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CQC report explained · a residential care home

What the CQC found at 290 Newton Road

Goodpublished 18 December 2019, 6 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured about infection prevention, safe visiting, testing, protective equipment, cleaning and managing outbreaks. The provider also said it had measures to manage COVID-19-related staffing pressures.
Effective?
Good
This area was not assessed in this targeted inspection.
Caring?
Good
This area was not assessed in this targeted inspection.
Responsive?
Good
This area was not assessed in this targeted inspection.
Well-led?
Requires improvement
This area was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, February 2022

Lonsdale Midlands Limited - 290 Newton Road was inspected but not rated; inspectors found good infection control and visiting arrangements during the COVID-19 pandemic.

This was an announced, targeted inspection. Inspectors visited to check infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures affected the home. The home provided personal care for five people with learning disabilities.

Inspectors found that government COVID-19 guidance was being followed. Visitors were checked on arrival, staff used protective equipment safely, testing was available and cleaning of frequently touched areas had increased.

The infection control policy was up to date and audits showed that actions had been taken. Inspectors said they were assured about infection prevention, safe admissions, visits and managing possible outbreaks.

The home was inspected but not rated. This was not a full assessment of all five areas of care, so the report does not provide an overall quality rating.

What inspectors praised
  • Visitor infection checks

    Visitors were checked when they arrived, and inspectors were assured that the home was preventing infections from spreading through visits.

    “We were assured that the provider was preventing visitors from catching and spreading infections.” from the report
  • Up-to-date policy

    The home had an up-to-date infection control policy.

    “The infection control policy was up to date.” from the report
  • Audits and cleaning

    Audits showed that actions had been taken to maintain standards. The home also increased cleaning of frequently touched surfaces.

    “We reviewed audits which reflected actions had been taken to maintain the standards within the home.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How are visitor checks and visiting arrangements being managed now?
  2. 02How do you manage staffing pressures linked to COVID-19, and have these affected care?
  3. 03How do you make sure staff use protective equipment safely and that people and staff can access testing?
  4. 04How do you manage increased cleaning and regular observation checks when people cannot socially distance?
  5. 05Can you explain what your recent infection control audits found and what actions followed?

This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; the service was inspected but not rated and the other care areas were not assessed. This explanation was written from the published report of 18 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.

An earlier report, explained

What inspectors found, December 2019

Lonsdale Midlands Limited - 290 Newton Road is rated Good overall, but inspectors found leadership Requires Improvement because hot-water problems continued and quality checks missed them.

This was an unannounced inspection on 05 November 2019. One inspector spoke with people living at the home, relatives, staff and managers. They observed care and checked care, medicines, recruitment and management records.

The home was rated Good for Safe, Effective, Caring and Responsive. Inspectors found people were safe, supported by enough trained staff, given their medicines correctly and treated with kindness and respect. People had personalised care plans, choices about their daily lives and support to use community facilities and healthcare services.

The Well-led rating was Requires Improvement. Some redecoration and kitchen work had started, but intermittent hot water in some bedrooms had continued from the previous inspection. The provider's checks had not identified this. A flooring hazard was fixed during the inspection, and the provider later confirmed the hot water was working.

What inspectors praised
  • Person-centred support

    People received support planned around their needs, choices and independence. Staff knew what mattered to each person.

    “People using the service received planned and co-ordinated person-centred support that was appropriate and inclusive for them.” from the report
  • Kind and respectful care

    Inspectors saw staff treating people with kindness and respect. People had private bedrooms and were supported to make everyday choices.

    “We observed staff to be kind and caring. Staff smiled at people.” from the report
  • Safe medicines

    The medicines checked were available, balanced with the records and given as prescribed. Staff understood how to give medicines prescribed for use when needed.

    “We found the medicine prescribed for each person was available.” from the report
  • Activities and community access

    People were supported to go out regularly and take part in activities suited to their interests and needs.

    “Records we saw confirmed all people were involved in a range of their own chosen activities including, day centres, swimming, out for a drive.” from the report
What inspectors were concerned about
  • Hot water problems continued

    needs fixing

    Some bedrooms had intermittent hot water. This had been identified at the previous inspection but had not been resolved promptly. The provider's audits did not spot the continuing problem.

    “However, we found there was still an intermittent issue with the hot water system.” from the report
  • Quality checks were not effective enough

    needs fixing

    The provider's monitoring systems missed the continuing hot-water problem. Inspectors also found a hole in flooring that could have caused a trip, although it was fixed during the inspection.

    “This meant quality auditing had not been fully effective.” from the report
  • No registered manager in post

    needs fixing

    There was no manager registered with the CQC during the inspection. The manager had applied for registration and was waiting for an interview date.

    “It is a legal requirement for a registered manager to be in post.” from the report
Questions to ask them, based on this report
  1. 01Has the intermittent hot-water problem in every bedroom been fully fixed, and how do you now check that it stays fixed?
  2. 02What changes have you made to quality audits so that repairs and safety problems are found promptly?
  3. 03Is a manager now registered with the CQC, and who is legally responsible for the home while registration is pending?
  4. 04Has the planned new flooring been completed, and are there any remaining trip hazards?
  5. 05How will you involve my relative and our family in care-plan reviews, activities and decisions about daily support?

This was an unannounced planned inspection covering all five key questions, including the premises and care provided. This explanation was written from the published report of 18 December 2019 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 290 Newton Road

3 rated inspections over 5 years: the service has held its Good rating throughout.

  1. February 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at 290 Newton Road →

  2. December 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at 290 Newton Road →

  3. August 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. April 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. September 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2010

    Registered with the Care Quality Commission on 9 December 2010.

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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