Creative Support - The Laurels (Cumbria), Carlisle.Creative Support - The Laurels (Cumbria) in Carlisle is a Residential home specialising in the provision of services relating to accommodation for persons who require nursing or personal care and caring for adults over 65 yrs. The last inspection date here was 10th April 2020 Contact Details:
Ratings:For a guide to the ratings, click here. Further Details:Service Provider:
This provider also manages:
Blackburn Service - Blackburn Creative Support - Apsley Court - Orpington Creative Support - Avonlea - Wellingborough Creative Support - Balshaw Respite Service - Chorley Creative Support - Barrow & Kendal Personalised Services - Barrow-in-furness Creative Support - Beardall Court - Wallsend Creative Support - Bedford Services - Bedford Creative Support - Bedfordshire Service - Houghton Regis Creative Support - Blackpool Service (Learning Disabilities) - Blackpool Creative Support - Bolton Service - Bolton Creative Support - Bradford Service - Shipley Creative Support - Bredon Respite Service - Runcorn Creative Support - Brownley Road - Manchester Creative Support - Burnley Personalised Services - Burnley Creative Support - Burnside Court Extra Care Carlisle - Carlisle Creative Support - Bury Service - Bury Creative Support - Calderdale & Kirklees Services - Halifax Creative Support - Camden and Barnet Service - London Creative Support - Cannock Services - Cannock Creative Support - Chorley Service - Chorley Creative Support - Clover Court & Warden Road - Edgware Creative Support - Coopers Court Extra Care Service - London Creative Support - Derby Service - Derby Creative Support - Doncaster Personalised Services - Doncaster Creative Support - Doncaster Services - Doncaster Creative Support - Donnybrook Court - London Creative Support - Dove Lane - Bedford Creative Support - Dudden Mews - Millom Creative Support - Duncan Court - London Creative Support - Durham Services - Stockton On Tees Creative Support - East Lancashire Extra Care Services - Preston Creative Support - Fairlea - Wellingborough Creative Support - Gateshead Service - Gateshead Creative Support - Hampton Crescent - Leeds Creative Support - Heysham Gardens - Carlisle Creative Support - Heysham Intensive Support Services - Morecambe Creative Support - High Street - Bedford Creative Support - Jarrow Service - Jarrow Creative Support - Kendal - Kendal Creative Support - Lanchester Court - Rugby Creative Support - Leeds Service (Brandling Court) - Leeds Creative Support - Leicester Service - Leicester Creative Support - Leonora Street - Stoke On Trent Creative Support - Little Paddock - Bedford Creative Support - Manchester Enduring Mental Health Needs Service - Manchester Creative Support - Manchester Extra Care Services - Manchester Creative Support - Manchester Mental Health Services - Manchester Creative Support - Manchester Services - Sale Creative Support - Maytree Court - Liverpool Creative Support - Monkwray Court - Whitehaven Creative Support - Morecambe Service (Learning Disability) - Morecambe Creative Support - North East Lincolnshire Services - Grimsby Creative Support - North Lincolnshire Services - Scunthorpe Creative Support - North Manchester Personalised Services - Manchester Creative Support - Northampton Services - Northampton Creative Support - Northampton Services - Northampton Creative Support - Pelham House - Newbury Creative Support - Pine Court - Derby Creative Support - Reading Services - Reading Creative Support - Regency Court - Bromley Creative Support - Robert Heath Street - Stoke-on-Trent Creative Support - Rowan Village - Stoke on Trent Creative Support - Salford Complex Needs Learning Disability Service - Manchester Creative Support - Salford Personalised Services - Manchester Creative Support - Salford Physical Disabilities Service - Salford Creative Support - Sandwell & Dudley Service - Wolverhampton Creative Support - Simonside Court - South Shields Creative Support - Slough Services - Slough Creative Support - Slough Supported Living - Slough Creative Support - Sonali Gardens & Prince of Wales Extra Care Services - London Creative Support - South Lakes Service - Windermere Creative Support - South Manchester Womens Project - Manchester Creative Support - St Helens Respite Service - St Helens Creative Support - St. Helens - St. Helens Creative Support - Staffordshire Services - Stoke-on-Trent Creative Support - Stockport Extra Care Services - Stockport Creative Support - Stockport Supported Living Service - Stockport Creative Support - Stockton Homecare & Middlesbrough Services - Stockton-on-Tees Creative Support - Sue Starkey House & Shipton House - London Creative Support - Sutherland Court - London Creative Support - Tameside Domiciliary Service - Manchester Creative Support - Tameside Intense Support Service - Stalybridge Creative Support - Tameside Personalised Services - Ashton-under-lyne Creative Support - Telford & Shropshire - Telford Creative Support - Telford & Shropshire Services - Telford Creative Support - The Chestnuts - Wellingborough Creative Support - The Frogponds - Wellingborough Creative Support - The Glade - Bedford Creative Support - The Houghtons - Bedford Creative Support - Trafford Respite Service - Trafford Creative Support - Trafford Supported Living Service - Sale Creative Support - Ulverston Autism Service - Ulverston Creative Support - Warrington Personalised Services - Warrington Creative Support - Warwickshire Services - Bidford-on-Avon Creative Support - Warwickshire Supported Living Service - Warwick Creative Support - Wellingborough Services - Northampton Creative Support - West Berkshire Services - Newbury Creative Support - Whinn Dale Extra Care Service - Normanton Creative Support - Whitby, Stockton and Redcar and Cleveland - Whitby Creative Support - Wigan Service - Wigan Creative Support - Willowtree House - Wellingborough Creative Support - Wolverhampton Service - Wolverhampton Creative Support – Oaktree House and Cedar Court - Reading Creative Support East Lancashire Personalised Services - Accrington Creative Support Leeds Service - Leeds Creative Support Limited - Hartlepool Service - Stockton-on-Tees Creative Support Thistley Green Intensive Support Service - Braintree Creative Support-Cornerstones and Chimney Court - Reading Danesfield - Jarrow Doseley Road - Telford Sheffield Services - Sheffield Important Dates:
Local Authority:
Link to this page: Inspection Reports:Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.
15th January 2019 - During a routine inspection
![]() About the service: The Laurels is a care home that provides accommodation and personal care for up to 29 people, some of whom may be living with dementia. At the time of the inspection there were 19 people living at the service. The accommodation is provided over two floors. There is a range of communal areas on the ground floor. These include dining areas, lounges and a small garden area. Rating at last inspection: Requires Improvement (last inspection report published 13 September 2018). The overall rating for the service remains the same. This service has been rated Requires Improvement at the last two inspections. Why we inspected: This was a planned inspection, which took place on 15 and 16 January 2019 and was unannounced. Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve the key questions of safe; effective; responsive and well-led to at least good. Although we found that some improvements had been made, further work was required. People’s experience of using this service: People told us that they felt safe at the home. There were enough staff on duty to provide safe care to people. Systems were in place to protect people and help keep them safe. People’s medicines were not always managed safely. We have made a recommendation about the management of medicines. Improvements to the risk assessment process had been made. There were some areas that needed further improvement to ensure staff had full details of risks and how to manage them. Staff knew the needs of the people they supported to provide individual care and records reflected the care provided. People told us they received good quality care, although some people thought there was sometimes and imbalance of support. People had been involved with the decisions about their care. Staff provided explanations so people could make day to day decisions about their lives. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice. The home was clean and there were no unpleasant odours. On the first day of our inspection some painting and re-decoration was taking place. One person told us that the home was “cramped” at times and others felt the home was “in need of a facelift.” There were some aspects of the home that helped people with dementia orientate themselves but these could be improved upon. The provider told us that they had plans in place for the refurbishment of the home. We have made a recommendation about improvements to the environment, particularly for people living with dementia. We found that the provider had made improvements to the way in which people were supported with eating and drinking. This included a more organised and calm environment and improved monitoring systems. There were limited opportunities for people to follow their interests and hobbies but the provider was working on making improvements to this. We have made a recommendation about supporting people with their hobbies and interests. Staff received supervision, appraisals and induction training. Further training and specialised training was available to help ensure staff supported people safely and effectively. There were opportunities for people, relatives and staff to give their views about the service. Action plans were in place to help keep improvements to the service on track. There were a range of checks in place to help monitor the quality of care provided. However, some staff were not clear about the importance of some checks. We have made a recommendation about ensuring staff understanding of the audit process. More information is in the full report Follow up: We will continue to monitor the service through the information we receive.
6th March 2018 - During a routine inspection
![]() The inspection of this service took place on 6 and 7 March 2018 and 6 June 2018. The inspection was unannounced. At our last inspection of this service we found that the provider was not meeting the legal requirements and was in breach of Regulation 18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was because there were not always sufficient numbers of support staff to meet the assessed needs of people living in the home. Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve the key question ‘safe’ to at least good. At this inspection we found that there were still insufficient numbers of suitably qualified staff, appropriately deployed, in order to meet the needs of people living at The Laurels. We also found that medicines and risks were not well managed. This meant that the provider had not made the necessary improvements to the key question ‘safe’. The Laurels is a care home but is not registered to provide nursing care. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The Laurels is registered to accommodate 29 older people, some of whom may be living with dementia, in one adapted building. The home is situated in a residential area not far from the centre of Carlisle. Accommodation is found on the ground and first floor of the property, which is accessed by a passenger lift and stair lift. There is a dining room and three lounges, on the ground floor, that give communal space for people to enjoy. There is also a small garden area. There was a registered manager for the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. We found that the service did not always manage and administer people’s medicines in a safe way. Records were not accurately maintained and we observed some unsafe practices by staff. We reviewed the ways in which the service responded to accidents and incidents. We found that risk assessments and assessments of people’s care needs were not accurately reflected, nor did they provide clear guidance for staff to follow. This meant that the service did not consistently protect people from the risks of receiving unsafe care. The food provided at The Laurels was freshly prepared on site. People were able to choose what they would like to eat at each meal. People who needed help with eating and drinking were not always supported effectively. Where people had been identified as being at risk of poor nutrition, staff had not always robustly monitored people’s body weight or nutritional intake. This meant that accurate information could not be passed on to the doctor or dietician if needed. The provider did not have adapted cutlery and crockery to help people eat and drink more independently. Staff were not effectively deployed at mealtimes and people did not consistently provide the support people needed. We found that checks (audits) on the quality and safety of the service were not carried out robustly. There were shortfalls in the way the service was led and the provider was not meeting some of the regulations. There were breaches of the regulations relating to, staffing; safe care and treatment; meeting nutritional needs and good governance. You can see what action we told the provider to take at the back of the full version of the report. Although we saw that staff were mindful of infection control risks, there were some aspects of infection control and prevention that needed to be improved at the service, particul
21st January 2016 - During a routine inspection
![]() This unannounced inspection took place on the 22 January 2016. This is the first inspection of this service since Creative Support became the registered provider in April of last year. The Laurels is a care home providing care and accommodation for up to 29 people some of whom may be living with varying forms of dementia. The home is situated in a residential area not far from the centre of Carlisle. Residents' accommodation is found on the second floor which is accessed by a passenger lift and stair lift. There is a dining room and three lounges that give ample communal space for residents to enjoy. There is also a small, well- tended garden area. There was a manager in post on the day of our visit who had recently applied to become registered with the Care Quality Commission (CQC). On the day of our inspection visit she confirmed she had cancelled her application but was to remain with the provider by returning to her previous role. A new manager had been appointed who was already registered with CQC and had applied to have a new location added to her registration. However the current manager was to remain in her post for a period of time to mentor the new manager and complete a formal handover of the role and responsibilities. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. We found at this inspection that there was a breach of Regulation 18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was because there were not always sufficient numbers of support staff to meet the assessed needs of people living in the home. We spoke to people who lived The Laurels and they spoke positively about what it was like to live in the home. People living there told us that care staff respected their privacy and treated them with respect. People said, “I feel very safe here and the staff are wonderful”. Relatives told us they were happy with the care and support provided to their family members. We spent time in all the areas of the home and saw there was not always sufficient care staff on duty to meet the all needs of people who lived in the home. Catering and domestic staff were employed to support the care staff in providing appropriate levels of care and support. The registered provider had systems in place to make sure people living tin The Laurels were protected from abuse and avoidable harm. Staff were trained and knew the action to take if they were concerned about the safety or welfare of anyone. We saw that people had nutritional assessments and plans in place. This ensured people received a balanced diet and were not at risk of becoming malnourished or dehydrated. Medicines were being safely administered and stored and we saw that accurate records were kept of medicines received and disposed of so they could be accounted for. The service followed the requirements of the Mental Capacity Act 2005 Code of practice and Deprivation of Liberty Safeguards. This helped to protect the rights of people who were not able to make important decisions themselves. The service worked well with local GPs and health care professionals and external agencies such as social services and mental health services to provide appropriate care to meet people’s different physical, psychological and emotional needs. Effective systems were in place for the recruitment of staff and for their induction and ongoing training and development. Staff training and development was organised corporately and staff said they were well supported to access the training they needed and to develop their skills. There were quality monitoring systems in operation to assess and review the quality of the services provided. We saw from the au
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