CQC report explained · a residential care home
What the CQC found at Lutterworth View
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, November 2022
Rated Requires Improvement; inspectors found risks were not always managed, records were incomplete and outings could be restricted by transport.
Inspectors visited on four days in September and October 2022. They spoke with people, relatives, staff and professionals, observed care and checked care, medicine, staffing and management records.
The home was not always safe. Risks, including risks of self-harm, were not always fully assessed or kept under review. Staff could not clearly explain when some as-required medicines should be given. Some incident records and follow-up records were incomplete.
People generally received personalised support from staff who understood their needs. Staffing had improved and the home supported education, work, relationships and activities. However, transport sometimes limited outings, and management checks did not always identify gaps.
The overall rating changed from Good at the previous inspection to Requires Improvement. Safe, Responsive and Well-led were each rated Requires Improvement. The inspection did not assess Effective or Caring.
Improved staffing
Inspectors found enough staff to meet people's needs. Recruitment checks, induction and training were in place, and the use of agency staff had reduced.
“Staffing is good now, more stable, as reduced agency and everyone has one-to-one staff” from the report
Personalised support
Support plans covered people's preferences, independence, faith, culture, goals and aspirations. Staff knew how people communicated and supported them in suitable ways.
“Support plans focused on all aspects of their lives, ranging from individual needs, preferences of lifestyle to the level of independence” from the report
Positive activities and relationships
People were supported with education, work, hobbies, community activities and contact with relatives. Inspectors saw staff helping people in a person-centred way.
“Activities included arts and crafts, playing electronic games, attending college, voluntary work and social activities such as bowling.” from the report
Management improvements
The report says the culture had improved under the new manager. The manager had recruited staff, updated plans and risk assessments, and was responding openly to concerns.
“The culture within the care home had improved. Feedback we received about the care home and management was mostly positive.” from the report
Risk assessments
seriousRisks of self-harm and injury were not always identified or reviewed properly. This left people at increased risk of avoidable harm.
“People were not always protected from the risk of self-harm or injury.” from the report
As-required medicines
seriousStaff could not clearly explain when some medicines for anxiety or distress should be given. The protocols had no review date or clear review process.
“Staff we spoke with were unable to clearly describe how and when to administer these medicines.” from the report
Incomplete records
needs fixingSome incident reports, debriefs and other records were incomplete. This made it harder for the manager to check whether support plans had been followed and whether lessons had been learned.
“Some incident reports and debrief meetings following an incident were incomplete or not completed to an adequate standard.” from the report
Limited transport
needs fixingThere was only one vehicle, so people could not always go on outings or visits when they wanted. Alternative transport was not always safe or suitable.
“People's ability to engage in the community at times was limited especially when transport was needed as there was only one vehicle that could be used.” from the report
Infection control detail
minorSome staff wore long acrylic nails and bracelets, which inspectors said increased the risk of spreading infection. The manager said this would be addressed.
“We saw some staff had long acrylic nails and bracelets, which increased the risk of spreading infectious diseases.” from the report
- 01What has been done to make sure every person's risk of self-harm or injury is fully assessed and reviewed?
- 02How are staff told when and how to give as-required medicines, and when are these protocols reviewed?
- 03Can you show us how incidents, debriefs and declined support are recorded and checked for learning?
- 04How will people get reliable access to outings, visits and community activities when the home's vehicle is being used?
- 05What progress has been made on the action plan requested by CQC, and what evidence can you share?
This was a focused inspection of Safe, Responsive and Well-led only; Effective and Caring were not inspected during this visit. This explanation was written from the published report of 29 November 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, February 2022
Inspected but not rated; inspectors found generally safe COVID-19 controls, with a problem storing used cleaning equipment.
This was a targeted, announced inspection on 12 January 2022. Inspectors looked mainly at infection prevention and control during the COVID-19 response. They also asked about staffing pressures.
Inspectors were assured about visiting, admissions, testing, protective equipment, shielding and managing outbreaks. The home was clean and hygienic overall, and people continued to receive their planned one-to-one support.
There was one shortfall. Used mops and buckets were not stored correctly. The regional manager acted immediately, updated the cleaning guidance and told staff. The report also says some flooring and a damaged sofa were due to be replaced.
The service was inspected but not rated. This means the inspection did not provide a standard overall rating or a full rating for all five areas of care.
Clear infection guidance
Easy-read information about COVID-19, protective equipment and handwashing was displayed around the home.
“Information produced in easy read format about Covid-19 and infection prevention and control practices was displayed throughout the home” from the report
Safe visiting
Visitors had to provide evidence of vaccination, take a COVID-19 test, have their temperature checked and wear protective equipment.
“Visitors were required to complete a COVID-19 test, had their temperature checked and wore PPE.” from the report
Staff support and communication
Staff had infection-control training, regular testing, supervision and meetings. Communication with people and families was reported to be good.
“Communication between the management team, people and families was good.” from the report
Clean and hygienic premises
The home was well ventilated and cleaning was monitored. Staff regularly cleaned frequently touched surfaces.
“The premises were well-ventilated, clean and hygienic.” from the report
Support during isolation
A separate lounge was available for people who could not isolate in their bedroom, helping them remain safe and less isolated.
“A designated lounge had been created to support people who were unable to isolate in their bedroom so they could remain safe, feel less isolated and could be monitored by staff.” from the report
Cleaning equipment storage
needs fixingInspectors found that used mops and buckets were not stored correctly. The regional manager took immediate action and updated the guidance.
“We identified that used mops and buckets had not been stored correctly, the regional manager took immediate action to address this.” from the report
Repairs due
minorThe report says flooring in one bedroom and a damaged sofa in a lounge were due to be replaced. It does not confirm that these replacements had been completed.
“The regional manager also assured us the flooring in a bedroom and a damaged sofa in a lounge, were due to be replaced.” from the report
- 01Has the problem with storing used mops and buckets been fully corrected, and how is this now checked?
- 02Has the flooring in the bedroom been replaced?
- 03Has the damaged sofa in the lounge been replaced?
- 04What infection prevention and control arrangements are currently used for visits, testing and protective equipment?
- 05How are staffing pressures monitored, and have they affected people's planned one-to-one support?
This was a targeted inspection of infection prevention and control, with questions about 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 3 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.
Every inspection of Lutterworth View
2 rated inspections over 3 years: the service has slipped, from Good to Requires improvement.
- November 2022Requires improvementcurrent ratingSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- February 2022Inspected but not ratedSafe: Inspected but not rated
- July 2019GoodSafe: GoodResponsive: GoodWell-led: Good
- February 2018
Registered with the Care Quality Commission on 13 February 2018.
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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
At least 100 live-in carers within about an hour of Leicester
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 £1,270 a week. 83 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.”
“Tino was the most wonderfully rounded, empathetic and intuitive person. He not only developed a great relationship with Neville but also had a great working relationship with our existing carer.”
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.