CQC report explained · a nursing home
What the CQC found at Lindisfarne CLS Residential
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- There were enough staff, medicines were managed safely and staff understood safeguarding and risk procedures. Infection prevention arrangements were also effective.
- Effective?
- Good
- This area was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Caring?
- Good
- This area was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Responsive?
- Good
- This area was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Well-led?
- Good
- Managers promoted person-centred care, reviewed the service and acted on incidents and improvement needs. Staff said management was approachable and listened to their views.
What inspectors found, May 2023
Lindisfarne CLS Residential was rated Good; inspectors found safe, kind care and good management, but this inspection covered only Safe and Well-led.
This was an unannounced inspection carried out on 20, 25 and 28 April 2023. One inspector spoke with people living in the home, relatives, staff and managers. They reviewed care records, medicine records, staff files and management records.
The home had enough staff, safe recruitment and effective medicines systems. Staff understood how to protect people from abuse and manage risks. Infection prevention arrangements were also found to be effective.
People described staff as supportive, caring and willing to do extra things. Managers reviewed the service, responded to incidents and acted on improvements. The overall rating was Good, as were Safe and Well-led.
This was not a full inspection of all five areas. The ratings for Effective, Caring and Responsive were carried forward from the previous comprehensive inspection.
Safe staffing
The home reviewed dependency levels and increased staffing so it could respond when the number of people living there changed.
“They had increased the number of staff on duty so these variations could be managed more effectively.” from the report
Safe medicines
Medicines were received, stored, given and destroyed safely. Staff who administered medicines had suitable training.
“People's medicines were appropriately managed. Medicines were safely received, stored, administered and destroyed when required.” from the report
Kind staff
People and relatives described staff as caring and supportive. Inspectors observed kind and compassionate interactions.
“We observed staff interact with people in a kind and compassionate manner.” from the report
Good management
Managers used reviews, action plans and incident records to identify and monitor improvements.
“The provider and registered manager regularly reviewed the systems and processes in the service to determine if improvements could be made.” from the report
Risk records needed strengthening
minorInspectors discussed adding more detail to some risk documents, including plans for people who had lost weight. The managers put these plans in place immediately.
“We discussed how to enhance and develop some aspects of these, such as producing plans when people were noted to have lost weight.” from the report
Activities needed improvement
minorThe service had identified that activities were not always sufficiently available. Dedicated staff were employed to improve this.
“They identified the availability of activities needed to be improved and employed dedicated staff to undertake this role.” from the report
- 01How have the new risk plans for people who lose weight been used and reviewed?
- 02What activities are now available, and how do you check that people can take part in activities they enjoy?
- 03How do you adjust staffing when the number or needs of people living at the home change?
- 04What is the current position on the manager's application to register with the CQC?
- 05When were Effective, Caring and Responsive last fully reviewed, and what has changed in those areas since then?
This was a focused inspection of Safe and Well-led only; the other ratings were carried forward from the last comprehensive inspection. This explanation was written from the published report of 23 May 2023 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, February 2022
Inspected but not rated; inspectors were assured that infection control was safe and staff supported people's wellbeing during the pandemic.
This was an unannounced, targeted inspection on 21 January 2022. It focused on infection prevention and control, and on whether COVID-19-related staffing pressures affected care.
Inspectors found systems to help prevent infections spreading. There was enough protective equipment, staff used it properly, and people and staff were tested regularly. A COVID-19 vaccination programme was also in place.
Inspectors saw positive interactions between staff and people. They were assured that the home was following infection control measures, including safe admissions, visiting arrangements, hygiene, testing and outbreak management.
The home was inspected but not rated. This means the report does not give an overall quality rating or full ratings for all five areas of care.
Infection control
The home had systems to reduce the spread of infection. Inspectors were assured that its infection prevention and control policy was up to date.
“Systems were in place to help prevent people, staff and visitors from catching and spreading infection.” from the report
Protective equipment
There was enough PPE and staff used it correctly. Staff had also been trained to put it on and take it off.
“There was enough PPE such as aprons, gloves and masks.” from the report
Support during the pandemic
Staff worked together to support people's wellbeing. Inspectors observed positive interactions between staff and people.
“Staff had worked as a team to help promote people's wellbeing throughout the pandemic.” from the report
Testing and vaccination
People and staff were tested regularly, and a COVID-19 vaccination programme was in place.
“Staff and people were tested regularly for COVID-19.” from the report
Inspectors raised no specific concerns in this report.
- 01How are you currently managing staffing pressures linked to COVID-19, and have they affected people's care?
- 02How do you check that staff continue to use PPE correctly and follow the infection control policy?
- 03How are people and staff currently offered COVID-19 testing and vaccination?
- 04How are visits arranged now, and what happens if there is an infection outbreak?
- 05What full CQC ratings or assessments are available for care planning, medicines, activities and management, as this inspection did not cover them?
This was a targeted inspection of infection prevention and control and COVID-19-related staffing pressures; it did not assess the other four key questions or provide an overall rating. This explanation was written from the published report of 1 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.
Every inspection of Lindisfarne CLS Residential
3 rated inspections over 7 years: the service has held its Good rating throughout.
- May 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2022Inspected but not ratedSafe: Inspected but not rated
- February 2019Goodstayed GoodSafe: GoodWell-led: Good
- August 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- February 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.