CQC report explained · a nursing home
What the CQC found at Barons Lodge Sutton
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention and control. They found arrangements for visitors, social distancing, admissions, PPE, testing, hygiene and managing outbreaks.
- Effective?
- Good
- This question was not assessed in this targeted inspection.
- Caring?
- Good
- This question was not assessed in this targeted inspection.
- Responsive?
- Good
- This question was not assessed in this targeted inspection.
- Well-led?
- Good
- This question was not assessed in this targeted inspection.
What inspectors found, February 2021
Barons Lodge Sutton was inspected but not rated; inspectors were assured about infection prevention and control during the COVID-19 pandemic.
This was an announced, targeted inspection on 11 February 2021. Inspectors checked how the home was preventing and controlling infection during the coronavirus pandemic.
Inspectors were assured that the home was managing visitors, social distancing, admissions, personal protective equipment, testing, hygiene and infection outbreaks. The infection prevention and control policy was up to date.
The home had adapted its layout, provided virtual visiting during restrictions and arranged safe visiting when restrictions were lifted. Staff and residents were supported with testing and access to vaccination.
The home was inspected but not rated. This visit did not give an overall rating or ratings for the other four questions.
Adapted building
The home changed its layout to support safer movement and social distancing. It also provided a separate entrance for staff and visitors.
“The provider had adapted the building to ensure a safe environment was provided.” from the report
Visiting arrangements
Virtual visits were available during national restrictions. Safe visiting arrangements were planned for when restrictions were lifted.
“Safe visiting arrangements were in place (once the national lockdown restrictions were lifted) to enable people to have contact with their family.” from the report
PPE and laundry
Staff used PPE and had uniforms and laundry facilities intended to reduce cross-contamination.
“Staff wore personal protective equipment (PPE) and had been provided with uniforms to reduce the risk of cross contamination.” from the report
Outbreak planning
The home worked with local public health teams during a COVID-19 outbreak and had infection control audits, a business continuity plan and risk assessments.
“The provider liaised with the local public health teams when a COVID-19 outbreak occurred and followed advice to contain the virus.” from the report
Inspectors raised no specific concerns in this report.
- 01How have your visiting arrangements changed since the inspection, and what happens if restrictions are introduced again?
- 02What is your current process for testing residents and staff, and how are vaccination decisions made for people who cannot make that decision themselves?
- 03What would happen if there were a COVID-19 outbreak now, and how would families be kept informed?
- 04How do you check that your infection prevention and control policy, audits and risk assessments remain up to date?
This was a targeted inspection of infection prevention and control under the Safe question; it was inspected but not rated and did not assess the other four questions. This explanation was written from the published report of 27 February 2021 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, March 2020
Rated Good; inspectors found safe, kind and personalised care across all five areas.
The inspection was unannounced and took place on 13 February 2020. One inspector spoke with five people, a relative and seven staff. They observed care and reviewed care plans, staff records, medicines and management records.
The home supported up to 17 people with physical and enduring mental health needs. Inspectors found enough staff, safe medicines management, suitable risk assessments and good infection control. Staff were trained and understood people's needs.
People were involved in decisions about their care and were supported to make choices. Inspectors saw respectful relationships, personalised care, activities and support to keep in touch with relatives and access health services.
The home was rated Good in Safe, Effective, Caring, Responsive and Well-led. This was the same overall rating and the same rating in each area as at the previous inspection, published on 20 April 2017.
Safe care
The home had safeguarding procedures, risk assessments and plans to manage changing needs. Staff understood how to protect people and when to seek help.
“People were protected from the risk of abuse or harm.” from the report
Skilled and sufficient staff
Inspectors found enough staff to respond promptly. Recruitment checks, induction, training and supervision were in place.
“Staff had the appropriate knowledge and skills to meet people's needs and were supported through an induction programme and on-going training and development.” from the report
Respectful relationships
Staff knew people well and supported them patiently, respectfully and in ways that promoted dignity and independence.
“Throughout our inspection we observed that people appeared comfortable and relaxed in the presence of staff.” from the report
Personalised support
Care plans recorded people's needs, choices and preferences. People were supported with activities, relationships, communication and healthcare.
“People received personalised care from staff that knew them well which ensured their needs and preferences were met.” from the report
Open management
The home had systems for quality monitoring, complaints and feedback. Staff and relatives said managers were approachable and listened to concerns.
“There were effective systems in place to assess and monitor the quality of the service.” from the report
Inspectors raised no specific concerns in this report.
- 01How are my relative's care plans and risk assessments reviewed when their needs or preferences change?
- 02How do you make sure there are enough suitably trained staff on each shift, including when people attend appointments or social events?
- 03How are medicines audits carried out, and how are any improvements followed up?
- 04What activities and community visits would be available for my relative, based on their interests and abilities?
- 05How would you involve my relative and our family in care reviews, complaints and decisions about treatment?
This was an unannounced comprehensive inspection of the care, premises and management of the home, covering all five CQC questions. This explanation was written from the published report of 6 March 2020 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 Barons Lodge Sutton
3 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- February 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- March 2020Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- February 2015
Report published without a new overall rating.
- December 2014
Report published without a new overall rating.
- July 2014
Report published without a new overall rating.
- May 2014
Report published without a new overall rating.
- November 2013
Registered with the Care Quality Commission on 22 November 2013.
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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What to check when you visit
At least 100 live-in carers within about an hour of Sutton
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,230 a week. 81 can care for a couple. 11 years' experience on average.
“She cared for my mum with Alzheimer's with endless patience and kindness, always arriving with a smile and a positive attitude”
“Terry has been of invaluable help to our family while working as a part-time live-in carer for our mother for approximately 6 months”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.