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CQC report explained · a residential care home

What the CQC found at Lola's House Residential Home Limited

Goodpublished 4 August 2023, 3 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People were protected by suitable staffing, safeguarding systems, safe medicines management and infection control. However, two recent residents did not have all their risk assessments in place, and fire safety grab bag information was out of date.
Effective?
Good
Care plans were detailed and person-centred. Staff had relevant training, people were supported with food and healthcare, and consent was sought in line with legal requirements.
Caring?
Good
People were treated with kindness, compassion, dignity and respect. Staff knew people well and supported communication, independence and personal choices.
Responsive?
Good
Care was planned around people's needs and preferences. People had access to activities, community opportunities, communication support and a complaints process.
Well-led?
Good
Inspectors found an open and transparent culture, regular checks and good involvement of people, relatives and staff. A more formal structure for some checks and oversight was still being developed.
The latest report, explained

What inspectors found, August 2023

Lola's House Residential Home Limited is rated Good; inspectors found kind, personalised care, with some records needing prompt updating.

Inspectors visited without notice on 13 July 2023. They spoke with four people, two relatives, three staff members, the manager, the cook and the owners. They reviewed care records, medicines records, staff recruitment files and management records.

All five areas were rated Good: safe, effective, caring, responsive and well-led. People were supported by enough staff, received medicines safely, and were treated with kindness and respect. Care was personalised, activities were provided, and people and relatives said their concerns were listened to.

There were some shortfalls in record keeping. Two people who had recently moved in did not have all their risks recorded, and the fire safety grab bag was not up to date. The manager said these issues, along with some medicines recording points, were corrected immediately after the inspection.

This was the first inspection of the newly registered service. The report says the previous provider had been rated Inadequate in December 2022, so the current Good rating reflects the service under the new registration and new owners.

What inspectors praised
  • Personalised care

    Care plans contained detailed information about people's wishes, preferences and support needs. Staff were expected to use this information when providing care.

    “Care plans were person-centred and contained detailed information for staff to follow to ensure people received care as they wished.” from the report
  • Kind and respectful staff

    People and relatives described the care positively. Inspectors found that staff supported people's dignity, privacy, independence and communication.

    “People were treated with kindness and compassion. One person said, "[It's] good care. [It's] clean and [I'm] well cared for, [I'm] happy with the place.” from the report
  • Activities and choice

    People were supported to take part in personal and organised activities, use outdoor spaces and access the community.

    “People were supported to enjoy activities personal to them, such as knitting, as well as organised activities, such as a Coronation party.” from the report
  • Open management

    Inspectors found that managers were approachable and that regular checks, staff meetings and discussions about improvement had started.

    “The registered manager ensured staff were well-supported and had an open-door policy. There was a culture of openness and transparency.” from the report
What inspectors were concerned about
  • Risk records were incomplete

    needs fixing

    Two people who had recently moved in did not have risk assessments for every aspect of their care. The report says this was corrected after the inspection, but it recommends reviewing the time taken to complete and update assessments.

    “However, two people who had recently moved to the service did not have risk assessments in place for all aspects of their care.” from the report
  • Fire safety information was out of date

    needs fixing

    Information in the fire safety grab bag had not been updated at the time of the visit. The manager confirmed this was corrected immediately afterwards.

    “Information in the fire safety 'grab bag' had not been updated.” from the report
  • Formal oversight was still developing

    minor

    The owners had daily oversight and regular checks were taking place, but a more formal structure for checks and oversight was still being developed.

    “We discussed with the owners how they would develop a more formal structure of checks and oversight in the future.” from the report
Questions to ask them, based on this report
  1. 01How do you make sure risk assessments are completed for every new resident before or soon after they move in?
  2. 02How often is the fire safety grab bag checked, and who is responsible for updating it?
  3. 03What changes have you made to record topical creams and medicines given when needed?
  4. 04What formal checks and oversight arrangements have been introduced since the inspection?
  5. 05How do you involve residents and relatives in care planning, activities and decisions about the home?

This was an unannounced inspection covering all five key questions, the premises and care provided, and infection prevention and control. This explanation was written from the published report of 4 August 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.

The story over the years

Every inspection of Lola's House Residential Home Limited

6 rated inspections over 7 years: the service has improved, from Requires improvement to Good.

  1. August 2023Goodcurrent ratingup from Inadequate
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Lola's House Residential Home Limited →

  2. December 2022Inadequatedown from Requires improvement
    Safe: InadequateWell-led: Inadequate
  3. May 2019Requires improvementup from Inadequate
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
  4. October 2018Inadequatedown from Requires improvement
    Safe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
  5. August 2017Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
  6. June 2016Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
  7. April 2023

    Registered with the Care Quality Commission on 11 April 2023.

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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Most charge £1,030 to £1,420 a week. 14 can care for a couple. 7 years' experience on average.

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