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CQC report explained · a residential care home

What the CQC found at New Partnerships Lynray and Peach Cottage

Requires improvementpublished 30 October 2025, 11 months ago

Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.

The latest report, explained

What inspectors found, August 2022

Rated Requires Improvement; inspectors found safe, kind care, but staffing and agency use affected person-centred support and choice.

Inspectors visited on three dates, spoke with people, relatives and staff, observed care, and reviewed care, medicine, staff and management records. This was the first inspection under the new registered provider.

The home was rated Good for Safe, Effective and Caring. People were generally protected from abuse, supported with medicines and healthcare, and treated with kindness and respect. The home was clean and people were supported to take part in activities and maintain their independence.

The home was rated Requires Improvement for Responsive and Well-led, making the overall rating Requires Improvement. Five full-time staff vacancies and heavy use of agency staff meant people could not always go out when they wanted, and agency staff did not always know people well enough to provide consistent, person-centred care.

The provider breached Regulation 9 on person-centred care. Inspectors also recommended that overdue training updates are completed promptly and that people and important others are supported to discuss end of life wishes. The provider was asked for an action plan and the service will be monitored.

What inspectors praised
  • Safe care and medicines

    The core staff team and longer-serving agency staff knew people well and understood safeguarding. Medicines were administered, recorded and stored safely, with agency staff not administering medicines.

    “People were kept safe from avoidable harm because the core staff team and long-term agency staff knew them well and understood how to protect them from abuse.” from the report
  • Kind and respectful support

    People were treated with warmth and respect. Staff supported people's preferred communication, privacy, independence and personal choices.

    “The registered manager and staff members showed warmth and respect when interacting with people.” from the report
  • Personalised activities

    People were supported to follow interests and take part in activities such as cinema visits, sensory activities, work and everyday tasks.

    “People were supported to participate in their chosen social and leisure interests on a regular basis.” from the report
  • Clean and suitable environment

    The home was clean, well maintained and equipped to meet people's sensory and physical needs. People could personalise their rooms.

    “People's care and support was provided in a clean, well equipped, well-furnished and well-maintained environment which met people's daily living needs.” from the report
What inspectors were concerned about
  • Too few permanent staff

    serious

    There were five full-time vacancies and about 80% agency staffing. This affected people's choice, outings and consistency of care, and some agency staff did not know people well.

    “The service had difficulty recruiting enough permanent staff, and therefore used agency staff.” from the report
  • Person-centred care was not consistent

    serious

    Agency staff did not always have time to read care plans before starting work. Inspectors found that the high turnover and use of temporary staff affected people's daily support and choice.

    “People did not always receive person centred care, support and choice in their daily lives as the high turnover of staff and high use of temporary agency staff impacted on the services ability to meet their needs.” from the report
  • Concerns were not always heard

    needs fixing

    Relatives said they did not feel listened to by the provider and that their concerns were not addressed, although the provider had responded to some issues.

    “People, and those important to them, could raise concerns and complaints, however, relatives spoken with told us they did not feel listened to by the provider and that their concerns were not addressed.” from the report
  • Training updates overdue

    needs fixing

    Not all staff had completed required training updates. Inspectors recommended that the provider complete these within a short time frame.

    “However, not all staff had completed their training updates.” from the report
  • End of life wishes not recorded

    needs fixing

    End of life wishes were not in the care plans reviewed. There was no one receiving end of life care during the inspection, but the provider was asked to support people and important others to express their views.

    “End of life wishes were not contained within the care plans that we reviewed.” from the report
Questions to ask them, based on this report
  1. 01How many permanent support staff and senior care staff are now in post, and how is the home reducing its use of agency staff?
  2. 02How do agency staff learn each person's communication needs, care plan and distress signals before starting a shift?
  3. 03How will you make sure each person can go out and take part in their chosen activities when they want to?
  4. 04How are relatives' complaints recorded, answered and followed up, and how can families attend the proposed monthly meetings?
  5. 05Have overdue training updates, out-of-date mental capacity paperwork and end of life plans now been completed or reviewed?

This was an unannounced inspection covering all five key questions, with site visits and additional evidence reviewed; it also included infection prevention and control checks. This explanation was written from the published report of 26 August 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.

An earlier report, explained

What inspectors found, April 2021

Inspected but not rated; inspectors found good infection control arrangements during this targeted visit.

The inspection took place on 11 March 2021 and was announced. It was a targeted check of infection prevention and control during the coronavirus pandemic.

Inspectors found that staff had training in infection prevention and the safe use of protective equipment. The home was visibly clean, with cleaning schedules for frequently touched areas.

The home had arrangements for testing, risk assessments, social distancing, visiting and managing possible outbreaks. Inspectors were assured that infection risks were being managed, but they did not give an overall quality rating.

What inspectors praised
  • Infection control training

    Staff had training in infection prevention and the correct use of protective equipment.

    “Staff employed at the service had received training on infection prevention and the correct use of personal protective equipment (PPE).” from the report
  • Clean environment

    The home was visibly clean and had schedules showing that frequently touched areas were cleaned regularly.

    “The service was visibly clean and schedules were in place to show that regular cleaning was undertaken of high touch areas.” from the report
  • Testing and risk management

    The home followed whole-home testing guidance and assessed risks for staff and residents. Where people refused testing, staff discussed the risks with medical professionals and monitored symptoms.

    “The service was following the government guidance on whole home testing for people and staff.” from the report
  • Managing visits safely

    The home used video calls to help relatives stay in contact and was preparing for face-to-face visits under the new guidance.

    “Alternative forms of maintaining social contact such as video calls were used for relatives however staff were aware of the new guidance and face to face visits were due to commence.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01What infection control arrangements are in place now, and how have they changed since the inspection on 11 March 2021?
  2. 02How are residents and staff tested now, including when someone refuses a test?
  3. 03How are visits from relatives currently arranged and kept safe?
  4. 04How often are frequently touched areas cleaned, and how can families see the cleaning records?
  5. 05What risk assessments are in place for the person we are considering moving into the home?

This was an announced, targeted inspection of infection prevention and control in the residential home; it did not assess the community support service or give ratings for the other four questions. This explanation was written from the published report of 14 April 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.

The story over the years

Every inspection of New Partnerships Lynray and Peach Cottage

3 rated inspections over 6 years: the service has slipped, from Good to Requires improvement.

  1. August 2022Requires improvementcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read what inspectors found at New Partnerships Lynray and Peach Cottage →

  2. April 2021Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at New Partnerships Lynray and Peach Cottage →

  3. October 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
  4. July 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  5. September 2020

    Registered with the Care Quality Commission on 14 September 2020.

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.

Next steps

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