CQC report explained · a nursing home
What the CQC found at Lindisfarne CLS Nursing
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough staff, safe recruitment, effective safeguarding and safe medicines management. Risk assessments and infection control arrangements were also found to be effective.
- Effective?
- Good
- This question was not covered by this inspection. The rating was carried forward from the previous comprehensive inspection.
- Caring?
- Good
- This question was not covered by this inspection. Inspectors did observe kind and compassionate care, but no current rating was given for Caring.
- Responsive?
- Good
- This question was not covered by this inspection. The rating was carried forward from the previous comprehensive inspection.
- Well-led?
- Good
- Inspectors found clear management oversight, regular reviews and action plans for improvements. Staff said the registered manager was approachable and listened to their views.
What inspectors found, October 2022
Rated Good; inspectors found people were safe, cared for kindly and supported by good management.
This was an unannounced inspection. Inspectors reviewed care records, medicines, staff files, safety records and infection control arrangements. They spoke with people, relatives and staff, and observed care.
Inspectors found enough staff, safe recruitment and good systems for protecting people from abuse. Medicines were managed safely. Risk assessments gave staff clear guidance, and accidents and incidents were reviewed for learning.
People said they felt safe and staff were kind and compassionate. The home worked within the Mental Capacity Act, and inspectors were assured about infection control and visiting arrangements.
The overall rating was Good. Safe and Well-led were rated Good in this inspection. The report says the other ratings were carried forward from the last comprehensive inspection, which was also rated Good.
Enough staff
Inspectors found staffing levels were reviewed against people's needs. People said staff were available when needed.
“There were enough staff to meet people's needs.” from the report
Kind care
People said they felt safe, and inspectors saw staff providing care in a kind and compassionate way.
“We observed staff interact with people in a kind and compassionate manner.” from the report
Safe medicines
Medicines were received, stored, given and disposed of safely. There were clear instructions for medicines used only when needed.
“People's medicines were appropriately managed.” from the report
Learning from incidents
The home reviewed accidents and incidents to identify patterns and use them as opportunities to improve.
“Records were analysed for patterns or trends and incidents were used as a learning opportunity.” from the report
Good oversight
The registered manager reviewed the service, used action plans and worked with other agencies to improve people's care and wellbeing.
“The registered manager maintained clear oversight of the service.” from the report
Care records being updated
minorThe registered manager was still working to make sure all care records were accurate and up to date. Inspectors did not describe this as a breach, but it is worth asking how this work was completed.
“the registered manager regularly reviewed the care records and was in the process of ensuring all were accurate and up to date.” from the report
- 01Have all care records now been checked and updated, and how do you make sure they stay accurate?
- 02How do you review staffing levels when people's needs or dependency levels change?
- 03How are accidents and incidents reviewed, and what changes have been made as a result?
- 04How will you keep relatives informed when a person's needs change?
- 05What were the ratings for Effective, Caring and Responsive at the previous comprehensive inspection?
This inspection only covered Safe and Well-led, including infection control; the other ratings were carried forward from the last comprehensive inspection. This explanation was written from the published report of 15 October 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, January 2021
Targeted infection-control inspection; inspectors were assured about safety, but Lindisfarne CLS Nursing was not rated.
Inspectors made an unannounced visit on 11 December 2020 during a COVID-19 outbreak. This was a targeted inspection of infection prevention and control.
They found systems to reduce the spread of infection. Staff had training in using personal protective equipment, supplies were available, and staff were seen wearing suitable equipment.
The home was clean and extra cleaning was taking place. People were supported to keep in touch with relatives using technology, and plans were in place for safer visiting when visits restarted.
The service was marked “Inspected but not rated”. This visit did not give an overall quality rating or a rated result for safe care.
Infection control systems
The home had systems to prevent people, staff and visitors catching and spreading infections. Inspectors were assured that outbreaks could be prevented or managed.
“Systems were in place to prevent people, staff and visitors from catching and spreading infections.” from the report
PPE and staff training
Staff had relevant training and were observed using suitable PPE. Supplies were readily available.
“Staff were observed wearing appropriate PPE and suitable supplies of PPE were readily available.” from the report
Clean environment
The home was clean, with extra cleaning of all areas and frequently touched surfaces.
“The home was clean and additional cleaning of all areas and frequent touch surfaces was being carried out.” from the report
Keeping people connected
People and their relatives were supported to stay in contact using a range of technology.
“People and their relatives were supported to keep in contact using a range of technology.” from the report
Further development suggested
minorInspectors signposted the provider to resources to develop its infection-control approach. The report does not describe this as a breach.
“We have also signposted the provider to resources to develop their approach.” from the report
- 01What infection-control changes have been made since the inspection on 11 December 2020?
- 02What are the current arrangements for visits, including appointment rules, cleaning and visiting during an outbreak?
- 03How are new residents supported with self-isolation and other infection-control measures?
- 04What is the home's current overall CQC rating, given that this inspection was not rated?
- 05How does the home now use the resources suggested by inspectors to develop its infection-control approach?
This was an unannounced targeted inspection of infection prevention and control during a COVID-19 outbreak; it did not rate the other key questions or the service overall. This explanation was written from the published report of 15 January 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 Lindisfarne CLS Nursing
4 rated inspections over 8 years: the service has improved, from Inadequate to Good.
- October 2022Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2021Inspected but not ratedSafe: Inspected but not rated
- August 2017Goodstayed GoodSafe: GoodWell-led: Good
- July 2015Goodup from InadequateSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2015InadequateSafe: InadequateEffective: InadequateCaring: InadequateResponsive: InadequateWell-led: Inadequate
- September 2014
Report published without a new overall rating.
- September 2013
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- February 2011
Registered with the Care Quality Commission on 2 February 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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47 live-in carers within about an hour of County Durham
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 £960 to £1,210 a week. 42 can care for a couple. 10 years' experience on average.
“Petty introduced herself to Mum every time she was caring for her and responded very quickly to Mum if she was distressed in the night.”
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.