CQC report explained · a residential care home
What the CQC found at Bow Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found suitable risk assessments, enough staff, safe recruitment and safe medicines administration. Some diabetes monitoring documentation had gaps, although there was no evidence of harm.
- Effective?
- Good
- People had needs assessments and personalised plans, and staff had relevant training. Some information about people's mental capacity was unclear and needed updating.
- Caring?
- Good
- People and relatives described kind, respectful care. Staff knew people well, respected privacy and supported people to be involved in decisions.
- Responsive?
- Good
- The home supported people's preferences, activities and independence, and had a complaints process. Some care plan information was inaccurate or conflicting, and more documentation was needed about people's goals.
- Well-led?
- Good
- Managers and staff were described as supportive and open, with regular meetings and audits. Two managers were going through the registration process, and there was not a registered manager in post at the inspection.
What inspectors found, March 2023
Rated Good; inspectors found kind, safe care, with some records needing improvement.
This was the first inspection since the home was registered in August 2021. One inspector visited on 22 February 2023. They spoke with people, a relative, staff, managers and the provider, and checked care plans, recruitment records, audits and meeting notes.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines practice, suitable training, kind care and support for people's choices, health and independence.
There were some record-keeping weaknesses. Diabetes checks were not fully documented, some capacity information was unclear, and some care plans contained inaccurate or conflicting information. Inspectors also found that medicine records had been left where people could access them, but the manager arranged for them to be stored securely.
Safe staffing and medicines
Inspectors found enough staff to meet assessed needs. Medicines were administered by trained staff and records showed they were given at the correct time.
“Medicines were safely administered by staff who were trained to do so.” from the report
Kind and respectful care
People and relatives reported positive relationships with staff. Inspectors observed staff being polite, friendly and respectful.
“Our observations during inspection, were of staff who were kind and caring towards people.” from the report
Quality monitoring
The home had audits and checks to identify problems and make improvements. Staff could raise issues in meetings and felt supported.
“Systems and processes were in place to monitor the quality of the care provided.” from the report
Diabetes records
needs fixingSome paperwork did not clearly record the checks needed to monitor one person's diabetes. Managers said staff would be reminded to complete the records properly, and inspectors found no evidence of harm.
“Some documentation relating to the management of a person's diabetes had gaps around checks required with the person.” from the report
Capacity information
needs fixingSome care plan information about people's ability to make decisions was unclear. Managers showed inspectors new assessments and said the plans would be updated.
“Some information in care plans around people's capacity was not always clear.” from the report
Care plan accuracy
needs fixingSome care plans contained information that was not accurate or conflicted with other information. Managers said this would be reviewed and updated.
“We found that some information in the care plans was not always accurate, and had some conflicting information.” from the report
Personal information
minorMedicine administration records were stored on top of the medicines trolley, where people could access them. The manager arranged for the folder to be stored securely during the inspection.
“We found that medicine administration records were being kept in a folder on top of the medicines trolley, which was accessible to people in the house.” from the report
- 01How do you now record and check the diabetes monitoring described in the report?
- 02How are capacity assessments kept up to date and reflected accurately in care plans?
- 03What checks make sure care plans do not contain conflicting or outdated information?
- 04Where are medicine administration records stored now, and who can access them?
- 05Has a registered manager now been appointed, following the registration process mentioned in the report?
This was the first inspection and covered all five rating areas, as well as infection prevention and control measures. This explanation was written from the published report of 9 March 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.
Every inspection of Bow Lodge
Each visit the CQC has published, newest first, back to the day the home was registered.
- March 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2021
Registered with the Care Quality Commission on 31 August 2021.
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 Leicester
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 £1,270 a week. 83 can care for a couple. 12 years' experience on average.
“If you bump into her in the night on her way to the bathroom she will still inquire how you are and if everything is alright.”
“Tino was the most wonderfully rounded, empathetic and intuitive person. He not only developed a great relationship with Neville but also had a great working relationship with our existing carer.”
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.