CQC report explained · a residential care home
What the CQC found at Ashby Lodge Residential Home
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, March 2022
Ashby Lodge Residential Home was inspected but not rated; inspectors found good infection control and safe visiting arrangements.
This was a targeted inspection on 27 January 2022. It looked at infection prevention and control during the COVID-19 pandemic. Inspectors also asked about staffing pressures.
Inspectors found supplies of protective equipment and hand sanitiser. The home was clean and had enhanced cleaning schedules. People and staff were tested regularly, and people were supported to self-isolate when needed.
The home used an underused lounge with its own outdoor entrance for visits. Inspectors were assured that the home was using protective equipment safely, managing outbreaks, admitting people safely and following visiting guidance.
The service was inspected but not rated. This means the inspection did not give an overall quality rating or a standard rating for all five areas of care.
Infection control
The home had measures to reduce the risk of visitors spreading infection, including protective equipment and hand sanitiser.
“There were measures in place to prevent any visitors from spreading infection at the entrance and on entering the premises.” from the report
Clean environment
Inspectors found the home clean and saw enhanced cleaning schedules.
“The home was clean. Enhanced cleaning schedules were in place.” from the report
Testing and isolation
People living in the home and staff were tested regularly, and people were supported to isolate when appropriate.
“People living at Ashby Lodge Residential Home and staff were tested regularly in line with government guidance.” from the report
Visiting arrangements
The home used an underused lounge with its own outdoor entrance to support visits and people's wellbeing during isolation.
“A previously under used lounge with it's own outdoor entrance was used by visiting friends and family.” from the report
Inspectors raised no specific concerns in this report.
- 01What staffing pressures are there now, and how do they affect people's care?
- 02How are visitors currently screened and supported to prevent infection?
- 03How are testing and self-isolation arrangements handled now?
- 04Is the separate visiting lounge still available, and how are visits arranged?
- 05When was the home last assessed across all five CQC questions?
This was a targeted inspection of infection prevention and control and staffing pressures; it did not rate the other four questions or give an overall rating. This explanation was written from the published report of 1 March 2022 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.
What inspectors found, August 2018
Rated Good; inspectors found safe, kind and responsive care, with some improvements still needed.
Inspectors visited the home without warning on 10 July 2018. They spoke with people, relatives and staff, observed care, checked four care records, looked around the home and reviewed how it was managed.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found improvements in risk assessments, medicines, care records and mental capacity records since the previous inspection.
The home had enough staff, safe recruitment checks and kind relationships between staff and people. People had choices about their care, meals and activities, and relatives said communication was good.
There were still some areas to improve. These included making an unused lounge more welcoming, keeping lifting equipment certificates at the home, providing more detailed dementia training and giving the registered manager formal supervision.
Safer medicines and risk records
Inspectors found better risk assessments and safe medicines systems. Records were clear, medicines were accounted for and medication administration records had been completed.
“The MARs held details of any known allergies and protocols for administering medicines prescribed on an 'as needed' basis.” from the report
Kind and respectful care
Staff took time to listen, used people's preferred names and protected their privacy and dignity. People and relatives spoke positively about the care.
“Staff spent time with people, speaking with them about things which mattered to them and actively listening to what people had to say.” from the report
Personalised care
Care records contained information about people's history, preferences and needs. Staff knew people well and followed their care plans.
“At this inspection we found care records were complete and up to date, and were much more person-centred.” from the report
Choice and activities
People were asked about their daily choices and took part in activities such as board games, dominoes, gardening and arts and crafts.
“People were meaningfully engaged in activities of their choice.” from the report
Improvements after the last inspection
The home had addressed the two previous breaches relating to safe care and treatment and good governance. The overall rating increased from Requires Improvement to Good.
“We found sufficient improvements had been made to meet the requirements of Regulations 12 and 17 and we did not identify any further breaches.” from the report
Lifting certificate
needs fixingThe required certificate for the passenger lift was not available at the inspection. The manager contacted contractors to obtain it, and CQC recommended keeping the certification at the home.
“We recommend the required certification is maintained on the premises in line with the LOLER regulations.” from the report
Unused lounge
minorThe far lounge was not being used. CQC said the provider should review the space so people could benefit from all areas of the home.
“We recommend the provider gives some time to review the use of this space in order for people to have maximum benefit from all areas of the home.” from the report
Dementia training
needs fixingStaff had completed dementia awareness training, but inspectors recommended more detailed training because not all staff fully supported one person who was very confused.
“We recommend staff undertake more detailed training in dementia care to be able to more effectively support people.” from the report
Complaint recording
needs fixingA family had been unhappy about aspects of care, but the matter had not been recorded as an official complaint. The manager said future matters would be recorded more openly.
“The registered manager said they would give consideration to how future matters would be recorded in order to be open and transparent about any actions taken and lessons learned.” from the report
Manager supervision
minorThe registered manager had regular contact with the provider but no formal supervision. CQC recommended supervision to support the manager's continuing professional development.
“However, there was no formal supervision in place for the registered manager.” from the report
- 01What detailed dementia training have staff completed since the inspection, and how do you check that it improves support for people who are confused?
- 02Has the passenger lift's LOLER certificate been obtained and kept at the home?
- 03What has been done with the far lounge, and can residents use it now?
- 04How are concerns and complaints recorded, investigated and used to improve care?
- 05What formal supervision and support does the registered manager now receive from the provider?
This was an unannounced inspection covering all five key questions and checking improvements after the previous Requires Improvement inspection. This explanation was written from the published report of 23 August 2018 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 Ashby Lodge Residential Home
3 rated inspections over 3 years: the service has held its Good rating throughout.
- March 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Ashby Lodge Residential Home →
- August 2018Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Ashby Lodge Residential Home →
- July 2017Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- February 2015GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2014
Report published without a new overall rating.
- February 2014
Report published without a new overall rating.
- February 2014
Report published without a new overall rating.
- February 2014
Report published without a new overall rating.
- February 2014
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- January 2012
Registered with the Care Quality Commission on 11 January 2012.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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