were used to identify improvements and involve people in the running of the home.
What inspectors found, February 2020
Rated Good overall; inspectors found exceptionally responsive, person-centred support, with personal evacuation plans still needed.
Inspectors visited without notice on 25 and 26 November 2019. They spoke with people living at the home, relatives, staff and visiting professionals. They also reviewed care records, medicine records, recruitment files and management records.
The home was rated Good overall. Safe, Effective, Caring and Well-led were all rated Good. Responsive was rated Outstanding. Inspectors found that people received kind, individual support and were helped to become more independent, take part in activities, work and maintain relationships.
The main shortfall was that people did not have individual evacuation plans to guide staff if they needed to leave the building quickly in an emergency. The provider was recommended to introduce these plans. The overall rating and all five question ratings were unchanged from the previous inspection.
Personalised support
Care plans were detailed and focused on each person's needs, preferences and goals. Staff spent time helping people achieve ambitions and become more independent.
“The provider continued to ensure people received care and support that was exceptionally personalised, very well planned and particularly responsive to their individual needs and preferences.” from the report
Independence and community life
People were supported to work, use local services, develop interests and take part in activities such as sport. Inspectors found this helped people gain confidence and avoid isolation.
“Staff were proactive in seeking opportunities for people to have different experiences and to be fully engaged in the community.” from the report
Kind and respectful care
Inspectors saw relaxed, caring relationships between people and staff. People were involved in everyday choices and their privacy, dignity and communication needs were respected.
“Throughout the inspection we observed caring and positive interactions between people and staff.” from the report
Good management and improvement
The management was described as visible and supportive. Regular checks, meetings and feedback helped the home identify and address issues.
“The service had a strong culture of learning and improvement.” from the report
Emergency evacuation plans
needs fixingIndividual evacuation plans were not in place to explain how each person could leave safely in an emergency. Inspectors recommended that the provider update care plans with this information.
“We recommend the provider consider current guidance on personal evacuation plans and take action to update their care plans accordingly.” from the report
- 01Have personal evacuation plans now been created for every person, and how often are they reviewed?
- 02How would staff support my relative to leave the building safely in an emergency?
- 03How will my relative's personal goals, work, hobbies and community activities be included in their support plan?
- 04What training is available if my relative's medical or communication needs change?
- 05How can my relative and our family raise a complaint, and how will we be told what action was taken?
This was an unannounced inspection of the care home covering all five CQC questions, including the premises and the personal care provided. This explanation was written from the published report of 22 February 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, May 2017
Rated Good; inspectors found safe, kind and highly personalised care, with Outstanding responsiveness.
This was a comprehensive inspection over three days in April 2017. The first day was unannounced. Inspectors spoke with people living in the home, relatives, staff and a social care professional. They also looked at care records, staff files, medicines, incident records, audits and the building.
Inspectors found people were safe and treated with kindness and respect. Staff supported people to make choices, stay independent and manage risks. Medicines, recruitment, training, health care, equipment and staffing were checked and found to be managed safely.
The strongest area was responsiveness, rated Outstanding. Care was personalised and reviewed regularly. People were involved in decisions and had many activities and opportunities in the home and local community. The home was rated Good overall, the same as at the previous inspection in January 2015.
Personalised support
Care plans reflected people's individual goals, strengths and needs. They were reviewed and updated monthly, with people and relatives involved.
“We saw people's care plans were personalised to reflect their individual goals, strengths and needs which were reviewed and updated by people's keyworkers on a monthly basis.” from the report
Choice and independence
People were supported to make decisions, take reasonable risks and remain as independent as possible. They also helped influence service decisions.
“A positive approach was adopted to ensure people were supported to take risks safely and where possible, encouraged to make choices and decisions concerning their lives.” from the report
Activities and community life
The home offered many activities and supported people to follow hobbies, work, education, religious interests and community activities.
“We have lots of activities not only on site, but out in the community, I went out to take part in a game of wheelchair football earlier this morning.” from the report
Kind and respectful care
Inspectors saw staff speaking patiently and supporting people's privacy, dignity and consent during care.
“Throughout the inspection we observed a calm and comfortable atmosphere throughout the service.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you assess and review my relative's individual goals, strengths and needs each month?
- 02Which specialist equipment and adaptations would be available for my relative, and how would you make sure they remain suitable?
- 03Which activities and community opportunities could my relative take part in, based on their interests and abilities?
- 04How would you support my relative to make choices and take risks while keeping them safe?
- 05How are medicines checked, and how would you tell us about any medicine error or change in treatment?
This was a comprehensive inspection covering all five CQC questions, with the first inspection day unannounced; inspectors spoke with seven people, seven relatives and several staff and reviewed care, medicines, recruitment, training and quality records. This explanation was written from the published report of 26 May 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 Lincolnshire House Association
3 rated inspections over 5 years: the service has held its Good rating throughout.
- February 2020Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
Read what inspectors found at Lincolnshire House Association →
- May 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
Read what inspectors found at Lincolnshire House Association →
- March 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
- June 2013
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 14 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.
Weigh the report against the rest
Fees, photos and reviews from families
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32 live-in carers within about an hour of North Lincolnshire
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 £980 to £1,300 a week. 29 can care for a couple. 11 years' experience on average.
“What truly stands out is how mindful and attentive she is to all of my medical needs, always going above and beyond to ensure I’m comfortable and well cared for.”
“Martin was more than a carer, he managed the home and became my uncle's best friend, enriching his life during his last few years.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.