CQC report explained · a residential care home
What the CQC found at Baytree Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People told inspectors they felt safe. Risks were assessed and reviewed, staffing was adequate, medicines were managed safely, and infection control arrangements were in place.
- Effective?
- Good
- This key question was not assessed in this inspection.
- Caring?
- Good
- This key question was not assessed in this inspection. Inspectors did report that people were treated with dignity and respect.
- Responsive?
- Good
- This key question was not assessed in this inspection. Inspectors observed staff responding to people's needs and found people had regular care reviews.
- Well-led?
- Good
- Inspectors found open and transparent leadership, regular audits, clear responsibilities and systems to involve people, relatives and staff.
What inspectors found, February 2023
Rated Good; inspectors found safe, respectful care and strong management, with no breaches reported.
This was an unannounced inspection on 7 December 2022. One inspector and one Expert by Experience spoke with people living in the home, relatives, managers and care staff. They observed care and reviewed care records, risk assessments, medicines records, recruitment files, rotas and quality checks.
The home was rated Good for Safe and Well-led. Inspectors found people felt safe, staffing levels were adequate, medicines were given safely and risks were reviewed. Infection control arrangements and safe visiting processes were also in place.
Inspectors found open management, regular audits and systems for learning from incidents and feedback. The overall rating was Good, the same as the previous rating published on 12 December 2017. This inspection did not assess all five CQC questions.
People felt safe
People and relatives said the home felt safe. Staff understood how to recognise and report abuse.
“People told us they felt safe living at the service.” from the report
Safe staffing
Inspectors found enough staff were available to keep people safe and respond to their needs.
“There were enough staff available to ensure the safety of people.” from the report
Medicines managed safely
Staff had completed medicines training and were assessed as competent. The medicines records checked were complete and showed no evident errors.
“We checked medicines administration records (MARs) and found these were completed in full with no evident errors or inaccuracies.” from the report
Open leadership
The management team was described as open and transparent. Audits and quality checks were used to identify improvements.
“The management team demonstrated an open and transparent leadership style.” from the report
Respectful care
People and relatives spoke positively about the care and support. Staff respected people's religious beliefs and cultural backgrounds.
“People and relatives spoke positively about the service and the care and support their loved ones received.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you assess my relative's needs in the areas that were not covered by this inspection?
- 02How often will my relative's risk assessments and care plans be reviewed if their needs change?
- 03How do you check that staff remain competent to give medicines safely?
- 04How will you involve my relative and our family in regular care reviews and decisions?
- 05What infection control arrangements would be used if there was an outbreak in the home?
This was a focused inspection of Safe and Well-led; the report did not assess Effective, Caring or Responsive. This explanation was written from the published report of 1 February 2023 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, December 2020
Inspected but not rated; inspectors found good infection control arrangements and no ongoing rodent or other infection control concerns.
This was an announced, targeted inspection on 24 November 2020. It followed concerns about infection control and an infestation of rodents.
Inspectors found that the rodent problem had been dealt with. They were assured that the home was using safe infection prevention measures, including testing, protective equipment, cleaning, social distancing and safe visiting arrangements.
The home was inspected but not rated. This means the visit did not give an overall quality rating or a full rating for all five areas of care.
Infection control
The home had several measures to reduce the spread of Covid 19, including visitor screening, testing and protective equipment.
“We were assured that the provider was using PPE effectively and safely.” from the report
Cleaning and hygiene
There were sanitiser points throughout the building and daily cleaning, supported by a housekeeper seven days a week.
“There were sanitiser points available throughout the building and thorough cleaning was done daily” from the report
Keeping families connected
People could stay in touch with relatives and friends by phone, online technology and visits arranged in line with government guidance.
“People were supported to keep in touch by phone, virtual technology, and visits in an appropriate area outside was available.” from the report
Staff support
Staff had training on Covid 19, infection control and protective equipment. The provider also supported staff wellbeing when they were unwell or returning to work.
“All staff had received training on Covid 19, infection control and the use of Personal Protective Equipment (PPE).” from the report
Earlier rodent infestation
minorThe inspection was prompted by concerns about rodents. Inspectors said this had been dealt with and found no ongoing concerns about it or other infection control matters.
“We had visited the service due to concerns regarding an infestation of rodents, however, this had been dealt with” from the report
- 01What checks are now in place to make sure the rodent infestation does not return?
- 02How often are infection control checks and cleaning audits carried out now?
- 03How are visitors currently screened and supported to use protective equipment?
- 04How can residents keep in touch with family and friends if visiting arrangements change?
- 05When was the home last given a full inspection covering caring, effective, responsive and well-led care?
This was a targeted inspection of infection prevention and control measures only, so the service was inspected but not rated overall or in the other four questions. This explanation was written from the published report of 24 December 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 Baytree Lodge
6 rated inspections over 7 years: the service has improved, from Requires improvement to Good.
- February 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2020Inspected but not ratedSafe: Inspected but not rated
- December 2017Goodup from Requires improvementSafe: GoodWell-led: Good
- February 2017Requires improvementstayed Requires improvementSafe: Good
- November 2016Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- January 2016Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- November 2015Requires improvementSafe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- October 2013
Report published without a new overall rating.
- July 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- January 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 13 December 2010.
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 Barnet
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 £1,300 a week. 83 can care for a couple. 12 years' experience on average.
“The quality of life that she's given my parents has been priceless. The peace of mind she's given my sisters and I, through a very difficult time, has been invaluable.”
“Folasade is really kind, patient and respectful, has a fantastic sense of humour and such a positive outlook on life.”
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.