CQC report explained · a residential care home
What the CQC found at Lutterworth Country House Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, April 2023
Lutterworth Country House Care Home was rated Good; inspectors found safe, kind and person-centred care, with some environmental improvements still planned.
The inspection was unannounced and took place on 21 February 2023. One inspector and an Expert by Experience spoke with people, relatives and staff, observed care and checked care and medicines records.
The home was rated Good overall, with Good ratings for Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines practice, kind care, personalised support and systems to monitor quality and risks.
The rating improved from Requires Improvement at the previous inspection, published in March 2021. The provider had completed an action plan, and inspectors found the home was no longer in breach of regulations.
Consistent staffing
Agency use had reduced significantly. This meant people were supported by staff who knew their needs and preferences.
“Improvements to staffing and recruitment had taken place and the use of agency staff had significantly reduced.” from the report
Kind and respectful care
Inspectors found staff treated people with dignity, offered reassurance and supported their choices and independence.
“People were treated with respect and dignity. Staff were kind and respectful, they spent time with people offering reassurance and support when required.” from the report
Safe medicines practice
Staff had medicines training and regular competency checks. An electronic system was used to record medicines and errors had reduced.
“Staff had training and had their competency assessed every six months.” from the report
Personalised activities and relationships
People were supported to keep in touch with family and friends and to take part in activities they enjoyed.
“People told us they were supported to keep in touch with their friends and family.” from the report
Ground-floor improvements
minorInspectors said the ground floor needed redecoration and refurbishment. The manager had identified this and discussed it with the estates team.
“The ground floor was in need of some redecoration and refurbishment.” from the report
Best-interest records being updated
minorNew documentation was being introduced to make sure best-interest decisions were recorded for each decision and care plan. Ask how this is working now.
“The nominated individual told us new documentation was being implemented to ensure 'best interest decisions' were recorded for each decision and care plan.” from the report
- 01What is the timetable for the planned ground-floor redecoration and refurbishment?
- 02How are best-interest decisions recorded now, and can families see the relevant records?
- 03How do you make sure staffing levels and skill mix remain adequate when people's needs change?
- 04How are medicines errors monitored, and what action is taken if one occurs?
- 05How will you use feedback from people and relatives to make improvements?
This was an unannounced inspection covering all five CQC key questions and infection prevention and control measures; the report also records that the previous rating was Requires Improvement. This explanation was written from the published report of 13 April 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.
What inspectors found, January 2022
Inspected but not rated; inspectors were assured about infection prevention and control during a targeted COVID-19 review.
Inspectors made an unannounced visit on 13 January 2022. This was a targeted inspection of infection prevention and control, including the effect of COVID-19 staffing pressures.
They found cleaning schedules, regular audits and dedicated cleaning staff on each floor. High-touch areas were cleaned at least four times every 24 hours.
Inspectors were assured about visitors, social distancing, admissions, protective equipment, testing, outbreak management and visits. They were also assured that the home was meeting the COVID-19 vaccination requirement for non-exempt staff and visiting professionals.
The home was inspected but not rated. This report does not give an overall quality rating or a rated judgement on the other areas of care.
Cleaning arrangements
Cleaning schedules were in place and checked regularly. Dedicated cleaning staff worked on each floor, and high-touch areas were cleaned at least four times a day.
“Cleaning schedules were in place and frequently audited to ensure the equipment and premises were clean, and on each floor dedicated cleaning staff were deployed.” from the report
Sharing updated guidance
The provider had systems to share changes in government guidance with managers, staff, residents and relatives promptly.
“Where government guidance changed the provider had systems in place to ensure this was promptly shared with managers who communicated these to staff, people and their relatives.” from the report
Infection-control measures
Inspectors were assured about protective equipment, testing, social distancing, safe admissions, outbreak management and arrangements for visits.
“We were assured that the provider was using PPE effectively and safely.” from the report
Vaccination requirement
The service was meeting the requirement for non-exempt staff and visiting professionals to be vaccinated against COVID-19.
“The service was meeting the requirement to ensure non-exempt staff and visiting professionals were vaccinated against COVID-19.” from the report
Inspectors raised no specific concerns in this report.
- 01How are cleaning schedules and audits carried out now, including the cleaning of high-touch areas?
- 02How do you currently manage staffing pressures caused by sickness or other COVID-19-related absences?
- 03How are visitors currently supported to avoid spreading infections?
- 04How do you make sure current infection-control guidance is shared promptly with residents, relatives and staff?
- 05How do you check that non-exempt staff and visiting professionals meet the COVID-19 vaccination requirement?
This was an unannounced 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.
Every inspection of Lutterworth Country House Care Home
5 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- April 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Lutterworth Country House Care Home →
- January 2022Inspected but not ratedSafe: Inspected but not rated
Read what inspectors found at Lutterworth Country House Care Home →
- March 2021Requires improvementstayed Requires improvementSafe: GoodWell-led: Good
- March 2020Requires improvementstayed Requires improvementSafe: Requires improvementWell-led: Requires improvement
- September 2019Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- November 2018Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- September 2017
Registered with the Care Quality Commission on 13 September 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.
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