CQC report explained · a nursing home
What the CQC found at The Lawns Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home was following safe infection prevention and control procedures. They were assured about visitors, admissions, protective equipment, testing, cleaning, outbreak management and the infection control policy.
- Effective?
- Good
- This question was not assessed in this focused inspection.
- Caring?
- Good
- This question was not assessed in this focused inspection.
- Responsive?
- Good
- This question was not assessed in this focused inspection.
- Well-led?
- Good
- This question was not assessed in this focused inspection.
What inspectors found, December 2020
The Lawns Care Home: Inspected but not rated; inspectors were assured about infection prevention and found several examples of good practice.
Inspectors visited on 17 November 2020. The visit was announced and formed part of a national review of infection prevention and control in care homes during the coronavirus pandemic.
Inspectors were assured that the home was managing infection risks. This included visitors, shielding and social distancing, admissions, protective equipment, testing, cleaning, outbreaks and infection control policies.
They found a separate visiting room, good use of technology, a practical cleaning checklist and good cleanliness. They also described staff morale as good and staff as committed to people's wellbeing.
The home was inspected but not rated. This means the report does not give a Good, Requires improvement or Inadequate rating for the service.
Family contact
The home had a separate adapted room for visits and supported people to keep in touch with family and friends in line with national guidance.
“People were supported to stay in contact with family and friends, in line with national guidelines.” from the report
Use of technology
Staff used technology to reduce infection risks and to involve a person in a discussion with a health professional about oral care.
“Staff used technology positively to involve the person in the discussion.” from the report
Cleaning checks
Cleaning staff used a clear checklist covering important contact points. Senior staff also used it in their quality checks, and inspectors found good cleanliness.
“Cleaning staff used an updated checklist with the key contact points which needed to be cleaned to help minimise the risk of infection.” from the report
Staff morale
Inspectors found staff morale was good and said staff remained committed to people's wellbeing during difficult circumstances.
“Morale was good at the service, with staff committed to promoting people's wellbeing, under challenging circumstances.” from the report
Inspectors raised no specific concerns in this report.
- 01How is the separate visiting room being used now, and how do you support family contact when visits cannot take place?
- 02How do you check that cleaning of key contact points is completed and reviewed?
- 03How are people and staff being tested, and what happens when someone may have an infection?
- 04How do you make sure protective equipment is used safely and effectively?
- 05How do you support oral care and involve people in discussions with health professionals?
This was an announced thematic review focused on infection prevention and control; it did not provide ratings for the other four questions or an overall service rating. This explanation was written from the published report of 12 December 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.
What inspectors found, December 2019
Rated Good; inspectors found safe, kind and personalised care, with limited trips out and less detailed end-of-life records.
This was an unannounced planned inspection on 10 October 2019. Inspectors reviewed care and medicines records, spoke with people, a relative, staff and managers, and observed care.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were safe, treated with kindness, involved in decisions and supported by staff who understood their needs.
The home had detailed care plans and good links with health professionals. Inspectors noted that trips out had been limited because of staffing issues, and end-of-life information in care plans was not always person-centred.
The overall Good rating remained unchanged from the previous inspection, published on 6 April 2017. CQC said it would continue monitoring the home through its usual re-inspection schedule.
Safe care
Risks were assessed, reviewed and managed. Staff understood safeguarding procedures, and medicines and equipment were handled safely.
“Risks to people continued to be assessed and managed safely.” from the report
Kind and respectful staff
Inspectors saw staff treating people with warmth, dignity and compassion. Staff knew people's histories and preferences.
“Staff took time to interact with people and stopped to chat without walking straight by.” from the report
Personalised support
Care plans gave staff practical information about people's needs and preferences. Support was adjusted as people's needs changed.
“Care plans were detailed and contained clear information about people's specific needs, their personal preferences and how they wished to be supported.” from the report
Good health support
The home worked with health professionals and recorded their advice and actions in people's care plans.
“People and their family members told us health professionals were quickly involved if this was needed.” from the report
Trips out
needs fixingTrips and excursions into the community had been limited because of staffing issues. The home said it hoped to offer them more often after recruiting additional staff.
“Trips had been limited due to staffing issues, but the service hoped to be able to offer trips out more frequently now they had recruited additional staff.” from the report
End-of-life records
minorEnd-of-life information in care plans did not fully describe people's wishes in a person-centred way. Staff knew people well, and managers said they would look at improving the records.
“End of life details in peoples care plans were not documented in a person-centred way however, staff knew people well.” from the report
- 01How often are trips and excursions now offered, and how do you make sure staffing levels do not restrict them?
- 02How are each person's end-of-life wishes recorded, reviewed and kept person-centred?
- 03How do you make sure care plans are updated when a person's needs or health changes?
- 04How do you involve relatives and health professionals in care reviews and decisions?
- 05What checks are carried out to confirm medicines are given and recorded safely?
This was an unannounced planned inspection covering all five CQC questions and the overall quality of the home. This explanation was written from the published report of 5 December 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 The Lawns Care Home
3 rated inspections over 4 years: the service has held its Good rating throughout.
- December 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- December 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- April 2012
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 15 November 2010.
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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35 live-in carers within about an hour of Essex
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. 25 can care for a couple. 10 years' experience on average.
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