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What the CQC found at Lugano Residence for the Elderly

Goodpublished 15 November 2018, 7 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured that the home managed infection risks, including the use of protective equipment, testing, visits, admissions, cleaning and outbreak prevention. The provider also described measures to reduce the effect of COVID-19-related staff pressures.
Effective?
Good
This question was not rated in this targeted inspection.
Caring?
Good
This question was not rated in this targeted inspection.
Responsive?
Good
This question was not rated in this targeted inspection.
Well-led?
Good
This question was not rated in this targeted inspection.
The latest report, explained

What inspectors found, January 2022

Inspected but not rated; inspectors found strong infection control arrangements and plans for COVID-19-related staff pressures.

This was an unannounced, targeted inspection on 14 January 2022. It looked mainly at infection prevention and control during the COVID-19 pandemic, as well as staffing pressures.

The inspectors found that the home was clean and had suitable infection control procedures. Staff had completed infection control training, including how to use personal protective equipment. The home used isolation, grouping people together safely, and different zones effectively.

Risk assessments had been completed for people using the service and staff in higher-risk groups. The home also had plans for managing a COVID-19 outbreak and staff absences. The service was inspected but not rated, so this report does not provide a rated judgement of the home's overall quality.

What inspectors praised
  • Staff training

    All staff had completed infection prevention and control training, including training on using protective equipment correctly.

    “Staff had all completed infection prevention and control training, and this included the correct procedures for using PPE.” from the report
  • Clean environment

    The home was clean throughout and had procedures to reduce infection control risks.

    “The service was clean throughout. There were appropriate procedures to ensure infection control risks were minimised.” from the report
  • Outbreak planning

    The home had contingency plans for dealing with an outbreak and managing staff absences.

    “The registered manager had contingency plans in place to prepare for an outbreak and manage any staff absences effectively.” from the report
  • Risk assessments

    Risk assessments had been completed for people using the service and staff in higher-risk groups, with steps taken to reduce those risks.

    “Risk assessments had been carried out on people using services and staff belonging to higher risk groups and actions had been taken to reduce the risks.” 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 infection prevention and control procedures, including protective equipment training, kept up to date now?
  2. 02How would you manage an outbreak and staff absences if several staff could not work?
  3. 03How do you assess and reduce infection risks for residents and staff in higher-risk groups?
  4. 04How do you currently arrange visits, admissions, testing and protective equipment?
  5. 05What arrangements are in place to reduce the effect of current staffing pressures on residents?

This was a targeted inspection of infection prevention and control and COVID-19-related staffing pressures; it was not a full inspection and the service was inspected but not rated. This explanation was written from the published report of 28 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.

An earlier report, explained

What inspectors found, February 2021

Lugano Residence for the Elderly was inspected but not rated; inspectors found good infection control arrangements during the COVID-19 pandemic.

This was an announced, targeted inspection on 10 February 2021. Inspectors looked at how the home prevented and controlled infection during the COVID-19 pandemic.

There were 13 people living in the home. The home was using 22 of its 27 registered rooms because of the pandemic.

Inspectors were assured about visitor safety, social distancing, PPE, testing, cleaning, admissions and the home's plans for preventing or managing outbreaks.

The service was inspected but not rated. This inspection does not give an overall quality rating or ratings for most areas of care.

What inspectors praised
  • Visitor arrangements

    The home had a screened visitor pod, so visitors could enter the visiting area without entering the main building. A staff member checked that visitor procedures were followed.

    “Visitors were able to access their side of the screened pod without the need to enter the building.” from the report
  • Testing and PPE

    Staff and residents were tested weekly, with more testing when needed. Inspectors saw appropriate PPE being worn and stations placed around the home.

    “Staff and people were tested weekly and more frequently when necessary, and a record of these tests was seen.” from the report
  • Cleaning and audits

    Cleaning tasks were recorded electronically and management regularly checked the schedules. Infection prevention audits were also carried out.

    “Regular IPC audits took place and we saw that any concerns had been addressed in a timely manner.” from the report
  • Staff working arrangements

    Staff generally worked with the same group of residents. This was intended to reduce infection spread and support familiar relationships.

    “Staff generally worked with the same group of people which contributed to minimising the spread of infection and enabled relationships to be built.” 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 visitors currently managed, and is the visitor pod still available?
  2. 02How often are residents and staff tested now, and how are the results recorded?
  3. 03What PPE is available around the home, and how do managers check it is being used safely?
  4. 04How are cleaning tasks and infection prevention audits recorded and checked?
  5. 05What is the current plan if a resident develops COVID-19 symptoms or there is an outbreak?

This was a targeted inspection of infection prevention and control during the COVID-19 pandemic; it did not assess or rate the other four care questions or provide an overall rating. This explanation was written from the published report of 27 February 2021 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 Lugano Residence for the Elderly

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

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

    Read what inspectors found at Lugano Residence for the Elderly →

  2. February 2021Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Lugano Residence for the Elderly →

  3. November 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. March 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. November 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. December 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. August 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. December 2010

    Registered with the Care Quality Commission on 2 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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