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CQC report explained · a nursing home, run by Barchester Healthcare

Lanercost House

Berkley Grange, Newtown Road, Carlisle, CA2 7PW

Goodpublished 11 January 2024, 2 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found enough safely recruited staff, suitable safeguarding arrangements, good infection control and checks on the premises and equipment. They identified medicines documentation issues, unsecured thickeners and some out-of-date evacuation plans.
Effective?
Good
This area was not inspected during this focused visit. Its previous rating was used when calculating the overall rating.
Caring?
Good
This area was not inspected during this focused visit. Its previous rating was used when calculating the overall rating.
Responsive?
Good
This area was not inspected during this focused visit. Its previous rating was used when calculating the overall rating.
Well-led?
Good
Inspectors found an open, positive culture, approachable managers, clear management arrangements and systems for monitoring quality and improving care.
The latest report, explained

What inspectors found, January 2024

Rated Good; inspectors found safe, kind care, but medicines records and some safety documents needed improvement.

This was an unannounced focused inspection on 5 and 20 December 2023. Inspectors spoke with people, relatives, staff and health professionals. They reviewed care plans, recruitment records, risk assessments, medicines information and management checks.

The home was rated Good overall. Safe and well-led were both rated Good. Inspectors found enough safely recruited staff, good infection control, suitable safeguarding arrangements and a caring, open management culture.

There were some problems with medicines documentation, the secure storage of thickeners and some personal emergency evacuation plans. These issues were addressed during or after the inspection. The CQC made one recommendation to review medicines procedures.

This was not a full inspection of all five areas. The ratings for Effective, Caring and Responsive were carried over from the previous comprehensive inspection, which was published in June 2018.

What inspectors praised

  • Kind and respectful staff

    Inspectors found good relationships between staff and people. Relatives described the staff and managers as kind and supportive.

    “Staff were respectful and kind towards people, relatives, and each other.” from the report

  • Staffing and recruitment

    Inspectors found enough suitable staff and safe recruitment checks, including references and DBS checks.

    “The provider ensured there were sufficient numbers of suitable staff.” from the report

  • Clean environment

    The home was clean and tidy. Staff had infection control training and enough protective equipment.

    “The home was clean and tidy with no malodor.” from the report

  • Open management

    The management team was approachable and had systems to monitor care, learn from incidents and involve people, relatives and staff.

    “There was a positive and open culture at the service.” from the report
What inspectors were concerned about

  • Medicines records

    needs fixing

    Inspectors found problems with medicines documentation, including records for as-required medicines and creams or lotions. The records were reviewed and updated after feedback, but the CQC recommended further review of medicines procedures.

    “We found some issues with the completion of medicines documentation.” from the report

  • Some safety documents needed updating

    needs fixing

    Thickeners for people with swallowing difficulties were not always stored securely. Some personal emergency evacuation plans were not up to date. Both issues were addressed during the inspection process.

    “Personal emergency evacuation plans held centrally (which would be given to the fire service in the event of an evacuation) were not all up to date.” from the report

  • Refurbishment still underway

    minor

    A significant refurbishment programme was in progress, with one further unit due to be decorated and modernised. Families may want to ask what work remains.

    “A significant refurbishment programme was underway with a further unit to be fully decorated and modernised in the early new year.” from the report
Questions to ask them, based on this report
  1. 01What changes have been made to medicines records since the inspection, especially for as-required medicines and creams or lotions?
  2. 02How do you now check that thickeners are stored securely?
  3. 03How often are personal emergency evacuation plans checked, and are all of them currently up to date?
  4. 04What refurbishment work is still outstanding, and how could it affect residents?
  5. 05What are the current ratings or most recent evidence for Effective, Caring and Responsive, as these areas were not assessed in this inspection?

This was an unannounced focused inspection of Safe and Well-led only; the other ratings were carried over from the previous comprehensive inspection published in 2018. This explanation was written from the published report of 11 January 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.

The story over the years

Every inspection of Lanercost House

3 rated inspections over 8 years: the service has held its Good rating throughout.

  1. January 2024Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Lanercost House →

  2. June 2018Goodstayed Good
    Safe: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. March 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. February 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. February 2011

    Registered with the Care Quality Commission on 15 February 2011.

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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