CQC report explained · a residential care home
What the CQC found at Lyngate Care Home
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, June 2021
Lyngate Care Home is rated Good; inspectors found safer systems, kind care and better records, with some staffing and mealtime issues to watch.
This was a focused inspection on 18 May 2021. One inspector and an Expert by Experience spoke with people, relatives, staff and professionals. They reviewed care records, medicines records, recruitment files, training information and management records.
The home had improved since the previous inspection. Medicines were stored and recorded safely. Care records, risk assessments and health and safety records were more complete. People were treated with kindness and dignity, involved in decisions and supported to keep in touch with family and friends.
The overall rating changed from Requires Improvement to Good. Safe, Caring, Responsive and Well-led were rated Good. Effective was not looked at during this focused inspection, so its previous rating was used when calculating the overall rating.
Safer medicines
Medicines were stored correctly, opening dates were recorded and records were complete. Staff had the required training and checks were more detailed.
“Medicines systems were safe, medicines were stored correctly and opening dates recorded clearly on creams and thickeners.” from the report
Better care records
Personal care records were complete and accurate. Risk assessments included information about how staff should reduce identified risks.
“Individual risk assessments were in place within people's care plans. These were detailed and included mitigation for risks identified.” from the report
Kind and respectful care
Inspectors saw staff speaking kindly and respecting privacy and dignity. People were clean, well-presented and supported to make choices.
“We observed staff speaking to people in a kind and friendly tone of voice.” from the report
Family contact and activities
People were supported to stay in contact with family and friends through different methods. There was a range of activities, with support for individual interests.
“People had been supported throughout the pandemic to maintain contact with their families and friends.” from the report
Learning and oversight
The home used audits and action plans to identify and address problems. It also reviewed complaints, incidents and safeguarding concerns for learning.
“The service took learning from a number of areas to facilitate improvement within the home.” from the report
Busy mornings
needs fixingStaff said there were usually enough staff, but mornings could be difficult and more staff would help at that time. Agency staff were also used frequently.
“Staff told us there were usually enough staff, but mornings could be challenging and more staff would be good at this time.” from the report
Mealtime support
needs fixingTwo people were left with their meals for some time and appeared to need help. Staff provided kind and patient assistance after the issue was brought to their attention.
“We did note that two people were left in the dining room with their meal for a length of time.” from the report
Hot water issue
minorTwo rooms had no hot water during the inspection. The report says this was fixed within 24 hours.
“We found two rooms which had been identified as having no hot water. This was rectified within 24 hours of the inspection visit.” from the report
Room signage
minorSignage to help people find and recognise their rooms was still being improved when inspectors visited.
“Signage on people's doors was in the process of being improved to help people orientate to their rooms.” from the report
- 01How do you make sure there are enough staff during busy mornings?
- 02How do you make sure people who need help with meals are noticed and supported promptly?
- 03How do you check that all residents' rooms have reliable hot water?
- 04What progress has been made with improving the signs on people's doors?
- 05How are you continuing to check that medicines and personal care records remain complete and accurate?
This was a focused inspection covering Safe, Caring, Responsive and Well-led; Effective was not looked at and its previous rating was used in calculating the overall rating. This explanation was written from the published report of 23 June 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, January 2021
Lyngate Care Home was inspected but not rated; inspectors were assured that infection control measures were being followed.
Inspectors visited the home on 17 December 2020. The visit was announced and targeted. It checked infection prevention and control arrangements during the coronavirus outbreak.
Inspectors found regular cleaning of the home, including frequently touched areas. Staff had recent infection control training, used protective equipment appropriately, and washed or sanitised their hands regularly.
Testing was being carried out where possible. Visits were restricted under local guidance, while staff helped people keep in touch with relatives and friends by telephone or online calls.
The home was inspected but not rated. This was not a full inspection of all areas of care, so the report does not provide an overall quality rating.
Cleaning
Staff followed cleaning schedules across the home, including for frequently touched surfaces.
“Staff followed cleaning schedules to ensure all areas of the home were regularly cleaned, including high touch areas such as door handles and light switches.” from the report
Protective equipment
Staff had recent infection control training and used protective equipment safely.
“Staff had received recent training in infection prevention and control, including how to put on and take off their personal protective equipment (PPE) in a safe way.” from the report
Hand hygiene
Staff wore protective equipment appropriately and regularly cleaned their hands.
“We saw staff wore PPE as appropriate, and regularly washed and sanitised their hands.” from the report
Keeping in touch
When visits were restricted, staff helped people stay in contact with relatives and friends by phone or online calls.
“During this time staff were supporting people to stay in contact with their relatives and friends via telephone calls, or via on-line calls.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection prevention and control arrangements are in place now?
- 02How are visits currently managed, and how will the home help my relative keep in touch if visits are restricted?
- 03How often do staff receive infection prevention and control training, including training on using protective equipment?
- 04How are people and staff tested for COVID-19 or other infections now?
- 05Can you show me the latest full CQC inspection ratings, as this report was inspected but not rated?
This was an announced targeted inspection of infection prevention and control practices only; the report did not rate the other four key questions or give an overall rating. This explanation was written from the published report of 7 January 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.
Every inspection of Lyngate Care Home
4 rated inspections over 5 years: the service has improved, from Requires improvement to Good.
- June 2021Goodcurrent ratingSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- January 2021Inspected but not ratedSafe: Inspected but not rated
- February 2020Requires improvementdown from GoodSafe: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- May 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- October 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- August 2014
Report published without a new overall rating.
- February 2014
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 14 December 2010.
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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