CQC report explained · a nursing home
What the CQC found at Lytham Court Nursing Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough staff, thorough recruitment checks, detailed risk assessments, safe medicines procedures and effective safeguarding and infection control arrangements.
- Effective?
- Good
- This question was not rated in this inspection.
- Caring?
- Good
- This question was not rated in this inspection, although inspectors reported that people's individuality was respected and people and families felt involved.
- Responsive?
- Good
- This question was not rated in this inspection. The report says person-centred care systems were in place and a new complaints system had been introduced.
- Well-led?
- Good
- Inspectors found regular audits, clear management responsibilities, staff support and opportunities for people, families and staff to give their views.
What inspectors found, December 2023
Lytham Court Nursing Care Home is rated Good; inspectors found safe care, effective management and ongoing improvements.
This was an unannounced inspection. The inspector visited on 21 November 2023, spoke with four people, staff and the registered manager, observed care, checked the building and reviewed care, medicines, recruitment and management records.
The home was rated Good overall. Safe and Well-led were also rated Good. Inspectors found enough staff, safe medicines procedures, detailed risk assessments, safeguarding arrangements and infection control measures.
The home had systems to check quality and make improvements. People and families could give their views through surveys and meetings. Recent environmental improvements were taking place with minimum disruption.
Staffing and nursing cover
Inspectors found enough staff with different skills, including nurses available throughout the day and night.
“Sufficient numbers of personnel with different skills set were deployed to ensure people were cared for in a timely way.” from the report
Safe medicines
Medicines were administered by trained nurses. Records, written guidance and audits were in place.
“People received their medication safely by trained nurses.” from the report
Risk and safeguarding
Risks were assessed and reviewed. Staff understood safeguarding procedures and knew how to report concerns.
“The management team understood their responsibilities for keeping people safe and the processes for reporting any concerns.” from the report
Involvement and oversight
People and families could share their views through surveys and meetings. Senior management carried out regular audits.
“People and families felt involved in their care and development of the service at Lytham Court Nursing Home.” from the report
Inspectors raised no specific concerns in this report.
- 01What environmental improvements have been completed since the inspection, and what work is still planned?
- 02How does the new complaints system work, and what changes have resulted from complaints or concerns?
- 03How do you make sure there are enough staff with the right skills on every shift?
- 04How are medicines audits reviewed, and how are any problems acted on?
- 05How are families involved in care reviews, surveys and meetings?
This inspection rated 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 9 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.
What inspectors found, February 2021
Lytham Court Nursing Care Home was inspected but not rated; inspectors found good risk management and infection controls, with no evidence of harm from the concern examined.
This was an unannounced, targeted inspection on 29 January 2021. One inspector examined how the home supported people whose behaviour may challenge the service. Infection prevention and control were also checked because of coronavirus.
Inspectors spoke with 11 staff, observed care, checked the building, reviewed medicines records for three people and examined two care records and other documents. They found that staff managed risks well and followed detailed guidance.
The home had systems to protect people from abuse. Inspectors found that staff followed infection control practices, used protective equipment safely and had plans for emergencies.
The home was inspected but not rated at this visit. The previous overall rating was Good, published on 7 July 2018. The Safe rating remained Good from that inspection, but it was not reviewed in full.
Risk management
Staff assessed and reviewed risks and understood people's individual risk management plans. They followed detailed guidance to support positive outcomes when behaviour may challenge the service.
“Staff managed risks to people's safety well. They assessed and regularly reviewed risks to people, to manage any identified risks and keep people safe from avoidable harm.” from the report
Infection control
Inspectors were assured that the home used protective equipment safely, followed social distancing and shielding rules, and had arrangements to prevent or manage outbreaks.
“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Safeguarding
The home had systems for recording, reporting and analysing allegations of abuse. Staff had training and knew what action to take.
“People were protected from the risk of abuse. The provider had systems to record, report and analyse any allegations of abuse.” from the report
Safe environment
The premises and equipment were suitably maintained. Equipment was inspected and serviced when needed, and emergency plans were in place.
“The provider ensured the environment and equipment were safe. We saw the premises were suitably maintained.” from the report
Inspectors raised no specific concerns in this report.
- 01How are each person's risk management plans reviewed when their behaviour may challenge the service?
- 02What guidance do staff follow to support positive outcomes when someone is distressed or their behaviour changes?
- 03How does the home test and update its infection prevention and control arrangements?
- 04What would happen if there were an infection outbreak or another emergency?
- 05How are medicines and care records checked for completeness and accuracy?
This was a targeted inspection of specific concerns about behaviour that may challenge the service and infection prevention and control; the Safe rating was not reviewed in full and the other key questions were not rated at this visit. This explanation was written from the published report of 20 February 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 Lytham Court Nursing Care Home
3 rated inspections over 8 years: the service has held its Good rating throughout.
- December 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Lytham Court Nursing Care Home →
- February 2021Inspected but not ratedSafe: Inspected but not rated
Read what inspectors found at Lytham Court Nursing Care Home →
- July 2018Goodstayed GoodSafe: GoodWell-led: Good
- May 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2014
Report published without a new overall rating.
- September 2013
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 15 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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85 live-in carers within about an hour of Lancashire
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. 78 can care for a couple. 11 years' experience on average.
“She understands the needs of an elderly person in the early stages of dementia and has treated my mother with great kindness and skill.”
“Thanks to Tracy, Dad was always immaculately dressed and clean, his meals were all home cooked and nutritionally well balanced and his home was always kept really clean and tidy.”
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.