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CQC report explained · a residential care home

What the CQC found at Lyncroft Care Home

Goodpublished 28 December 2023, 2 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found people were protected from abuse and avoidable harm. There were enough suitable staff, medicines were managed safely, risks were reviewed and the home followed infection control practices.
Effective?
Good
No separate rating was given for Effective in this inspection. The report says staff had training in the Mental Capacity Act and Deprivation of Liberty Safeguards, and people were supported to make decisions.
Caring?
Good
No separate rating was given for Caring in this inspection. The report describes positive feedback from people and relatives and says care was person-centred.
Responsive?
Good
No separate rating was given for Responsive in this inspection. The report says people were supported to take part in community charity events and relatives could visit without restrictions.
Well-led?
Good
Inspectors found a positive, open culture, clear management responsibilities and regular audits. People, relatives and staff had opportunities to give feedback and influence the service.
The latest report, explained

What inspectors found, December 2023

Lyncroft Care Home is rated Good; inspectors found people were safe and the home was well-led, with both assessed ratings unchanged since 2018.

The inspection was unannounced and took place on 16 November 2023. One inspector and an expert by experience visited the home. They spoke with all 8 people living there, 6 relatives and 3 staff, and checked care, medicines, recruitment and management records.

The home was rated Good overall. Safe and Well-led were both rated Good, and both ratings had stayed the same since the previous inspection. Inspectors found enough trained staff, safe medicines practice, suitable risk assessments and a clean home.

Inspectors also found an open and positive culture. People and relatives were able to give feedback, relatives could visit without restriction, and the provider used audits, incident reviews and action plans to monitor the service.

What inspectors praised
  • People were kept safe

    Inspectors found that risks were assessed and managed. Staff knew how to respond to safeguarding concerns.

    “People were safeguarded from abuse and avoidable harm. Risks were assessed and mitigated to ensure people were safe.” from the report
  • Enough trained staff

    The home had enough suitable staff to meet people's needs. Recruitment checks included references and Disclosure and Barring Service checks.

    “The provider ensured there were sufficient numbers of suitable staff.” from the report
  • Safe medicines practice

    Staff handling medicines had training and regular competence checks. People's medicine needs and guidance for medicines taken as needed were recorded.

    “Staff who handled medicines had completed training and their competence in handling medicines safely had been regularly assessed.” from the report
  • Open management

    Inspectors found a positive and open culture. Managers used audits, staff checks and action plans to monitor care.

    “There was a positive and open culture at the service.” from the report
  • Community involvement

    People took part in charity events, with funds used towards holidays and days out. The home also worked with local health professionals.

    “People were supported to take part in community charity events.” 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 will you assess and regularly review my relative's individual risks and care needs?
  2. 02How do you check that staff remain competent to give medicines, including medicines prescribed to be taken as needed?
  3. 03What activities and community events could my relative take part in, and how would their preferences be recorded?
  4. 04How would you tell me about an accident, incident or safeguarding concern involving my relative?
  5. 05How are feedback from people and relatives, staff ideas and audit findings turned into action?

This inspection reviewed Safe and Well-led; the report does not give separate ratings for Effective, Caring or Responsive. This explanation was written from the published report of 28 December 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.

An earlier report, explained

What inspectors found, March 2018

Rated Good; inspectors found safe, kind and personalised care, with improvements made since the previous inspection.

This was an unannounced inspection on 23 January 2018. One inspector spoke with four people living at the home, the manager and two care staff. The inspector also reviewed care plans, risk assessments, medicines records, staff training and quality checks.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines arrangements, suitable training, good support with health and nutrition, and care that respected people's choices, privacy and independence.

At the November 2016 inspection, there had been breaches about managing risks, governance and staff recruitment. At this inspection, inspectors found improvements had been made and the home was no longer in breach.

What inspectors praised
  • Enough staff

    Inspectors saw enough staff to meet people's needs and spend individual time with them. People could choose different activities and outings while staff remained available.

    “There were sufficient staff to meet people's needs.” from the report
  • Kind and respectful care

    Staff understood people's feelings, respected privacy and supported family relationships. People were also encouraged to remain independent.

    “The service took action to ensure people were treated with kindness, respect and compassion and given emotional support when needed.” from the report
  • Personalised support

    People's interests, histories, communication needs and preferences were included in their care. Staff supported hobbies, holidays and links with the local community.

    “Care was centred on people's individual needs.” from the report
  • Improvements since 2016

    The previous inspection found problems with risk management, recruitment and governance. Inspectors found these areas had improved and the earlier breaches had been resolved.

    “At this inspection we found improvements had been made and the service was no longer in breach.” from the report
What inspectors were concerned about
  • Some staff observations were not recorded

    minor

    The manager said they observed staff competence and interactions during most shifts, but these observations were not written down. Inspectors said they were assured that staff performance was monitored.

    “Whilst these observations were not recorded, we were assured the registered manager monitored staff performance to ensure the quality and safety of services for people.” from the report
Questions to ask them, based on this report
  1. 01How are the improvements to fire safety arrangements maintained and checked now?
  2. 02How do you check that all new staff have completed the required pre-employment checks before starting work?
  3. 03How are staff numbers and the overnight on-call arrangements planned for my relative's needs?
  4. 04How do you monitor staff competence and performance, and how are those checks recorded?
  5. 05How will my relative's communication needs, interests and independence be included in their care plan?

This was an unannounced inspection covering all five CQC questions, including both the premises and the care provided. This explanation was written from the published report of 27 March 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 Lyncroft Care Home

3 rated inspections over 7 years: the service has improved, from Requires improvement to Good.

  1. December 2023Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Lyncroft Care Home →

  2. March 2018Goodup from Requires improvement
    Safe: GoodWell-led: Good

    Read what inspectors found at Lyncroft Care Home →

  3. January 2017Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. October 2014

    Registered with the Care Quality Commission on 28 October 2014.

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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