CQC report explained · a nursing home
What the CQC found at Lincombe Manor
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention and control. This included PPE, testing, admissions, cleaning, social distancing and managing possible outbreaks.
- Effective?
- Good
- This question was not assessed during this targeted inspection.
- Caring?
- Outstanding
- This question was not assessed during this targeted inspection.
- Responsive?
- Good
- This question was not assessed during this targeted inspection.
- Well-led?
- Good
- This question was not assessed during this targeted inspection.
What inspectors found, March 2021
Lincombe Manor was inspected but not rated; inspectors found strong infection prevention and control measures.
This was a targeted inspection on 5 February 2021. It looked at how well the home was prepared to prevent and control coronavirus infections. The visit was announced.
Inspectors found readily available protective equipment, visitor booking and testing arrangements, temperature checks, cleaning procedures and updated infection control guidance. Staff and residents were tested in line with current guidance.
Inspectors were assured that the home was managing visitors, admissions, protective equipment, testing, cleaning, social distancing and possible outbreaks safely. The service was inspected but not rated, so this report does not provide an overall quality rating.
Infection control
The home had measures to reduce the spread of infection among residents, visitors and staff.
“We were assured that the provider was preventing visitors from catching and spreading infections.” from the report
Visitor arrangements
Visitors used a booking system with staggered times and lateral flow testing. A visiting pod and other ways to keep in touch were available.
“Lincombe Manor had a booking system for visitors, with staggered times and lateral flow testing in place.” from the report
Clean environment
Inspectors found the home visibly clean and hygienic. Cleaning schedules covered frequently touched areas.
“Lincombe Manor was visibly clean and hygienic at the time of this inspection.” from the report
Staff preparation
Staff had infection control training and were trained to put on and remove protective equipment safely.
“Online training on infection control had been undertaken by all staff, including managing COVID-19” from the report
Inspectors raised no specific concerns in this report.
- 01How does the current visitor booking, testing and visiting pod arrangement work?
- 02How are new residents tested and supported during any isolation period?
- 03How do you keep staff training and PPE practice up to date?
- 04How are residents supported if wearing PPE affects their communication or causes distress?
- 05What arrangements are currently in place to manage a possible infection outbreak?
This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it did not assess the home's wider care or provide an overall rating. This explanation was written from the published report of 3 March 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.
What inspectors found, May 2019
Rated Good overall, with Outstanding caring; inspectors found kind, safe care while management systems were changing.
This was an unannounced inspection on 9 April 2019. Inspectors spoke with people living at the home, relatives, staff and health professionals. They reviewed five care records, medicines records, risk records, audits, complaints and other information.
The home was rated Good for Safe, Effective, Responsive and Well-led. Caring was rated Outstanding. Inspectors found enough staff, safe medicines practice, personalised care and good support for people's independence. People and relatives spoke highly of the care.
There were some minor issues. Some recruitment files did not fully record checks on gaps in employment history. Some training updates were due shortly after the inspection. Management arrangements and record systems were also changing, but inspectors said this had had little impact on people.
Exceptional kindness
Staff treated people with compassion and respect. Inspectors saw examples of staff giving substantial extra support during difficult or important events.
“The service was exceptionally caring. People's needs and wishes were met by staff who knew them well.” from the report
Personalised care
Care plans reflected people's needs, histories and preferences. People and relatives were involved in planning and reviewing care.
“People across both units received care and support in a way that was flexible and responsive to their needs.” from the report
Safe medicines
Medicines were stored, administered and recorded safely. There were regular checks and clear guidance for medicines given when needed.
“Records for medicines administration were completed well.” from the report
Support for independence
People in the intermediate care unit were encouraged to regain skills and prepare to return home. Staff worked closely with therapy professionals.
“In the intermediate care building the main focus of the service was to encourage people to regain independence following a short period of illness or a hospital stay.” from the report
Good quality oversight
The home used audits, meetings and incident reviews to monitor care and identify improvements. Inspectors found that required actions were being completed.
“Audits were up to date and where actions were needed we saw these had been carried out.” from the report
Employment history records
needs fixingSome recruitment files did not show a thorough check of gaps in employment history. The manager agreed to address this with the staff concerned.
“Some of the files did not have a thorough exploration of gaps in people's employment history recorded” from the report
Training updates due
minorSome mandatory training updates, including fire training, were planned for the week after the inspection. Families should check that these were completed.
“Mandatory training updates for example for Fire training were planned for the week following the inspection.” from the report
Management changes
minorThe management company was changing and the home was still using the previous organisation's records system during the inspection. Inspectors said oversight remained in place and the impact on people was minimal.
“The service at the time of the inspection was still using the previous organisations records management systems.” from the report
Staff appraisals had fallen behind
minorStaff appraisals had previously fallen behind, although the manager and deputy had brought them up to date by the inspection.
“Although these had fallen behind, the manager and deputy had recently ensured all the staff appraisals were up to date.” from the report
- 01Has the change of management company been completed, and are the new operating records and systems now fully in use?
- 02Have all the fire and other mandatory training updates planned after the inspection been completed?
- 03How do you now check and record gaps in applicants' employment histories?
- 04How often will you review staffing levels at busy times, when some people previously reported waiting longer for care?
- 05How are people's care wishes and treatment escalation plans kept up to date, especially if their health changes?
This was an unannounced comprehensive inspection covering all five key questions and the overall quality and safety of the home. This explanation was written from the published report of 16 May 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 Lincombe Manor
3 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- March 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- May 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
- October 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2015Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- January 2015
Report published without a new overall rating.
- February 2014
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- September 2011
Registered with the Care Quality Commission on 30 September 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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21 live-in carers within about an hour of Torbay
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 £1,400 a week. 17 can care for a couple. 12 years' experience on average.
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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.