CQC report explained · a nursing home
What the CQC found at Nazareth House - Lancaster
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Risks, staffing, recruitment, infection control, equipment and medicines were generally managed safely, although minor medicine issues were found and resolved during the inspection.
- Effective?
- Good
- This area was not inspected during this focused visit. Its previous rating was carried forward.
- Caring?
- Good
- This area was not inspected during this focused visit. Its previous rating was carried forward.
- Responsive?
- Good
- This area was not inspected during this focused visit. Its previous rating was carried forward.
- Well-led?
- Good
- Management and quality checks had improved. Leaders monitored care plans, medicines and the environment, and people, relatives and staff said managers listened and were approachable.
What inspectors found, July 2023
Nazareth House - Lancaster was rated Good; inspectors found safe care and stronger management, with minor medicines issues fixed during the visit.
Inspectors visited without notice on 4 and 6 July 2023. They spoke with people living in the home, relatives, staff and health professionals. They reviewed care records, medicines records, staff rotas, risk assessments, recruitment files and management checks. They also looked around the home.
The home was rated Good for Safe and Well-led. People were protected from abuse, risks were assessed, staffing and recruitment were suitable, and infection control arrangements were in place. People received medicines as prescribed, although a small number of issues with medicine stocks and recording time-sensitive creams were found and fixed during the inspection.
The home had improved since the previous inspection, when it was rated Requires Improvement and had breaches of regulations. Care records, staffing reviews, medicine processes, fire safety work and management checks had improved. The provider was no longer in breach of regulations at this inspection.
This was a focused inspection of Safe and Well-led only. The other areas were not inspected again, so their ratings were carried forward from the previous inspection.
Safe staffing
Inspectors found enough staff and safe recruitment checks. People said they did not have to wait for support.
“There were enough staff employed and people told us they did not have to wait for staff to support them.” from the report
Improved care records
Risk assessments and care records were up to date, accurate and written around people's needs. Staff acted on changes and involved people and relatives in reviews.
“Records were accurate, well-written and person centred.” from the report
Clean and maintained home
The home was clean, tidy and well maintained. Inspectors were assured that infection risks were being managed.
“The home was clean, tidy and well maintained.” from the report
Stronger management
Management checks had improved since the previous inspection. Leaders used audits and lessons from incidents to improve the service.
“Systems and processes for the oversight and quality monitoring of the service were effective.” from the report
Medicine records and stock
minorInspectors found a reconciliation issue involving the availability of some medicines and recording when time-sensitive creams were opened. These matters were resolved during the inspection, but they are worth asking about.
“We noted a reconciliation issue around the availability of some medicines and the recording of the opening of time-sensitive creams.” from the report
- 01How do you now check that medicine stocks are reconciled and that time-sensitive creams are recorded when opened?
- 02What fire safety improvements have been completed, and are any further works planned?
- 03What were the ratings for Effective, Caring and Responsive at the previous comprehensive inspection?
- 04How are people and relatives involved when care needs or risk assessments change?
- 05How do you use audits and incident reviews to check that improvements continue?
This was a focused inspection of Safe and Well-led only; the other ratings were carried forward from the previous inspection. This explanation was written from the published report of 25 July 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 2022
Inspected but not rated; inspectors found good infection-control arrangements and measures for COVID-19 staffing pressures.
Inspectors visited the home on 4 February 2022. This was a planned, announced inspection with two hours’ notice. They focused on infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures affected care.
Inspectors found good practice. The home had testing, vaccination, personal protective equipment and cleaning arrangements. New residents had to test negative, take another test during their stay and self-isolate for seven days after moving in.
The home supported safe visits through screening and testing. Each resident could have an essential care giver who could visit during periods of isolation. The home was clean, had enough protective equipment and could change its layout during an outbreak.
The home was inspected but not rated. This means the report does not give an overall rating or a rated judgement for Safe. The other four areas were not assessed in this inspection.
Safe visiting
The home screened visitors, recorded their details and used essential care givers to support visits during isolation periods.
“This meant an identified visitor participated in a comprehensive COVID-19 testing regime and could visit the home to help with support even during periods where the home is isolating people to prevent the spread of infection.” from the report
Infection control
Inspectors saw staff using protective equipment safely. The home had regular testing, vaccination support and up-to-date infection control procedures.
“During our visit we observed staff using Personal Protective Equipment, (PPE) safely.” from the report
Clean environment
The home was clean and hygienic, with cleaning schedules in place. Its layout could also be adapted to help manage an outbreak.
“The home was clean and hygienic. Comprehensive cleaning schedules were in place.” from the report
Safe admissions
The home had procedures for testing and isolating people who moved in during the pandemic.
“This included requiring new people to have a negative COVID-19 test before moving into the home, a further test during residency and to self-isolate in their bedrooms for 7 days after moving in.” from the report
Inspectors raised no specific concerns in this report.
- 01How are essential care giver visits arranged now, and can visits continue if the home is isolating people?
- 02What arrangements are currently in place if staff shortages affect the home?
- 03What infection testing and protective equipment arrangements are used now?
- 04How would the home manage an infection outbreak, including changes to the building layout?
- 05What are the latest ratings for Caring, Effective, Responsive and Well-led?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; the service was not rated and the other areas were not assessed. This explanation was written from the published report of 23 February 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.
Every inspection of Nazareth House - Lancaster
6 rated inspections over 7 years: the service has improved, from Requires improvement to Good.
- July 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2022Inspected but not ratedSafe: Inspected but not rated
- November 2021Requires improvementdown from GoodSafe: Requires improvementWell-led: Requires improvement
- July 2018Goodup from Requires improvementSafe: GoodWell-led: Good
- November 2017Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: GoodWell-led: Requires improvement
- January 2017Goodup from Requires improvementEffective: GoodCaring: Good
- June 2016Requires improvementSafe: GoodEffective: Requires improvementCaring: Requires improvementResponsive: GoodWell-led: Good
- October 2014
Report published without a new overall rating.
- July 2014
Report published without a new overall rating.
- April 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- April 2012
Registered with the Care Quality Commission on 2 April 2012.
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.