CQC report explained · a residential care home
What the CQC found at Malmesbury Lawn Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home was using protective equipment safely, managing outbreaks, supporting safe visiting and following infection-control guidance. The provider also said it 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?
- Outstanding
- 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.
What inspectors found, March 2022
Malmesbury Lawn Care Home was inspected but not rated; inspectors found infection-control and visiting arrangements in place during a COVID-19 outbreak.
This was an announced, targeted inspection on 23 February 2022. Inspectors looked at infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures affected care.
The home was coming to the end of a COVID-19 outbreak, with one person having COVID-19 during the inspection. Inspectors found safe isolation, suitable protective equipment, testing and cleaning arrangements. They were assured that infection risks were being managed.
Visitors were welcomed under the guidance in force at the time. The home used testing, temperature checks, protective equipment and vaccination checks for staff and visiting professionals. People were also supported to keep in touch with important people.
The service was inspected but not rated. This means the report does not provide a new overall rating or ratings for the other four questions.
Infection control
The home had updated infection-control policies, regular audits and environmental checks. Inspectors said audit findings had been acted on.
“All staff had undertaken training in infection prevention and control (IPC) and Personal protective equipment.” from the report
Safe visiting
Visitors could visit under the guidance in force at the time. Checks included testing, temperature checks, protective equipment and vaccination evidence for relevant people.
“Safe visiting arrangements were in place.” from the report
Managing the outbreak
The home used isolation procedures and placed a separate protective-equipment station outside the bedroom of the person with COVID-19.
“Safe isolation procedures were in place to protect others from the risk of infection.” from the report
Keeping people connected
The home supported social and emotional wellbeing through video calls and a visiting pod that allowed partitioned visits.
“People were supported by staff to keep in touch with those important to them.” from the report
Clean environment
Inspectors found the home clean and well maintained. An air filtration unit had been placed in communal areas.
“The home was clean, well maintained, air filtration unit had been placed in communal areas in the home.” from the report
Inspectors raised no specific concerns in this report.
- 01How are you currently managing COVID-19 or other infection outbreaks, including isolation and the safe disposal of protective equipment?
- 02What checks are currently required for visitors, staff and visiting professionals?
- 03What measures are in place if COVID-19 causes staffing pressures, and how could this affect my relative's care?
- 04How often are infection-control audits completed, and what actions have been taken from the most recent audit?
- 05How will my relative keep in touch with family if normal visits are restricted?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it was inspected but not rated and did not provide new ratings for the other areas. This explanation was written from the published report of 16 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.
What inspectors found, July 2019
Malmesbury Lawn Care Home is rated Good overall; inspectors found safe, kind and well-organised care, with Outstanding support for activities and community involvement.
Inspectors made an unannounced visit on 7th and 8th May 2019. They spoke with people living at the home, staff, relatives and health professionals. They also observed care and checked care records, medicines, staff recruitment, complaints, accidents and management checks.
The home was rated Good for Safe, Effective, Caring and Well-led. It was rated Outstanding for Responsive. Inspectors found enough staff, safe medicines systems, detailed care plans, suitable training and respectful care.
The strongest area was how the home helped people stay involved in the community. It worked with schools, colleges and community groups, and created activities and themed spaces for people who could not easily go out. Complaints were taken seriously and end of life care was described as detailed and compassionate.
The home was rated Good at the previous inspection in 2016 and remained Good overall. The number of residents had been reduced to 22 because refurbishment was planned, with short-stay and reablement beds provided during the preparations.
Community involvement
The home helped people take part in local life and built links with schools, colleges and other groups. It also created safe ways for people to enjoy community-style activities inside the home.
“People were actively engaged with 10 separate community groups and schools, in turn these groups regularly partook in events at the home.” from the report
Personalised activities
Activities reflected people's interests, including gardening, shopping, travel and music. Staff used these activities to help people relax, communicate and take part.
“People's interests had been considered and activities developed to match their interests.” from the report
Safe staffing and medicines
Inspectors found enough staff on duty and saw evidence of recruitment checks. Medicines were administered by trained staff, with records, checks and audits in place.
“There were enough staff on duty to keep people safe.” from the report
Kind and respectful care
Staff supported people patiently and treated them with dignity. People were involved in choices and encouraged to do as much as possible for themselves.
“We observed staff to be kind, caring and thoughtful.” from the report
End of life support
End of life plans were detailed and people could remain in familiar surroundings. The home also offered support to relatives after someone had died.
“People were supported to remain at the service at the end of their life, in familiar surroundings, supported by staff who knew them well.” from the report
Inspectors raised no specific concerns in this report.
- 01What is the current timetable for the planned refurbishment, and how will it affect residents' rooms, communal areas and daily routines?
- 02How many people currently live here, and are there still enough permanent staff to cover sickness and holidays without agency staff?
- 03Are the community groups, school links, outings and themed activity areas described in the report still available?
- 04How are medicines given in residents' rooms now, and how do you check that records and competency assessments remain up to date?
- 05How are residents and relatives involved in reviewing care plans and making decisions about changing care needs?
This was a planned unannounced inspection covering all five CQC questions and the overall rating; the report also noted that refurbishment was being prepared and occupancy had been reduced. This explanation was written from the published report of 3 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 Malmesbury Lawn Care Home
2 rated inspections over 3 years: the service has held its Good rating throughout.
- March 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- July 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
- November 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2014
Report published without a new overall rating.
- October 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 10 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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
26 live-in carers within about an hour of Hampshire
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 £1,020 to £1,260 a week. 23 can care for a couple. 14 years' experience on average.
“I cannot recommend Prisca highly enough, she is one in a million.”
“He stayed with her throughout the pandemic, refusing to visit his own family, who lived nearby, to reduce the risk of infection.”
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.