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CQC report explained · a residential care home

What the CQC found at Benjamin Lodge

Goodpublished 17 October 2018, 7 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured about testing, visiting, social distancing, admissions and outbreak planning. They found minor problems with a bathroom floor and PPE disposal, which the provider fixed after the inspection.
Effective?
Good
This area was not assessed in this targeted inspection.
Caring?
Good
This area was not assessed in this targeted inspection.
Responsive?
Good
This area was not assessed in this targeted inspection.
Well-led?
Requires improvement
This area was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, February 2022

Inspected but not rated; inspectors found strong COVID-19 controls, with minor problems in cleaning and PPE disposal that were fixed after the visit.

This was an announced, targeted inspection on 18 January 2022. Inspectors looked mainly at infection control, visiting arrangements and staffing pressures linked to COVID-19. Sixteen people were living in the home, which can support up to 17 people.

Inspectors were assured that the home was managing visitors, testing, social distancing, admissions and possible outbreaks. Staff were vaccinated, regularly tested and used personal protective equipment. Staff also showed knowledge of infection control, and their skills had been checked.

Inspectors were only somewhat assured about the building's layout, cleaning and PPE disposal. One bathroom floor needed replacing and safe disposal arrangements for PPE were not in place. The provider fixed both issues shortly after the inspection.

The service was inspected but not rated. This report does not give an overall quality rating or ratings for most of the five areas inspectors usually consider.

What inspectors praised
  • COVID-19 planning

    The home had assessed infection risks and had a continuity plan for a possible outbreak.

    “Risks in relation to COVID-19 were assessed for staff and people.” from the report
  • Staff infection control

    Staff were vaccinated, tested regularly and understood infection prevention practices. Competency checks had also been completed.

    “Staff were confident and knowledgeable regarding infection prevention and control practices and staff competency checks had routinely been completed.” from the report
  • Visiting and testing

    Inspectors were assured that the home supported visits and carried out testing for people and staff.

    “We were assured that the provider was accessing testing for people using the service and staff.” from the report
What inspectors were concerned about
  • Bathroom flooring

    minor

    A bathroom floor needed replacing so it could be cleaned effectively. The provider completed this shortly after the inspection.

    “the flooring in one bathroom needed replacing to ensure effective cleaning.” from the report
  • PPE disposal

    needs fixing

    The home did not initially have safe arrangements for disposing of used PPE. The provider corrected this after the inspection.

    “The provider did not have safe disposal methods in place.” from the report
Questions to ask them, based on this report
  1. 01Have the bathroom flooring repairs remained complete and easy to clean?
  2. 02What safe PPE disposal arrangements are now in place?
  3. 03How does the home currently manage visits and infection risks?
  4. 04What is the current position on staff testing, vaccination and infection-control competency checks?
  5. 05Can you show us the home's current outbreak and staffing-continuity plan?

This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it was not a full inspection and the service was inspected but not rated. This explanation was written from the published report of 8 February 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.

An earlier report, explained

What inspectors found, October 2018

Rated Good overall, but well-led Requires Improvement because safeguarding notifications were missed and there were minor medicines recording problems.

This was an unannounced comprehensive inspection on 13 August 2018. Inspectors spoke with six people, four care staff, the manager and a director. They also checked care plans, staff files, training, medicines and quality records.

The home was rated Good for safe, effective, caring and responsive care. People said they felt safe and well supported. Inspectors found enough staff, suitable care plans, kind support, choices about daily life, activities and help with healthcare.

The well-led rating was Requires Improvement. The provider had not told CQC about eight potential safeguarding allegations, although a new checklist was introduced after the inspection. Inspectors also found minor problems with medicines storage and records, which the manager acted on during the visit.

The overall rating stayed Good. The report says there was no evidence of serious risks or concerns, but the lower well-led rating means the home needed to improve how it checked and reported important events.

What inspectors praised
  • Enough staff

    Staffing levels were found to be sufficient, and people received help promptly when they asked for it.

    “We observed that when people requested support this was provided in a timely way.” from the report
  • Personalised support

    Care plans included people's needs, preferences and routines. People had keyworkers and were involved in planning their care.

    “Each person had a keyworker who they met regularly with to discuss their care and make sure their preferences were reflected in their care plans.” from the report
  • Activities and relationships

    The home supported activities suited to people's interests and helped people maintain contact with friends and relatives.

    “People were supported to maintain relationships to reduce social isolation.” from the report
What inspectors were concerned about
  • Safeguarding notifications

    serious

    The provider had not notified CQC about eight potential allegations of abuse. A new checklist was introduced after the inspection to help prevent this happening again.

    “We identified that the provider had failed to send notifications in relation to eight potential allegations of abuse.” from the report
  • Medicines records

    needs fixing

    Inspectors found minor problems with medicines storage and recording. One medicine recorded as given was still in its blister pack, and some medicines had not been returned to the pharmacy.

    “One person's medicines for administration at 8am on the day of inspection had been signed on the medicine record as given.” from the report
Questions to ask them, based on this report
  1. 01How do you now make sure every potential safeguarding incident is reported to CQC when required?
  2. 02What happened after the eight missed safeguarding notifications, and have any further checks been carried out?
  3. 03What changes were made after the medicines recording error found during the inspection?
  4. 04How do you check that medicines are returned to the pharmacy and that records match the medicines given?
  5. 05How are residents and relatives able to raise concerns and see whether action has been taken?

This was an unannounced comprehensive inspection covering all five key questions; the previous focused inspection in April 2017 had looked only at Safe and Responsive. This explanation was written from the published report of 17 October 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.

The story over the years

Every inspection of Benjamin Lodge

2 rated inspections over 3 years: the service has held its Good rating throughout.

  1. February 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Benjamin Lodge →

  2. October 2018Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Benjamin Lodge →

  3. May 2017Inspected but not rated
    Safe: GoodResponsive: Good

    Read this report on cqc.org.uk

  4. March 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. March 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. January 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. July 2011

    Registered with the Care Quality Commission on 7 July 2011.

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.

Next steps

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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 £1,030 to £1,420 a week. 14 can care for a couple. 7 years' experience on average.

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See live-in carers near East Riding of YorkshireProfiles, rates and reviews are free to look at.

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