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CQC report explained · a residential care home

What the CQC found at Lyndhurst Lodge Residential Home Limited

Goodpublished 13 July 2018, 8 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured that infection control measures were being followed, including safe visiting, use of protective equipment, testing, cleaning and outbreak management. The home also had measures to manage COVID-19-related staffing pressures.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Good
Are people treated with kindness and dignity?
Responsive?
Good
Is care built around the person? Care plans, activities, complaints.
Well-led?
Good
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, March 2022

Inspected but not rated; inspectors were assured about infection control and staffing during COVID-19 pressures.

This was an unannounced, targeted inspection on 11 February 2022. It focused on infection prevention and control during the COVID-19 pandemic, and on whether staffing pressures were affecting care.

Inspectors were assured that the home was managing visitors, social distancing, admissions, protective equipment, testing, cleaning and possible outbreaks safely. They also found that the infection control policy was up to date and that visits were being supported in line with current guidance.

The home had employed extra permanent staff in case people needed to isolate. It had also created outdoor visiting spaces and provided more activities and social contact when COVID-19 restrictions limited family visits.

The home was inspected but not rated. This means the inspection did not give an overall rating or full ratings for all five areas of care.

What inspectors praised
  • Infection control

    Inspectors were assured that the home was preventing infections from spreading and was using protective equipment, testing, cleaning and visiting arrangements appropriately.

    “We were assured that the provider was preventing visitors from catching and spreading infections.” from the report
  • Staffing support

    The home employed extra permanent staff to help maintain people's care if staff had to isolate.

    “Extra permanent staff were employed to help ensure people's needs were met if staff needed to isolate.” from the report
  • Family contact and activities

    The home created accessible outdoor spaces for visits and increased one-to-one activities and social contact when restrictions limited family visits.

    “When people couldn't see their families, due to COVID-19 restrictions, staff did their best to compensate.” 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 are infection prevention and control arrangements being maintained now?
  2. 02What staffing levels are in place, and how would the home cover absences or staff needing to isolate?
  3. 03How are visits arranged now, including visits for people who need accessible outdoor spaces?
  4. 04What one-to-one activities and social contact are available for residents today?
  5. 05When was the infection prevention and control policy last reviewed?

This was a targeted inspection of infection prevention and control and staffing pressures; it did not provide a full rating of all five areas of care. This explanation was written from the published report of 11 March 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.

An earlier report, explained

What inspectors found, July 2018

Rated Good; inspectors found kind, personalised care and effective leadership, with an infection-control issue during medicines administration to address.

This was an unannounced inspection on 30 May 2018. One inspector reviewed care plans, risk assessments, medicines, staff recruitment and training records, and quality checks. They spoke with three people, one relative, managers and three care staff.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, suitable recruitment checks, regular staff training and support, personalised care plans, good food and access to healthcare.

People were treated with kindness, dignity and respect. They were involved in decisions about their care, activities were provided, and complaints were investigated. Inspectors found one medicines infection-control shortfall and noted worn flooring in the dining room. The overall Good rating stayed the same as at the May 2016 inspection.

What inspectors praised
  • Enough staff

    Inspectors found enough staff to keep people safe, respond promptly and provide conversation and interaction.

    “There were enough staff available to make sure people were safe, and to provide interaction and conversation.” from the report
  • Personalised care

    Care plans included people's histories, routines, preferences and the specific support they needed. These plans were reviewed to reflect changing needs.

    “Care plans and assessments were detailed and personalised.” from the report
  • Kind and respectful care

    Staff gave people time, protected their privacy and supported their independence. People described staff as friendly, helpful and caring.

    “We saw staff interacted with people in a friendly, respectful way and gave people the time they required to talk and receive care.” from the report
  • Food and health support

    People were offered choices, alternatives and support with eating where needed. Staff monitored nutrition and worked with healthcare professionals.

    “People were supported to maintain a balanced diet.” from the report
  • Listening to feedback

    The home gathered views through forums, surveys and meetings. Feedback about menus led to changes.

    “Recent feedback showed people were happy with their care and had made minor comments regarding suggested improvements to menus.” from the report
What inspectors were concerned about
  • Medicines infection control

    needs fixing

    Staff did not always follow infection-control procedures when administering eye drops or touching tablets. The manager said this would be addressed.

    “We saw staff did not always follow infection control procedures in administering eye drops and touching tablets with their hands.” from the report
  • Worn dining-room flooring

    minor

    Inspectors found worn flooring in places in the dining room. The provider had already identified this and was planning an upgrade.

    “We identified that the flooring in the dining room was worn in places.” from the report
Questions to ask them, based on this report
  1. 01What action was taken after inspectors saw staff touching tablets and giving eye drops without following infection-control procedures?
  2. 02Has the worn flooring in the dining room now been replaced, and what is the timetable for any remaining building work?
  3. 03How often are care plans reviewed, and how will my relative and our family be involved in those reviews?
  4. 04What activities are available for people living with dementia, including when the activity co-ordinator is not present?
  5. 05How will you make sure there are enough staff at the times when my relative is most likely to need support?

This was an unannounced inspection covering all five CQC questions, with records and the experiences of people, a relative, managers and care staff reviewed. This explanation was written from the published report of 13 July 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 Lyndhurst Lodge Residential Home Limited

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

  1. March 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Lyndhurst Lodge Residential Home Limited →

  2. July 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Lyndhurst Lodge Residential Home Limited →

  3. June 2016Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. March 2015Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. July 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. November 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. May 2013

    Registered with the Care Quality Commission on 17 May 2013.

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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