CQC report explained · a residential care home
What the CQC found at Barony Lodge Residential Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention and control. This included visitors, admissions, protective equipment, testing, hygiene, social distancing and managing possible outbreaks.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Good
- Are people treated with kindness and dignity?
- Responsive?
- Good
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, February 2021
Inspected but not rated; inspectors found strong infection control, hygiene, testing and visiting arrangements.
Inspectors visited the home on 12 February 2021. The visit was announced and focused on infection prevention and control during the coronavirus pandemic.
They found the home was clean and hygienic. Cleaning schedules, audits, safe use of protective equipment, social distancing, self-isolation arrangements and testing were in place.
Inspectors were assured that the home was managing infection risks for people living there, staff and visitors. The service was inspected but not rated, so this report does not give an overall quality rating or a full rating across all five areas.
Clean environment
The home had cleaning schedules and regular checks. Frequent touch points were cleaned and suitable sanitising products were used.
“The home was clean and hygienic. There were cleaning schedules in place and regular auditing to ensure effective cleaning was carried out.” from the report
Protective equipment
Staff used and disposed of protective equipment safely. Equipment stations were available around the home.
“Staff were wearing and disposing of used personal protective equipment (PPE) safely and in line with the relevant guidance.” from the report
Testing and wellbeing support
The home had regular testing for staff and residents. Extra staff had been recruited to support testing and residents’ wellbeing.
“Additional staff had been recruited to focus on testing and supporting people's wellbeing.” from the report
Visiting arrangements
The home had procedures to support visits safely, including a newly installed visiting pod.
“Effective procedures were in place to support visitors to the home. A new visiting pod had just been installed.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visitors currently supported to visit safely, and is the visiting pod still being used?
- 02How often are staff and residents tested now?
- 03How do you support someone who needs to self-isolate in their bedroom?
- 04Are PPE stations, cleaning schedules and regular audits still in place?
- 05What extra staffing is currently available for testing and residents’ wellbeing?
This was a targeted inspection of infection prevention and control during the coronavirus pandemic; the service was inspected but not rated and the report does not assess all five key questions. This explanation was written from the published report of 25 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, August 2019
Rated Good; inspectors found safe, kind and person-centred care, with some records and safety checks needing improvement.
This was the home’s first inspection since it registered. Inspectors visited on 16 and 18 July 2019, spoke with people, visitors, staff and health professionals, observed care and reviewed care, medicine, recruitment and management records.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe and well supported. Inspectors found kind staff, personalised care plans, enough staff, good activities and effective links with health professionals.
There were some areas to improve. Some premises checks had not been completed as often as required. Records for medicines given when needed were not fully developed. Inspectors also identified gaps in dementia support training and privacy when discussing people's care in communal areas.
Kind and respectful care
People described staff as attentive and caring. Inspectors saw a friendly atmosphere and positive relationships between people and staff.
“We found a friendly and welcoming atmosphere. Staff spoke with people in a polite and caring way and showed patience when people asked them for support.” from the report
Personalised care
Care plans included people's likes, dislikes, wishes and support needs. Staff understood people's choices and supported their independence.
“Care plans were very personalised and contained lots of information about the people being supported.” from the report
Enough staff
Inspectors found there were enough staff to meet people's needs. Staff were visible and responded promptly during the inspection.
“Throughout the inspection staff were visible and very responsive to people's needs.” from the report
Activities and community links
People could take part in a wide range of activities and maintain important relationships. The home also had links with community groups and services.
“People had access to a wide variety of activities and were supported to follow their interests.” from the report
Good management
Staff viewed the management team positively and felt able to raise concerns. The home used meetings, audits, surveys and training to support improvement.
“There were clear processes to follow at all levels of management to assess and review the quality of the service.” from the report
Premises safety checks
needs fixingSome safety checks were not completed as often as required while there was no allocated person for this work. A maintenance person had since been recruited and the issue was being addressed.
“shower heads had not been cleaned since February 2019 but should be done monthly.” from the report
As-needed medicine records
needs fixingMedicine systems were generally safe, but records for medicines given when needed needed improvement. Staff also needed a better understanding of what condition each medicine was prescribed for.
“Improvements were needed to records, in relation to "As required" medicines..” from the report
Dementia support
needs fixingMost staff had dementia training, but in one case staff were unsure how to support particular dementia-related needs. The manager agreed to address this.
“in one case however, staff were unsure how to support a person with aspects of their needs in relation to dementia.” from the report
Privacy in communal areas
minorStaff generally respected privacy and dignity, but inspectors said care discussions in communal areas might be overheard. Staff needed to be more mindful about this.
“We noted staff needed to be more mindful when discussing people's care needs in communal areas, to ensure they were not overheard.” from the report
- 01What changes have you made to ensure premises checks, including shower-head cleaning, are completed on schedule?
- 02How do you record and review medicines given on an as-needed basis?
- 03How do you make sure staff understand the condition each person's medicine is prescribed for?
- 04What extra dementia support training or guidance has been provided since the inspection?
- 05How do you prevent conversations about people's care being overheard in communal areas?
This was the first comprehensive inspection of the newly registered home and covered all five CQC questions. This explanation was written from the published report of 3 August 2019 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 Barony Lodge Residential Care Home
Each visit the CQC has published, newest first, back to the day the home was registered.
- February 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Barony Lodge Residential Care Home →
- August 2019GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Barony Lodge Residential Care Home →
- August 2018
Registered with the Care Quality Commission on 21 August 2018.
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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At least 100 live-in carers within about an hour of Cheshire East
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 £1,260 a week. 88 can care for a couple. 10 years' experience on average.
“She is an exemplary carer, she is knowledgable empathetic and very respectful in the home.”
“He developed a close affinity with Terence, spending time talking with him before he retired to bed and looking after his needs during the night.”
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