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CQC report explained · a residential care home, run by Cumberland Council

Lapstone House

Lapstone Road, Millom, LA18 4BY

Goodpublished 30 November 2023, 2 years ago

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

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Inspectors found enough staff, safe recruitment, safe medicines practices and suitable infection control.
Effective?
Good
Staff were trained and had the skills to provide care. People received suitable food, healthcare support and care based on assessments of their needs.
Caring?
Good
Staff knew people well and treated them with kindness, dignity and respect. People were supported to make choices and maintain their independence.
Responsive?
Good
Care plans reflected people's needs and preferences and were updated as needs changed. People could receive visitors, take part in activities and raise concerns.
Well-led?
Good
Inspectors found an open, person-centred culture and clear leadership. The manager sought feedback and used checks, advice and learning from incidents to improve the service.
The latest report, explained

What inspectors found, November 2023

Rated Good; inspectors found safe, kind and person-centred care, while noting that the premises were old and outdated.

This was the first inspection since the home was registered under Cumberland Council. Inspectors visited without warning on 1 November 2023, returned on 7 November to review more records, and spoke with people, relatives and staff.

All five areas were rated Good. Inspectors found enough suitable staff, safe medicines support, good care planning, kind staff and effective leadership. People were supported to make choices, keep in touch with visitors and take part in activities.

The main weakness was the building. Inspectors said the premises were old and outdated, although equipment helped people move around independently and a refurbishment was planned. The home had no breaches of regulations recorded in this report.

What inspectors praised

  • Safe staffing and care

    People and relatives said there were enough staff, and inspectors saw staff supporting people patiently and without rushing.

    “We saw staff were patient and unhurried while supporting people.” from the report

  • Kind and respectful staff

    Staff knew people well, respected their choices and supported their privacy, dignity and independence.

    “People were treated in a kind, caring and respectful way.” from the report

  • Personalised support

    Care plans were based on individual needs and preferences, and staff knew what mattered to each person.

    “People were supported as individuals, in line with their needs and preferences.” from the report

  • Good leadership

    The manager promoted a positive culture, asked people for their views and used feedback to improve the service.

    “The registered manager had developed a person-centred culture which focused on providing good outcomes for people.” from the report

  • Visitors and activities

    People could see visitors when they wished and were offered activities they enjoyed.

    “People saw their visitors as they wished and were provided with a range of activities they enjoyed.” from the report
What inspectors were concerned about

  • Old and outdated premises

    minor

    Inspectors found that the building was old and outdated. A refurbishment was planned, so families should ask what work is planned and when it will happen.

    “The premises were old and outdated.” from the report

  • Staff feedback follow-up

    minor

    The manager sought staff views, but inspectors discussed that feedback about actions taken in response to suggestions could be improved.

    “We discussed with the registered manager how feedback to staff about actions taken in response to their suggestions could be improved.” from the report
Questions to ask them, based on this report
  1. 01What refurbishment work is planned for the old and outdated premises, and when is it expected to be completed?
  2. 02How will residents be kept comfortable and safe while refurbishment work is carried out?
  3. 03How are staff told about changes made after incidents or feedback from staff and residents?
  4. 04How often are care plans reviewed when a person's needs or preferences change?
  5. 05What activities are currently available, and how are residents' individual interests taken into account?

This was the first inspection of the newly registered service and covered all five key questions, each rated Good. This explanation was written from the published report of 30 November 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 Lapstone House

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

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

    Read what inspectors found at Lapstone House →

  2. March 2021Inspected but not rated
    Safe: Inspected but not rated
  3. April 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  4. December 2015Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  5. April 2023

    Registered with the Care Quality Commission on 18 April 2023.

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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