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CQC report explained · a residential care home, run by Hestia Housing and Support

Lynton Terrace

1-3 Lynton Terrace, Acton, London, W3 9DU

Requires improvementpublished 1 November 2023, 2 years ago

Rated Requires improvement: inspectors found the service was not performing as well as it should and told it what to change.

The five questions inspectors ask
Safe?
Requires improvement
The inspectors found infection control, environmental risks and medicine storage were not always safe. Residents received their medicines as prescribed, but some medicine management systems were unsafe.
Effective?
Requires improvement
Care planning, staff training, food support and healthcare links were positive. However, the building and equipment were not always clean, suitable or properly maintained.
Caring?
Good
Residents had good relationships with staff and were treated with kindness, dignity and respect. They were involved in decisions about their care and daily life.
Responsive?
Good
Care was personalised and based on residents' needs and preferences. People were supported with activities, relationships, communication and developing independent living skills.
Well-led?
Requires improvement
The home had a positive culture and approachable interim management. However, audits and quality checks did not always identify problems or lead to timely action.
The latest report, explained

What inspectors found, November 2023

Rated Requires Improvement; inspectors found kind, personalised care but safety, maintenance and management systems were not reliable enough.

This was an unannounced inspection on 3 October 2023. Two inspectors spoke with six residents and three support workers, observed care, checked medicines and inspected the building, equipment and records.

Residents were happy and said they felt safe and well cared for. Staff were kind and respectful. Care was personalised, people were supported to build independence, and they had access to healthcare and activities.

The inspectors found important safety problems. Some areas and equipment were not clean or well maintained. Some medicines were not stored safely, and risks such as unlocked chemicals and delayed disposal of used sharps were not managed properly.

The overall rating is Requires Improvement. Safe, Effective and Well-led were rated Requires Improvement, while Caring and Responsive were rated Good. The home was rated Good at the previous inspection, published in 2017.

What inspectors praised
  • Kind and respectful care

    Residents said they liked the staff and felt safe and well cared for. Inspectors observed kind, caring and polite interactions.

    We observed interactions between staff and the people they were supporting. These were kind, caring and polite.from the report
  • Personalised support

    Residents were involved in planning their care and setting goals. Staff supported them to improve their mental health and develop independence.

    People received personalised care which met their needs and reflected their preferences.from the report
  • Good healthcare links

    Staff worked with health professionals and responded appropriately when residents' health changed.

    There was good communication between these professionals, staff and the people being cared for.from the report
  • Activities and independence

    Residents could take part in activities, learn practical skills and join events outside the home.

    People were supported to choose and take part in special events outside of the home including day trips to places of interest.from the report
What inspectors were concerned about
  • Poor cleaning and infection control

    serious

    Inspectors found dirty bathrooms, kitchen areas and shared spaces. Some equipment was stained or grimy, and staff did not always remove gloves after completing tasks.

    Throughout the service we found the environment and equipment were not sufficiently cleaned.from the report
  • Unsafe medicines storage and records

    serious

    One medicine cabinet was unlocked and others did not close properly. A controlled drug had remained at the home and records for controlled drugs were incomplete.

    Medicines were not always stored in a safe way.from the report
  • Environmental risks

    serious

    Cleaning products and paint were left in unlocked areas. Used sharps had not been disposed of promptly.

    Throughout the building, we found chemicals, such as cleaning products and paint, in unlocked areas and corridors.from the report
  • Repairs and maintenance

    needs fixing

    Some bedrooms, furniture and equipment were damaged. Inspectors found a broken bed, damaged walls and carpet, and other items that were not properly maintained.

    People's bedrooms and furniture was not well maintained.from the report
  • Quality checks missed problems

    needs fixing

    The home carried out audits, but these did not always identify risks. Action was not always taken quickly when concerns were found.

    When concerns had been identified, the response to mitigate these and improve the quality of the service had not always been timely.from the report
  • Vacancies and temporary staff

    minor

    There were staff vacancies and the provider relied on temporary workers. Staff said this created some pressure because temporary workers did not always know the home, although familiar temporary staff were sought.

    The staff told us this meant they felt some pressure because temporary staff did not always know the service.from the report
Questions to ask them, based on this report
  1. 01What has been done to clean the bathrooms, kitchen areas, furniture and equipment, and how is this checked now?
  2. 02How are all medicines, including controlled drugs, stored, recorded and checked?
  3. 03What repairs have been completed, including the broken bed, damaged bedroom areas and bathroom equipment?
  4. 04How are chemicals and used sharps kept secure and disposed of promptly?
  5. 05How is the home making sure temporary staff know residents' needs and the home's procedures?

This was an unannounced inspection covering all five CQC questions, including care, medicines, infection control, the environment, staffing and management records. This explanation was written from the published report of 1 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 Lynton Terrace

3 rated inspections over 8 years: the service has slipped, from Good to Requires improvement.

  1. November 2023Requires improvementcurrent rating
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Lynton Terrace

  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 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

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

    Read this report on cqc.org.uk

  5. August 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. June 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. January 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. December 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. January 2011

    Registered with the Care Quality Commission on 10 January 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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