CQC report explained · a residential care home
What the CQC found at The Lombrand Limited
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Safe was not one of the key questions covered by this focused inspection. Inspectors did look at infection prevention and control measures.
- Effective?
- Good
- People's nutritional needs, healthcare, assessments and care plans were well supported. Staff were trained and experienced, and the home followed the principles of the Mental Capacity Act.
- Caring?
- Good
- People said staff were kind and respectful. Staff promoted privacy, dignity, independence and involvement in care decisions.
- Responsive?
- Good
- Care plans contained detailed information about people's needs and preferences and were regularly reviewed. People were supported with activities, communication and complaints.
- Well-led?
- Good
- The registered manager used regular audits, surveys and meetings to monitor quality and make improvements. Inspectors found a warm, friendly and positive culture.
What inspectors found, August 2023
The Lombrand Limited is Rated Good; inspectors found kind, personalised care and improvements since the previous Requires Improvement rating.
This was an unannounced focused inspection on 13 July 2023. Two inspectors spoke with five people, the provider, the registered manager and two care staff. They also reviewed two care records and management records.
The home was rated Good for Effective, Caring, Responsive and Well-led. People were described as happy and relaxed, and staff knew them well. Inspectors found suitable training, personalised care, support with food and healthcare, and a positive atmosphere.
The previous overall rating was Requires Improvement, published on 24 May 2023. Inspectors found improvements in menu choices, care planning, and the way the service was managed. Safe was not given a new rating during this focused inspection, although infection prevention and control measures were reviewed.
Kind and respectful care
People described staff positively, and inspectors saw patient and caring interactions. Staff respected people's individuality, privacy and dignity.
“People were well treated and supported by staff that knew them well.” from the report
Skilled staff
Inspectors found staff had the experience, training and knowledge needed to support people's needs. Staff also received regular supervision.
“People received effective care and support from suitably experienced and trained staff who had the knowledge and skills to meet their needs.” from the report
Personalised support
Care plans included people's histories, health needs, preferences and support requirements. People were involved in planning and reviewing their care where possible.
“Peoples care plans were regularly reviewed and contained detailed information about people's history, social, physical and health needs.” from the report
Improved management
The registered manager completed regular checks, acted on identified improvements and asked people and staff for their views.
“A system of audits and checks were completed regularly by the registered manager to monitor the quality of the service.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you assess and review my relative's individual mental health, physical health and support needs?
- 02How would you support my relative's dietary requirements and food preferences?
- 03How do you help people make their own decisions, and what happens when someone may lack capacity?
- 04What activities and opportunities would be available for my relative, based on their interests and communication needs?
- 05What did your audits, surveys and meetings identify recently, and what actions have you taken?
This was a focused inspection of Effective, Caring, Responsive and Well-led; Safe was not given a new rating, and the report says the inspection covered infection prevention and control measures only under Safe. This explanation was written from the published report of 17 August 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, May 2023
Rated Requires Improvement; inspectors found safe care and improvements, but management checks and some parts of the home still needed strengthening.
This was an unannounced, focused inspection on 5 April 2023. Two inspectors spoke with six people, staff and other professionals. They looked at care records, medicines, recruitment files, the building and management records.
The safe rating improved from Requires Improvement to Good. Inspectors found enough staff, safe recruitment, safeguarding procedures, safer medicines systems and better risk records. People said they felt safe and cared for, and staff had warm interactions with them.
The well-led rating remained Requires Improvement. Quality checks had improved but had not found some cleanliness concerns and window safety issues. The provider was no longer in breach of regulations, but the improvements needed more time to become fully established.
The overall rating remained Requires Improvement because this inspection only examined Safe and Well-led. Ratings for the other key questions were carried over from the previous inspection.
Staffing
Inspectors found enough staff to meet people's needs and keep them safe. Staffing and access to activities had improved since the previous inspection.
“There were enough staff to meet people's needs and keep them safe.” from the report
Kind interactions
People appeared comfortable with staff. Inspectors saw warm and caring interactions, and people said they were happy with their care.
“People appeared relaxed and comfortable in the company of staff, and we observed warm and caring interactions.” from the report
Medicines
Medicines systems had improved, including arrangements for people taking medicines away from the home or managing their own medicines.
“Systems and processes had been improved to ensure the safe transfer of medicines when people were away from the service, and when people administered their own medicines.” from the report
Safeguarding
Staff had safeguarding training and knew how to identify and report concerns. The home had reported safeguarding alerts when required.
“Staff were trained to understand the importance of safeguarding people from poor care and harm.” from the report
Management checks
needs fixingThe home's quality monitoring systems had not identified every problem found by inspectors. They needed further strengthening and time to become embedded.
“Governance systems implemented to monitor the quality of the service required further strengthening and time for these to further embed as some issues found at this inspection had not been identified, such as concerns with some areas of the homes cleanliness, and window safety.” from the report
Some areas needed attention
minorThe home was generally clean and tidy, but inspectors found some areas that had been overlooked. Management said these would be addressed.
“Overall, the service was clean and tidy, however some areas had been overlooked and required attention.” from the report
- 01What has been done to fix the cleanliness issues found during the inspection, and how are these areas now checked?
- 02What action has been taken about window safety, and how is management checking that this remains safe?
- 03How are care plans and risk assessments kept up to date when people's needs change?
- 04How will you make sure the improved staffing levels and activities continue over time?
- 05What further changes are being made to ensure the quality checks find problems before they affect people?
This was a focused inspection of Safe and Well-led only; the other key question ratings were carried over from the previous inspection. This explanation was written from the published report of 24 May 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.
Every inspection of The Lombrand Limited
7 rated inspections over 8 years: the service has held its Good rating throughout.
- August 2023Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2023Requires improvementstayed Requires improvementWell-led: Requires improvement
- January 2023Requires improvementup from InadequateSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- April 2022Inadequatedown from GoodSafe: InadequateEffective: Requires improvementCaring: InadequateResponsive: InadequateWell-led: Inadequate
- May 2020Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2013
Report published without a new overall rating.
- September 2012
Report published without a new overall rating.
- June 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 23 December 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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16 live-in carers within about an hour of East Riding of Yorkshire
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 £1,030 to £1,420 a week. 14 can care for a couple. 7 years' experience on average.
“She was always 'just present enough': attentive, available, kind and engaging, but without ever over-stepping any boundary”
“What truly stands out is how mindful and attentive she is to all of my medical needs, always going above and beyond to ensure I’m comfortable and well cared for.”
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.