CQC report explained · a nursing home
What the CQC found at Risedale at Lonsdale Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that infection prevention and control arrangements were safe. They also asked about staffing pressures linked to COVID-19.
- Effective?
- Good
- This area was not assessed in this targeted inspection.
- Caring?
- Good
- This area was not assessed in this targeted inspection.
- Responsive?
- Good
- This area was not assessed in this targeted inspection.
- Well-led?
- Good
- This area was not assessed in this targeted inspection.
What inspectors found, March 2022
Inspected but not rated; inspectors found strong infection control arrangements and measures to manage staffing pressures.
This was an unannounced, targeted inspection on 10 February 2022. It looked at infection prevention and control during the COVID-19 pandemic, and asked about staffing pressures.
Inspectors were assured that the home was managing visitors, admissions, testing, protective equipment, cleaning, social distancing and infection outbreaks safely. Staff were trained to use protective equipment, and people and staff were supported to receive COVID-19 vaccinations.
The home had measures to reduce the effect of COVID-19-related staffing pressures. Inspectors also found sufficient supplies of protective equipment and proactive work to recruit, train and retain staff.
The service was inspected but not rated. This report is not a full assessment of the quality of care across all five areas.
Infection control
The home had robust systems to reduce the risk of COVID-19 and other infections.
“The provider had robust systems in place to protect people from the risk of COVID-19 and other infections.” from the report
Safe visiting
Visitors were checked, and there was a room for people to take a lateral flow test before visiting if needed.
“The home had a room where people who could not carry out an LFD test before arriving at the home could carry out a test and wait for the result before their visit.” from the report
Protective equipment
The home had enough protective equipment and staff were trained to use it safely.
“The provider had ensured there were sufficient supplies of Personal Protective Equipment, (PPE), to protect people from the risk of infection.” from the report
Staffing measures
The provider had taken steps to maintain staffing and had developed recruitment, training and retention opportunities.
“The provider had been proactive in ensuring there were sufficient staff to support people.” from the report
Inspectors raised no specific concerns in this report.
- 01How did COVID-19-related staffing pressures affect staffing levels and people’s care at the time?
- 02How are visitors currently checked for infection risks, and what happens if someone cannot complete a test before arriving?
- 03How often are frequently touched surfaces cleaned, and how is this checked?
- 04How are staff kept up to date when government guidance about visiting and testing changes?
- 05What infection control arrangements are still in place for people moving into the home?
This was a targeted inspection of infection prevention and control and staffing pressures; it did not assess the other four quality questions and gave no overall rating. This explanation was written from the published report of 1 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, February 2020
Rated Good; inspectors found kind, safe and person-centred care, with some isolated concerns about waiting times and meal quality.
Inspectors visited on 7 and 9 January 2020. The first visit was unannounced. They spoke with people living in the home, visitors, staff and a healthcare professional. They observed care and checked care plans, medicines, staff records and management systems.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines practice, suitable training, kind care and personalised support. People were involved in decisions and could see visitors and join activities.
Some people said meal quality varied, although it was improving. One person also described waiting a significant time for help on one occasion. Before the inspection, the service had reported a serious allegation of abuse. This was subject to a police investigation, and inspectors did not examine the circumstances of that incident.
Staffing and recruitment
Inspectors found enough staff and thorough checks were completed before new staff were employed.
“There were enough staff to support people. The provider used thorough recruitment procedures to check new staff were suitable to work in the service.” from the report
Kind and respectful care
Staff were attentive and treated people with dignity. They supported privacy and independence.
“The staff treated people with kindness and respect.” from the report
Personalised support
People and those close to them were involved in care planning. Plans recorded their needs, wishes and preferences.
“The staff planned and delivered care to meet people's needs and to take account of their wishes and preferences.” from the report
End-of-life care
The home had an established approach to end-of-life care and had links with specialist organisations.
“People received high-quality support as they reached the end of their lives and were asked for their wishes regarding their end of life care.” from the report
Waiting for assistance
minorOne person said they had waited a significant time for staff help on one occasion. Inspectors passed this to the provider to investigate.
“One person told us they had, on one occasion, had to wait for a significant time for staff to support them.” from the report
Meal quality
minorTwo people said the quality of meals varied, although they had noticed improvement. The catering manager was gathering feedback and planning changes.
“Two people said the quality of the meals varied but they had noticed meals were improving.” from the report
- 01How have you followed up the report that one person waited a significant time for staff help?
- 02What changes have you made to improve the quality and variety of meals?
- 03How will you involve my relative and our family in writing and reviewing their care plan?
- 04What nursing and specialist healthcare support is available if my relative's needs change?
- 05What information can you share about the serious allegation mentioned in the report, given that it was subject to a police investigation?
This was a planned inspection covering all five quality areas, the premises and care provided; it did not examine the circumstances of the serious allegation because it was subject to a criminal investigation. This explanation was written from the published report of 14 February 2020 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 Risedale at Lonsdale Nursing Home
4 rated inspections over 5 years: the service has held its Good rating throughout.
- March 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Risedale at Lonsdale Nursing Home →
- February 2020Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Risedale at Lonsdale Nursing Home →
- July 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2015Goodstayed GoodResponsive: Good
- January 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
- December 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 19 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.
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9 live-in carers within about an hour of Westmorland and Furness
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8 can care for a couple. 10 years' experience on average.
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