CQC report explained · a residential care home, run by Priory Group
Lammas Lodge
Lugwardine, Hereford, HR1 4DS
Rated Good: inspectors found the service performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found suitable staffing, detailed risk assessments, safe medicines practice and timely reviews of incidents.
- Effective?
- Good
- This area was not inspected during this focused visit. Its previous rating was used to calculate the overall rating.
- Caring?
- Good
- This area was not inspected during this focused visit. Its previous rating was used to calculate the overall rating.
- Responsive?
- Good
- This area was not inspected during this focused visit. Its previous rating was used to calculate the overall rating.
- Well-led?
- Good
- Inspectors found an open culture, visible and approachable management, regular staff involvement and quality checks that led to improvements.
What inspectors found, February 2024
Rated Good; inspectors found safe care and strong management after checking concerns about incidents.
This was an unannounced, focused inspection on 25 October 2023. Two inspectors looked at safety and leadership because concerns had been received about how incidents were managed and reported. They spoke with people using the service, a relative, managers and care staff, and checked care, medicines, incident, recruitment and maintenance records.
The home was rated Good for Safe and Well-led. Inspectors found people were protected from abuse and avoidable harm. Risks were assessed, staffing levels were suitable, medicines were given safely, and incidents were reviewed so lessons could be learned.
Inspectors also found an open and person-centred culture. Managers were approachable, staff felt supported, and audits and feedback were used to improve care. The overall Good rating includes ratings from the previous comprehensive inspection for the three areas not examined this time.
Incident learning
Managers reviewed incidents promptly and used them to reduce the risk of similar problems happening again.
“All incidents were reviewed by the registered manager in a timely manner. This meant action was taken without delay, and people were protected from avoidable harm.” from the report
Suitable staffing
There were enough trained staff, including one-to-one support when needed. Staff knew people's preferences and interests well.
“People were supported by kind staff who knew them well.” from the report
Safe medicines
Staff were trained and checked as competent. Records showed that medicines used when needed for distress or anxiety were treated as a last resort.
“records we reviewed demonstrated the use of 'as needed' medicines, for when people experienced distress or anxiety, were used as a last resort.” from the report
Quality oversight
The home completed checks on areas such as health and safety, infection control and dignity. It took action after these checks.
“Audits in areas such as health and safety, infection control and dignity were completed. Action was taken following audits to improve the quality and safety of care.” from the report
Inspectors raised no specific concerns in this report.
- 01What changes were made after the concerns about the management and reporting of incidents?
- 02How will you tell us about an incident affecting our relative, and what lessons were learned from it?
- 03How do you check that staffing remains sufficient for one-to-one support when needed?
- 04How do you make sure medicines used when needed for distress or anxiety remain a last resort?
- 05What are the current ratings and recent checks for Effective, Caring and Responsive, which were not inspected in this visit?
This was a focused inspection of Safe and Well-led only; the ratings for Effective, Caring and Responsive carried over from the previous inspection published in January 2020. This explanation was written from the published report of 1 February 2024 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 Lammas Lodge
5 rated inspections over 7 years: the service has improved, from Requires improvement to Good.
- February 2024Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2020Goodstayed GoodSafe: GoodWell-led: Good
- August 2019Goodstayed GoodSafe: GoodWell-led: Good
- February 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2016Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- August 2014
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- February 2012
Registered with the Care Quality Commission on 5 February 2012.
Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.
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