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CQC report explained · a residential care home

What the CQC found at The Laurels Residential Home

Goodpublished 9 June 2018, 8 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured that infection prevention and control measures were in place, including safe use of protective equipment, testing, hygiene, visiting and outbreak management.
Effective?
Good
This targeted report does not give a finding for Effective.
Caring?
Good
This targeted report does not give a finding for Caring.
Responsive?
Good
This targeted report does not give a finding for Responsive.
Well-led?
Good
This targeted report does not give a finding for Well-led.
The latest report, explained

What inspectors found, March 2021

The Laurels Residential Home: targeted inspection found good infection control practice, but the service was not rated.

Inspectors visited the home on 17 February 2021. This was an announced, targeted inspection during the coronavirus pandemic. It focused on infection prevention and control.

Inspectors found the premises were clean and well maintained. Staff had received infection control training, their skills were checked, and staff were seen following correct practice.

The home had arrangements for safe visits, regular COVID-19 testing and vaccination offers. Inspectors were assured about the use of protective equipment, social distancing, admissions and managing infection outbreaks.

The home was marked 'Inspected but not rated'. This means the report does not give a new overall quality rating or full ratings for all five areas of care.

What inspectors praised
  • Clean premises

    Inspectors found the premises clean and well maintained. A refurbishment programme was also under way.

    “The premises were clean and well maintained. The home was undergoing a refurbishment programme to update and improve the premises.” from the report
  • Staff infection control training

    All staff had received infection control training, and their competence was checked regularly. Inspectors saw staff following the correct practice.

    “All staff had received training in infection prevention and control and their competency was regularly checked.” from the report
  • Contact with relatives

    The home supported telephone and video calls and had created an outdoor safe space for face-to-face visits.

    “Relatives and friends were encouraged to keep in contact with their loved ones via telephone and video calls.” from the report
  • Testing and vaccination

    People living and working at the home had been offered a vaccine and were regularly tested for COVID-19 in line with government guidance.

    “All people living and working at The Laurels had been offered a vaccine and were regularly tested for COVID-19 in line with government guidance.” 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 progress has been made with the refurbishment programme, and how has it affected people living in the home?
  2. 02How often are staff's infection prevention and control skills checked now?
  3. 03What arrangements are currently in place for visits from relatives and friends?
  4. 04How are residents and staff currently tested for COVID-19, and what happens if someone tests positive?
  5. 05Can you show me the latest full CQC inspection rating, since this report was not rated?

This was an announced, targeted inspection of infection prevention and control during the coronavirus pandemic; it did not provide new ratings for the other four questions or an overall rating. This explanation was written from the published report of 6 March 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.

An earlier report, explained

What inspectors found, June 2018

Rated Good; inspectors found kind, safe and well-managed care, with minor issues in recording as-required medicines and keeping moving and handling training up to date.

The inspection was unannounced and took place on 1 May 2018. Two inspectors spoke with people living in the home, relatives and staff. They reviewed care records, medicine records, staff training, complaints, safeguarding information, accident records and quality checks.

The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people were treated with kindness, their care records were personal to them, and staff supported their choices, food, drinks, health needs and activities.

There were two minor issues. Records did not always show the time that as-required medicine was given, although this was corrected during the inspection. Some moving and handling training was overdue, but it had been booked and inspectors did not consider this a cause for concern.

The previous inspection in March 2017 rated the home Requires Improvement, with no breaches. Inspectors said the improvements had been maintained and care delivery was consistent at this inspection.

What inspectors praised
  • Kind and respectful care

    Inspectors saw staff treat people with patience, compassion and respect. Staff knew people well and supported their dignity and independence.

    “Staff displayed kindness, compassion and empathy in their relationships with people.” from the report
  • Personalised care

    Care records covered people's individual health, personal, communication, mobility, nutrition and social needs. They were regularly reviewed and used to guide staff.

    “Care records were person-centred and comprehensive, and easy to navigate.” from the report
  • Activities and choice

    People were offered choices about meals, where to eat and how to spend their time. Inspectors saw people enjoying several activities and outings were also arranged.

    “People had access to a large range of individual and group activities, and actively took part in what was arranged.” from the report
  • Strong management

    The manager was described as approachable and supportive. Staff meetings, audits and feedback from people and relatives were used to improve the home.

    “Quality assurance measures evidenced effective scrutiny of all aspects of care delivery and the home management.” from the report
What inspectors were concerned about
  • As-required medicine records

    needs fixing

    The time was not always recorded when as-required medicine was given. The home corrected this before inspectors left, to reduce the risk of doses being given too close together.

    “Records did not always show the time of PRN, or 'as required', medication but this was remedied before we left the home” from the report
  • Overdue moving and handling training

    minor

    Some staff were overdue for moving and handling refresher training. The training had been booked, and inspectors said the staff's observed competence meant this was not a cause for concern at the time.

    “The training matrix identified moving and handling training was overdue for some staff but this had been booked.” from the report
Questions to ask them, based on this report
  1. 01How do you now record the exact time when as-required medicines are given?
  2. 02Have all staff completed the moving and handling refresher training that was overdue at the inspection?
  3. 03How long might a person have to wait if two people need help at the same time?
  4. 04How are care plans and risk assessments updated when a person's needs change?
  5. 05How are families involved in care reviews, complaints and decisions about activities?

This was an unannounced inspection covering the overall service and all five CQC questions, with the home receiving Good ratings in each area. This explanation was written from the published report of 9 June 2018 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 The Laurels Residential Home

4 rated inspections over 2 years: the service has improved, from Inadequate to Good.

  1. March 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at The Laurels Residential Home →

  2. June 2018Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at The Laurels Residential Home →

  3. May 2017Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. November 2016Requires improvementup from Inadequate
    Safe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. April 2016Inadequate
    Safe: InadequateEffective: InadequateCaring: InadequateResponsive: InadequateWell-led: Inadequate

    Read this report on cqc.org.uk

  6. November 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. July 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. 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.

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