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The last rating for this service was requires improvement where we found multiple breaches of regulation. People were supported to eat and drink enough, systems were in place to monitor people’s intake where they had been assessed as at risk. People’s needs had been assessed holistically and best practice guidance had been utilised and followed. People were supported by trained staff who understood their needs. People were supported to maintain their health needs, staff liaised with health care professionals where necessary and implemented their advice. We looked at infection prevention and control measures under the Safe key question.
We received concerns in relation to the management of medicines and how staff supported people with their mobility. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. We looked at the records for four members of care staff and found that training in manual handling and fire safety was up to date for these individuals. However, the provider may find it useful to note that at the time of visit, some staff members were overdue for medications and safeguarding training. We found that staff received adequate supervision and appraisal. One person we spoke with told us, "Staff are bright, cheerful and very willing."
Chiswick House
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. We will continue to monitor the service and will take further action if needed. You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Corton House on our website at and moving and handling. This is the latest available inspection report for this service, carried out on 21st May 2009. CQC found this care home to be providing an Excellent service.
These documents provided detailed instructions for staff on how to meet the person's needs and the information had been reviewed regularly to ensure it was current. One person we spoke with told us, 'I feel like I'm part of a family here. It's a place to be content." Another person we spoke with told us, "As soon as the staff appear around the door, I feel reassured. I think it's an excellent place and I'm very happy here.' We found that the provider had in place suitable systems to ensure the safety and suitability of the premises and to protect people from harm.
Laurel Lodge Care Home
People, relatives, and staff were listened to and involved in the running of the service. The Provider has not yet updated their profile and added details of the services and facilities they offer. If you are the provider and would like to do this, please click the "Do you run this home" button under the Description tab.
The overall rating for the service has changed from requires improvement to good. We carried out an unannounced comprehensive inspection of this service on 10 March 2020. This was the second time the service had been rated requires improvement.
Infection prevention and control
We have identified breaches in relation to safe care and governance at this inspection. You can see what action we have asked the provider to take at the end of this full report. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. For services we haven't rated we use ticks and crosses to show whether we've asked them to take further action or taken enforcement action against them. Independence, choice and rights are respected and maintained at all times. We spoke with a total of six people who were using this service.
People were receiving a service which required improvement. The provider had started to take some positive actions to make improvements to the quality of the service, although it was too early to assess how effective these would be. Following our inspection, they also took action to respond to the immediate risks identified. There was a pleasant, friendly and sociable environment. People benefited from effective networks the service had built with other resources in the community. People were supported by enough staff, who worked well together, and felt supported by the management team.
Inspection ratings
This helped them to deliver in line with people's wishes and preferences. The service had a strong Christian ethos and there was a strong emphasis on meeting people’s religious and spiritual needs. People and relatives were provided with opportunities to discuss the support provided to them. The independence and dignity of people living in the service was promoted.
Protecting your loved one is as important to us as it is to you, so we are adopting a cautious approach and continually reviewing and updating our protocols above and beyond national guidance. Staff were only employed after the provider had carried out comprehensive and satisfactory pre-employment checks. Staff were well trained, and well supported, by their managers. Staff were also sufficient staff to meet people’s assessed needs.
Someone else said, 'I absolutely love the food, it's served hot and you can ask for a small portion if you want and the staff will try their hardest to help you'. Another person confirmed that, 'Mealtimes are enjoyable'. We found that the provider had in place systems to monitor and assess the quality of the service, and identify any issues. People were asked for their views and these were acted on. This inspection was carried out to follow up on action we told the provider to take at the last inspection. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
We have therefore encouraged every provider to open their ‘online windows and doors’ to help you make an informed choice. The profile score is a measure of how much information has been provided. "Our mission is to provide excellent, loving care and support for older people." Welcome to Corton House, a 42 bedded care home with a mission to provide excellent loving care and support for older people.
These older reports are from our old approaches to inspection, including those from before CQC was created. The visitors we spoke with confirmed that they were extremely confident that the staff or management would quickly resolve any concerns they might have. One visitor told us, 'The room my mum has, was chosen by staff because it is big enough for my father to visit her in his wheelchair'. Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded. ¿ People who used the service were supported to maintain regular contact with friends and family.
