CQC report explained · a nursing home
What the CQC found at Lyndhurst Park Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home was preventing and controlling infection. They found effective use of protective equipment, testing, cleaning and procedures for managing outbreaks.
- Effective?
- Good
- This inspection did not assess or rate whether care was effective.
- Caring?
- Good
- This inspection did not assess or rate whether care was caring.
- Responsive?
- Good
- This inspection did not assess or rate whether care was responsive to people's needs.
- Well-led?
- Requires improvement
- This inspection did not assess or rate whether the home was well-led.
What inspectors found, March 2021
Lyndhurst Park Nursing Home was inspected but not rated; inspectors were assured about infection prevention and control.
This was an announced, targeted inspection on 4 March 2021. It focused on how the home prepared for and managed infection risks during the coronavirus pandemic.
Inspectors found that staff used protective equipment correctly and that supplies were available. The home was clean and well maintained, with extra cleaning of frequently touched surfaces and regular disinfection of rooms.
Families were kept informed and supported to stay in contact by phone, video calls and window visits. A plan was in place to restart face-to-face visits safely, including protective equipment and rapid testing for visitors.
The home was inspected but not rated. Inspectors were assured about infection prevention and control, but this inspection did not provide ratings for the other areas of care.
Protective equipment
Staff had protective equipment available on every floor and had been trained to use it correctly. Inspectors observed staff following the correct procedures when changing it.
“PPE was available on every floor and was disposed of safely.” from the report
Clean environment
The home was clean and well maintained. Staff used extra cleaning of frequently touched surfaces and disinfected rooms.
“The service was clean and well maintained and procedures throughout the building helped control the risk of cross infection.” from the report
Family contact
Families were kept informed about changes and risks. The home supported phone calls, video calls and some window visits while face-to-face visits were restricted.
“People's families had been kept up to date about changes and risks at the service.” from the report
Staff support
Staff had access to testing and had received their first coronavirus vaccination at the time of the inspection. The provider also offered different working patterns to support staff wellbeing.
“The provider had offered different shift and working patterns to support staff's health and wellbeing.” from the report
Support during illness
People who tested positive for coronavirus were given extra fluids and a high-calorie diet to support their recovery.
“When people received a positive coronavirus test, they were supported to have a high calorie diet and extra fluids.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection control and protective equipment arrangements are in place now?
- 02How are visitors tested and supported to use protective equipment when entering the home?
- 03How does the home currently manage a coronavirus or other infection outbreak?
- 04How often are high-touch areas and residents' rooms cleaned and disinfected?
- 05How are residents supported to keep in contact with family if face-to-face visits are restricted?
This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it did not rate the other areas of care. This explanation was written from the published report of 18 March 2021 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, July 2019
Rated Good overall; inspectors found caring and safe care, but well-led was Requires Improvement because some safeguarding matters were not reported to CQC.
This was an unannounced inspection on 2 July 2019. Inspectors spoke with people living at the home, relatives and staff. They reviewed care, medicines, accident and complaint records, training information and quality checks.
The home was rated Good for Safe, Effective, Caring and Responsive. Inspectors found enough staff, safe recruitment, suitable training, personalised care and kind, respectful support. People were supported with food, drinks, healthcare, activities and contact with family.
Well-led was rated Requires Improvement. The provider had not told CQC about all safeguarding matters when required by law. Inspectors found improvements since the previous inspection, and the home was no longer in breach of the two regulations identified in 2018.
Kind and respectful care
Inspectors saw positive relationships between staff and people. People and relatives said staff knew their preferences and treated them with dignity.
“People were supported and treated with dignity and respect; and involved as partners in their care.” from the report
Improved medicines safety
The home had improved its medicines systems since the previous inspection. Records showed medicines were in stock, fridge temperatures were recorded and as-required medicine guidance had been updated.
“At this inspection we found enough improvement had been made and the provider was no longer in breach of regulation 12.” from the report
Suitable staffing and training
Inspectors found enough staff to meet people's needs. Recruitment checks, training, induction, supervision and appraisal were in place.
“People were well cared for by staff that had the knowledge and skills to meet people's needs.” from the report
Personalised support
Care records included people's needs, preferences, life histories and interests. Staff knew the people they supported well.
“People's care records showed their individual needs and preferences and were reviewed and updated as their needs changed.” from the report
Good involvement of families
Relatives said communication was good and they felt involved in care planning. The home recorded and responded to complaints and concerns.
“Relatives we spoke with were positive about their involvement in care planning and the communication they received from the service.” from the report
Safeguarding notifications
seriousThe provider did not report all safeguarding matters to CQC as the law required. This was the reason Well-led could not be rated higher than Requires Improvement.
“However, we found some safeguarding matters had not been reported as required.” from the report
One medicines error
needs fixingDuring the medicines round, one medicine was not given in the form and dose prescribed by the GP. The provider investigated and put an action plan in place immediately.
“During the medicines round we saw one medicine which was not given in the form and dose prescribed by the GP.” from the report
Infection control auditing
minorThe home was clean and staff followed good infection control practices. Inspectors said it would benefit from a comprehensive infection control audit.
“Whilst dedicated staff used cleaning schedules, the provider would also benefit from the implementation of a comprehensive infection control audit.” from the report
- 01What changes have been made to ensure every safeguarding matter is reported to CQC on time?
- 02What checks now make sure medicines are always given in the form and dose prescribed?
- 03Has a comprehensive infection control audit been introduced, and what did it find?
- 04How are each person's specific end-of-life wishes recorded and reviewed?
- 05How do you check that care plans include advice from healthcare professionals in the main care plan?
This was an unannounced planned inspection covering all five CQC questions and both the premises and care provided; the report says the previous inspection was published in August 2018. This explanation was written from the published report of 19 July 2019 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 Lyndhurst Park Nursing Home
3 rated inspections over 2 years: the service has improved, from Requires improvement to Good.
- March 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- July 2019Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- August 2018Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- August 2017Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- December 2013
Report published without a new overall rating.
- June 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 14 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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23 live-in carers within about an hour of North Somerset
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 £1,050 to £1,320 a week. 19 can care for a couple. 12 years' experience on average.
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.