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CQC report explained · a residential care home

What the CQC found at Lustrells Vale

Goodpublished 14 November 2018, 7 years ago

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

The five questions inspectors ask
Safe?
Good
The home had systems to identify and manage risks, protect people from abuse, manage medicines and check the safety of the building and equipment. Inspectors found sufficient staff and safe recruitment checks.
Effective?
Good
Staff had relevant training, supervision and experience. People were supported to make decisions, maintain their health and access health professionals, with dietary needs recorded.
Caring?
Good
Staff treated people with kindness, dignity and respect. People were involved in decisions, supported to be independent and encouraged to maintain privacy and relationships.
Responsive?
Good
Care plans were person-centred and reviewed regularly. People were supported with activities, communication, family relationships and complaints.
Well-led?
Good
The registered manager had quality checks, audits and feedback systems in place. Staff, people and relatives were involved in developing the service, and inspectors found an open and positive culture.
The latest report, explained

What inspectors found, November 2018

Lustrells Vale was rated Good; inspectors found safe, kind and personalised care, with no breaches reported.

This was an unannounced comprehensive inspection on 19 and 24 September 2018. Two inspectors observed care, spoke with people, a relative, staff and visiting professionals, and reviewed care plans, medicines records, staff records, rotas, complaints and audits.

The inspectors found that people were protected from abuse and avoidable risks. Medicines were managed safely, staffing levels were sufficient, and the home was clean. Staff understood people's needs, supported their independence and helped them access health care, education, activities and relationships.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This means the inspectors found the service met the required standards in each area at the time of the inspection.

What inspectors praised
  • Promoting independence

    People were supported to make everyday choices and take positive risks. Staff helped people build confidence and take part in community life.

    “People were supported to maintain and develop their independence as far as possible and encouraged to make decisions on a day to day basis.” from the report
  • Kind and respectful care

    Inspectors saw caring relationships and staff who knew people's preferences and needs. Privacy and dignity were respected.

    “We observed staff being kind and respectful to people and they had a good understanding of people's needs, likes and dislikes.” from the report
  • Personalised support

    Care plans reflected people's needs, preferences, communication and important relationships. Activities were chosen around individual interests.

    “We saw person-centred care plans that were developed around the person's need's.” from the report
  • Safe medicines management

    The home had procedures for ordering, giving, storing and disposing of medicines. Staff received training and competency checks, and audits were completed.

    “People received their medicines safely.” from the report
  • Quality monitoring

    The registered manager used regular audits, staff meetings and feedback to identify learning and make improvements.

    “The registered manager had robust quality assurance systems in place to review the quality of the service that was provided.” from the report
What inspectors were concerned about
  • Waiting for personal care

    minor

    One person said they had previously waited for a bath because staff were not available. The manager introduced a rota system in response.

    “One person gave an example where they had to wait for a while to have a bath due to staff availability.” from the report
  • Staff pace caused anxiety

    minor

    Feedback showed that staff sometimes worked at a pace that made one person anxious. The report says staff changed their pace after this was raised.

    “I expressed that staff often worked at a fast pace and that made me anxious.” from the report
Questions to ask them, based on this report
  1. 01How do you make sure people can have baths and receive other personal care when staff are busy?
  2. 02How are decisions about self-managing medicines agreed, recorded and checked?
  3. 03How often will my relative's care plan be reviewed, and how will they be involved?
  4. 04How do you make sure activities remain based on each person's interests and choices?
  5. 05How can my relative or our family raise a concern, and how will you show what action was taken?

This was the home's first unannounced comprehensive inspection and covered all five CQC questions. This explanation was written from the published report of 14 November 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.

The story over the years

Every inspection of Lustrells Vale

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. November 2018Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Lustrells Vale →

  2. August 2017

    Registered with the Care Quality Commission on 31 August 2017.

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.

Next steps

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