CQC report explained · a nursing home
What the CQC found at Lonsdale Mews
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, October 2022
Rated Good; inspectors found safe, kind and personalised care across all five areas.
This was the home’s first inspection since it registered. It was unannounced and took place on 11 and 13 May 2022. Inspectors spoke with people, relatives and staff, and reviewed care plans, risk assessments, medicines records, staff files and other records.
Inspectors rated the home Good for Safe, Effective, Caring, Responsive and Well-led. They found people were safe, staff were suitably recruited and trained, and there were enough staff to meet people’s needs.
Care was personalised and people were involved in decisions about their support. Staff knew people well, responded to changing health needs and worked with health professionals. The home also had activities, visiting arrangements and support for end of life care.
The inspection included checks on infection prevention and control. Inspectors also carried out a separate thematic probe about oral health care and access to dentists. The report says the home will continue to be monitored, but it does not list any breaches or enforcement action.
Safe staffing
Inspectors found staff were safely recruited and that staffing levels were sufficient. Relatives said staff had time to spend with people and were not rushing.
“Four relatives told us they felt staff "had time" to spend with their family members, and staff were not rushing about.” from the report
Personalised care
Care plans included people’s health needs, preferences and life histories. Families could contribute to life story books and personal information.
“People and their relatives were involved in planning their care.” from the report
Kind and respectful staff
Staff were observed being warm, calm and patient. People were supported to make choices and to keep their privacy and independence.
“We observed staff interacting with people in a warm and compassionate way.” from the report
Activities and relationships
The home offered group and one-to-one activities based on people’s interests and abilities. It also worked with local community groups.
“A full programme of events and activities were available.” from the report
Open management
Staff and families felt able to raise concerns. The home used audits, incident reviews and feedback to improve care.
“Comprehensive monthly audits and analysis of incidents and accidents were undertaken to drive improvements at the service.” from the report
Inspectors raised no specific concerns in this report.
- 01How will staffing levels and people’s continuity of care be maintained as the fourth unit slowly opens?
- 02How will you support my relative’s oral health and arrange access to a dentist?
- 03How will you record and review my relative’s changing health needs and referrals to health professionals?
- 04What activities would be available for my relative if they prefer one-to-one support rather than group activities?
- 05How would you involve our family in planning end of life care and communicating any changes in health?
This was the first comprehensive inspection of the newly registered home, covering all five key questions, with additional checks on infection control and a separate oral health thematic probe. This explanation was written from the published report of 21 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 2022
Inspected but not rated; inspectors found good infection control during a COVID-19 outbreak, but this was not a full inspection of care quality.
The inspection was unannounced and took place on 11 January 2022. It was a targeted inspection of infection prevention and control during a COVID-19 outbreak. Inspectors also asked about staff pressures.
Inspectors found that staff used protective equipment correctly. The home was clean, and arrangements helped reduce unnecessary movement into areas affected by the outbreak. Visitor vaccination and testing checks were in place.
The manager was managing the outbreak with support from other agencies. Inspectors were assured about infection control, testing, admissions, visiting arrangements and vaccination checks for staff and visiting professionals.
The service was inspected but not rated. This report does not give an overall rating or a full picture of other areas of care.
Protective equipment
Staff were using protective equipment in line with government guidance.
“Staff were wearing personal protective equipment (PPE) in accordance with government guidance.” from the report
Clean environment
The home was clean, with arrangements to limit unnecessary movement into areas affected by the outbreak.
“The service was clean and effective systems were in place to ensure laundry and kitchen staff did not go unnecessarily into areas of the service where there was a COVID-19 outbreak.” from the report
Visitor checks
The home checked visitors' vaccination and lateral flow test status.
“Procedures were in place to ensure visitors to the service had their COVID-19 vaccination status and lateral flow test status checked.” from the report
Outbreak management
The manager understood their responsibilities and worked with relevant partner agencies during the outbreak.
“The registered manager was aware of their responsibilities and managed the COVID-19 outbreak with support from relevant partner agencies.” from the report
Inspectors raised no specific concerns in this report.
- 01How did COVID-19 related staffing pressures affect people's care and support at the time?
- 02What infection control arrangements are now used if there is an outbreak?
- 03How do you currently check visitors' vaccination and lateral flow test status?
- 04How are protective equipment, testing and safe admissions managed now?
- 05How do you support visits for people living in the home during an outbreak?
This was an unannounced targeted inspection of infection prevention and control during a COVID-19 outbreak, with questions about staffing pressures; it was not a full inspection and the service was not rated. This explanation was written from the published report of 25 January 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 Lonsdale Mews
Each visit the CQC has published, newest first, back to the day the home was registered.
- October 2022Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2022Inspected but not ratedSafe: Inspected but not rated
- December 2020Inspected but not ratedSafe: Inspected but not rated
- September 2020
Registered with the Care Quality Commission on 25 September 2020.
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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What to check when you visit
At least 100 live-in carers within about an hour of Leicestershire
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 £1,260 a week. 82 can care for a couple. 12 years' experience on average.
“If you bump into her in the night on her way to the bathroom she will still inquire how you are and if everything is alright.”
“Together Earther and I supported her to die at home with great dignity and compassion and him to continue with life.”
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.