CQC report explained · a residential care home
What the CQC found at Lydbury Crescent Chance for a Break Service
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that risks were reviewed before each stay, staffing was suitable and flexible, medicines were managed safely, and infection control arrangements were in place.
- Effective?
- Good
- The report does not give a rating for Effective in this inspection.
- Caring?
- Good
- The report does not give a rating for Caring in this inspection.
- Responsive?
- Good
- The report does not give a rating for Responsive in this inspection.
- Well-led?
- Good
- Inspectors found experienced managers and staff, regular audits, open communication and a culture that involved people in decisions about their stay.
What inspectors found, June 2023
Rated Good; inspectors found safe, flexible and person-centred support, with strong leadership and no reported breaches.
This was a planned inspection on 23 May 2023. One inspector spoke with people using the home, family members and staff. They also reviewed care plans, medicines records, staff checks, training and management records.
The home provides short breaks for up to five people at a time. Inspectors found that people were protected from abuse and avoidable harm. Staffing was flexible, medicines were managed safely, and risks were reviewed before each stay.
People were supported to make choices about their routines, meals and activities. Inspectors found a positive culture, good communication with families and regular checks to improve the service.
The overall rating was Good. Safe and Well-led were both rated Good. The last overall rating was also Good, published on 21 October 2017.
Risk planning
Risks were reviewed before each stay and support plans were updated when people's needs changed.
“People's risk assessments were reviewed prior to each stay and their support plans were updated to reflect any changes.” from the report
Choice and independence
People were involved in decisions about their daily routines, meals, activities and the running of the home.
“People were empowered during their stay to make choices and decisions about their daily lives and the running of the service.” from the report
Strong management
Managers and staff understood their responsibilities and used audits and checks to monitor quality and make improvements.
“Managers at all levels, maintained oversight of the service to support continual improvement and ongoing regulatory compliance.” from the report
Good communication
Families and carers were involved where appropriate, and inspectors found good communication about people's needs.
“Family members/carers commented on how well managers and staff communicated with them about people's needs to ensure they were fully understood and met.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you review my relative's risk assessment and support plan before each stay?
- 02How will you make sure my relative's medicines arrive, are recorded and are given as prescribed?
- 03How will my relative be involved in choosing meals, routines and activities during the stay?
- 04How will you involve our family in planning and reviewing changes to the support plan?
- 05What audits or checks will you use to monitor the quality of my relative's stay?
This planned inspection assessed Safe and Well-led only; the report does not give current ratings for Effective, Caring or Responsive. This explanation was written from the published report of 16 June 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, October 2017
Lydbury Crescent Chance for a Break Service was rated Good; inspectors found safe, kind and responsive short-break care.
This was a three-day inspection on 10, 11 and 16 October 2017. The first two visits were announced. Inspectors spoke with three people using the home, family members, the manager and five staff. They reviewed four people's care records, including medicines records.
The home provides short-term respite care for up to five adults with a learning disability. Inspectors found that people were safe, supported by trained staff and given suitable food and drink. Staff respected people's privacy, dignity, choices and routines.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The home had also been rated Good at the previous inspection in April 2015, so the rating remained unchanged.
Safety planning
Risks were assessed before each person's stay and plans were updated when needs changed. There were also emergency evacuation plans and regular safety checks.
“Risks were reviewed prior to each stay and were appropriate risk management plans were updated to reflect any changes in a person's needs.” from the report
Kind and respectful care
People described staff as kind, and inspectors observed positive relationships. Staff supported privacy and dignity during personal care.
“People were treated with dignity and respect and their privacy was promoted.” from the report
Personalised support
Care plans recorded people's needs, preferences, routines, hobbies and interests. Staff supported people to continue usual activities and visit places in the local community.
“Each person's care plan included details of their preferred hobbies and interests and how they preferred to spend their time whilst staying at the service.” from the report
Good staff support
Staff had training and regular one-to-one meetings to discuss their work, development and training needs.
“Staff received ongoing training and support for their role.” from the report
Quality monitoring
The home regularly checked care records, safety, equipment and staff performance. Improvements were followed through when checks found concerns.
“Action plans for improvements were developed and followed through where concerns with safety and quality had been identified.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you assess my relative's needs before each respite stay, and how will you update their care plan if those needs change?
- 02How will you make sure staff know my relative's preferred routines, hobbies, dietary needs and support preferences?
- 03What arrangements are in place for giving medicines safely, and how will you check that the correct medicines arrive for each stay?
- 04How will you support my relative to continue their usual day and night routines or attend activities during their stay?
- 05Who should we contact if we have a concern during a stay, and how will complaints be handled?
This was a comprehensive, announced inspection covering all five quality areas, with visits on two days and telephone discussions with family members on the third day. This explanation was written from the published report of 21 October 2017 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 Lydbury Crescent Chance for a Break Service
3 rated inspections over 8 years: the service has held its Good rating throughout.
- June 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Lydbury Crescent Chance for a Break Service →
- October 2017Goodstayed GoodSafe: GoodWell-led: Good
Read what inspectors found at Lydbury Crescent Chance for a Break Service →
- August 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 28 January 2011.
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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At least 100 live-in carers within about an hour of Knowsley
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 £1,260 a week. 91 can care for a couple. 10 years' experience on average.
“It was clear that she genuinely cared and her warm approach really helped put our minds at ease.”
“He developed a close affinity with Terence, spending time talking with him before he retired to bed and looking after his needs during the night.”
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.