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CQC report explained · a residential care home, run by Lansglade Homes

Lansglade House

14 Lansdowne Road, Bedford, MK40 2BU

Goodpublished 2 December 2023, 2 years ago

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

The five questions inspectors ask
Safe?
Good
People felt safe and received prompt support. Inspectors found suitable risk assessments, safe medicines practice, sufficient staffing, good infection control and appropriate safeguarding procedures.
Effective?
Good
This question was not inspected during this visit. Its previous rating was used when calculating the overall rating.
Caring?
Good
This question was not inspected during this visit. Inspectors did observe patient, caring interactions, but no current rating was given for Caring.
Responsive?
Good
This question was not inspected during this visit. Its previous rating was used when calculating the overall rating.
Well-led?
Good
The home had a positive culture, clear staff responsibilities and effective quality checks. People, relatives and staff were positive about the management.
The latest report, explained

What inspectors found, December 2023

Rated Good; inspectors found safe, caring support and strong management in the areas they reviewed.

This was an unannounced focused inspection on 16 November 2023. Inspectors reviewed Safe and Well-led. They spoke with people, relatives, staff and a befriender, observed care, and checked care, medicines, recruitment and management records.

People told inspectors they felt safe and received prompt support. Risk assessments were kept up to date, medicines were safely managed, staffing levels were sufficient, and the home was clean. Staff used safe infection control practices and understood how to report concerns.

Inspectors found warm and respectful interactions between staff and people. They also found effective checks on the quality of the service, with action taken when improvements were needed.

The overall rating was Good, as were Safe and Well-led. The home was also rated Good at its previous inspection, published in October 2018. The other three question ratings were carried forward because they were not reviewed during this inspection.

What inspectors praised
  • People felt safe

    People and relatives told inspectors they felt safe. Call bells were available and people said staff responded quickly.

    Everyone we spoke with said they felt safe and family members told us their relatives received safe care.from the report
  • Reliable staffing

    Inspectors found enough staff to meet people's needs. The home did not use agency staff, so people had a consistent team who knew them well.

    The service did not use agency staff, so people were supported by a consistent staff team who knew them well.from the report
  • Medicines managed safely

    Medicines were given as prescribed. Staff were trained and records were complete, with no gaps in the medicines administration records.

    Medicines Administration Records (MAR) were fully completed with no gaps.from the report
  • Caring staff interactions

    Inspectors saw staff being patient and caring, including supporting a person who became anxious.

    We observed outstanding staff interactions with people. Staff were patient, caring, and able to anticipate people's needs.from the report
  • Strong management checks

    The home used quality checks and action plans. Inspectors found that identified actions were completed within the agreed timescales.

    Any areas identified for improvement had action plans put in place with timescales for completion.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 was the previous rating for Effective, Caring and Responsive, and what has changed in those areas since the last comprehensive inspection?
  2. 02How are risk assessments reviewed when someone's health, mobility or swallowing needs change?
  3. 03How do you maintain staffing levels when regular staff are unavailable?
  4. 04How are medicine audits followed up if an error or missed dose is found?
  5. 05What improvements have been made as a result of recent feedback from people, relatives and staff?

This was a focused inspection of Safe and Well-led only; the other ratings were carried forward from the previous inspection. This explanation was written from the published report of 2 December 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.

The story over the years

Every inspection of Lansglade House

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

  1. December 2023Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Lansglade House

  2. March 2022Inspected but not rated
    Safe: Inspected but not rated

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

  3. October 2018Goodstayed Good
    Safe: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. October 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. May 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. October 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. November 2010

    Registered with the Care Quality Commission on 16 November 2010.

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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