CQC report explained · a nursing home
What the CQC found at Lloyd Park Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough suitably qualified staff, up-to-date risk assessments, safe medicines procedures and safeguarding systems. They also found appropriate infection control and systems to learn from accidents and incidents.
- Effective?
- Good
- This question was not inspected during this focused inspection. The report says ratings for questions not inspected were carried over from the previous inspection.
- Caring?
- Good
- This question was not inspected during this focused inspection. The report says ratings for questions not inspected were carried over from the previous inspection.
- Responsive?
- Good
- This question was not inspected during this focused inspection. The report says ratings for questions not inspected were carried over from the previous inspection.
- Well-led?
- Good
- Inspectors found an open and person-centred culture, clear management systems and good involvement of people, families and staff. Managers used audits, feedback and partnership working to improve the service.
What inspectors found, July 2023
Lloyd Park Nursing Home is rated Good; inspectors found safe care, person-centred leadership and systems to manage risks.
The inspection was unannounced. One inspector and one Expert by Experience visited the home on 30 June 2023. They spoke with one person, five relatives and five staff, and reviewed care, staff and management records.
Safe and Well-led were both rated Good. Inspectors found enough suitably skilled staff, detailed risk information, safe medicines systems and appropriate safeguarding arrangements. They also found caring staff, good communication with families and systems to check and improve quality.
This was a focused inspection of Safe and Well-led. The overall Good rating remained in place because the other ratings were carried over from the previous inspection. The last overall rating was Good in March 2018.
Managing risks
Care records contained personalised information to help staff manage people's risks safely. Risk assessments and care plans were reviewed and kept up to date.
“People's care records contained detailed and personalised information for staff to safely manage risks to people.” from the report
Safe staffing and medicines
Inspectors found enough suitably qualified staff. Medicines were given by trained staff and checked through regular audits.
“The provider deployed enough suitably qualified staff to meet people's needs safely.” from the report
Positive culture
The home had a caring, open and empowering culture. Staff were described as friendly, kind and committed to their work.
“There was a positive, person-centred culture that was open, inclusive and empowering, which achieved good outcomes for people.” from the report
Responding to concerns
Families were able to contact the home and share their views. The report says concerns were dealt with promptly.
“If you raise any concern, they deal with it quickly, within twenty-four to forty-eight hours and they don't ignore you.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you assess and review my relative's individual risks and care plan after they move in?
- 02How will you make sure my relative receives their regular and when-required medicines safely?
- 03How many staff will be available on each shift, and what happens if staffing levels change?
- 04How will my family be involved in care reviews and in raising concerns?
- 05What progress has been made with the planned nurse training starting in September 2023?
This was an unannounced focused inspection of Safe and Well-led only; the other ratings were carried over from the previous inspection. This explanation was written from the published report of 21 July 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, March 2018
Lloyd Park Nursing Home was rated Good; inspectors found safe, kind care, but activities were not always frequent or stimulating.
The inspection was unannounced and took place on 9 February 2018. One inspector spoke with people living in the home, relatives, staff, the provider and the registered manager. Records, medicines administration records and staff files were also checked.
The home was clean and well maintained. Inspectors found enough trained staff, safe medicines systems, good infection control and appropriate checks to protect people. People were supported with their health, food, personal care, choices and relationships.
People were treated with kindness and dignity, and staff knew their individual preferences. However, activities were not always frequent or stimulating, and care plans did not always fully record the care staff were providing. The overall rating and all five question ratings remained Good, as they had been at the 2017 inspection.
Safe staffing
Inspectors found enough experienced staff to support people safely. People said they did not have to wait long for help.
“There was a sufficient number of experienced staff to support people safely.” from the report
Safe medicines
Medicines were securely stored and records checked by inspectors were complete and accurate. Staff worked with the local GP surgery to review medicines.
“The MAR we looked at were fully completed, accurate and up to date.” from the report
Kind and respectful care
Staff built good relationships with people and respected their privacy, dignity, choices and independence.
“We observed that staff had developed a good rapport with people.” from the report
Good food and nutrition
People were positive about the food and drink. Staff knew people's preferences and allowed people to eat at their own pace.
“Everyone we spoke with was very complimentary about the food and drink provided in the home.” from the report
Activities were not always frequent
needs fixingTwo people said they wanted more outings or activities. Inspectors also observed that activities could be more stimulating and frequent, and the home was trying to recruit extra help.
“However two people told us, "I would like to go out more" and "There are activities now and then but not often".” from the report
Care plans needed updating
needs fixingThe care people received was not always fully recorded in their care plans. The home was updating the plans, and the manager later sent evidence that this had been completed.
“However, the care people received was not always reflected in their care plans.” from the report
- 01How often are organised activities and trips now provided, and how are they matched to each person's interests?
- 02Have all care plans been updated to reflect each person's current needs and the support staff provide?
- 03How are people's views about activities, food, cleaning and care collected and acted on?
- 04How will you make sure there are enough staff to provide one-to-one support and help with activities?
- 05How are medicines reviewed and any changes communicated to relatives and staff?
This was an unannounced inspection covering all five CQC questions, and the Good ratings remained unchanged from the 2017 inspection. This explanation was written from the published report of 16 March 2018 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 Lloyd Park Nursing Home
4 rated inspections over 8 years: the service has held its Good rating throughout.
- July 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2018Goodstayed GoodSafe: GoodWell-led: Good
- March 2017Goodstayed GoodEffective: Good
- November 2015GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- November 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- September 2011
Registered with the Care Quality Commission on 7 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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