CQC report explained · a residential care home, run by Active Care
The Laurels
Sheridan Close, Lincoln, LN2 4JX
Rated Good: inspectors found the service performing well and meeting their expectations.
- Safe?
- Good
- People told inspectors they felt safe. Risks were assessed, medicines were checked, staffing was sufficient and infection control arrangements were found to be effective.
- Effective?
- Good
- People had individual care plans, suitable training and access to health professionals. Inspectors noted that food and fluid intake was recorded without targets to help analyse totals or identify concerns.
- Caring?
- Good
- People were treated kindly, with dignity and respect. They were involved in decisions about their care and supported to build independence.
- Responsive?
- Good
- This question was not inspected during this visit, so no rating was given for it in this report.
- Well-led?
- Good
- The home had a positive, person-centred culture and used audits, complaints and incident records to make improvements. Some relatives reported communication problems, and staff gave mixed views about how approachable the manager was.
What inspectors found, December 2023
The Laurels rated Good; inspectors found safe, kind and effective rehabilitation, but the rating fell from Outstanding and some communication and record-keeping needed attention.
This was an unannounced focused inspection on 20 November 2023. One inspector and two Experts by Experience spoke with people, relatives, staff and professionals. They reviewed care, medicines, recruitment and quality records.
The home supports up to 12 people with acquired brain injuries and complex neurological conditions. Inspectors found people were safe, treated kindly and supported by staff who understood their needs. Care plans focused on people's goals, independence and rehabilitation.
The overall rating was Good. Safe, Effective, Caring and Well-led were all rated Good. The inspection did not assess Responsive. The overall rating changed from Outstanding at the previous inspection in 2017 based on this inspection and the rating carried forward for the question not inspected.
People felt safe
People said they felt safe and staff understood how to recognise and report abuse. Risks were assessed and equipment was provided to support safe mobility and independence.
“People told us they felt safe and were supported by a staff team who understood how to recognise abuse and were confident to report concerns.” from the report
Individual rehabilitation
Care plans reflected people's goals, preferences and pace. Staff worked with health professionals and supported people to regain skills and independence.
“They also took into account people's preferences and interests which were sometimes used in supporting people to re-learn skills and ensured their program was at their pace.” from the report
Kind and respectful care
People were treated with kindness, dignity and respect. They were encouraged to speak up and take part in decisions about their care.
“People were supported to express their views and make decisions about their care.” from the report
Active quality monitoring
Managers used audits, complaints, accidents and incidents to identify improvements. Staff were encouraged to reflect and learn from events.
“Processes to assess and check the quality and safety of the service were completed.” from the report
Food and fluid records
needs fixingStaff recorded people's daily food and fluid intake, but there were no targets to help analyse totals or identify concerns. The manager said this would be reviewed, and inspectors found no impact on people at the time.
“Staff recorded daily, people's food and fluid intake, however there were no targets recorded, which meant staff had not taken action to analyse totals or identify concerns.” from the report
Communication with relatives
minorMost relatives felt involved, but some said they had not received updates when they could not attend meetings. They described communication as lacking and the service as somewhat disorganised.
“There has been a lack of communication and they are a bit disorganised.” from the report
Mixed staff views about management
minorStaff had different views about how approachable the manager was. All staff felt the manager could adapt their approach better to individual staff members and situations.
“All staff felt the registered manager would benefit from being able to adapt their approach to suit the learning style and needs of individual staff members and specific situations.” from the report
- 01How do you set and review food and fluid targets for each person?
- 02How will you make sure relatives receive updates if they cannot attend care review meetings?
- 03What changes have been made to improve communication between the manager and staff?
- 04How often are rehabilitation goals reviewed with the person, relatives and health professionals?
- 05Which CQC questions were not assessed during this focused inspection, and when will they next be reviewed?
This was a focused inspection of Safe, Effective, Caring and Well-led; Responsive was not inspected during this visit and the overall rating was calculated using the previous rating for the question not inspected. This explanation was written from the published report of 16 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.
Every inspection of The Laurels
3 rated inspections over 8 years: the service has held its Good rating throughout.
- December 2023Goodcurrent ratingdown from OutstandingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2017Outstandingup from GoodSafe: GoodEffective: OutstandingCaring: OutstandingWell-led: Outstanding
- July 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2014
Registered with the Care Quality Commission on 18 July 2014.
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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