CQC report explained · a residential care home
What the CQC found at Castleford Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and risks were assessed and managed. Inspectors found enough staff, safe recruitment, safe medicines support and a clean environment.
- Effective?
- Good
- Staff received training and support, and people had access to health professionals and suitable food and drink. Inspectors found that mental capacity principles were followed, but the forms used for recording decisions were causing confusion.
- Caring?
- Good
- Staff were kind, respectful and compassionate. Care was personalised, and people's privacy, dignity, relationships and preferences were supported.
- Responsive?
- Good
- Care was planned around people's needs, goals and aspirations. People were supported with meaningful activities, community opportunities, work, holidays and complaints.
- Well-led?
- Good
- Inspectors found strong and experienced leadership. The home gathered feedback, communicated with relatives and used audits to monitor care and make improvements.
What inspectors found, December 2017
Castleford Lodge is rated Good; inspectors found safe, kind and personalised care, with some training and care-record improvements still needed.
This was an unannounced inspection on 17 and 18 October 2017. It was the first inspection since the service registered separately with the CQC in June 2016. Inspectors spoke with people, relatives, staff and professionals, and checked care records, medicines, recruitment, training, safety records and audits.
The home supported up to nine people living with acquired brain injuries. Inspectors found people were safe, cared for kindly and supported to make choices and build independence. Staff helped people with health needs, food and drink, activities, work opportunities and relationships.
All five areas were rated Good: safe, effective, caring, responsive and well-led. The report also identified some improvements, including clearer mental capacity records and further training about acquired brain injuries.
Safety and risk support
Risks were assessed and managed while people were also helped to understand and manage their own risks as part of rehabilitation.
“People lived in a safe environment and risks which could have an impact on people's health, safety and welfare were assessed and managed.” from the report
Kind and respectful care
Inspectors saw staff treating people with kindness, compassion and respect. Privacy and dignity were maintained.
“People were cared for by staff who were kind and who delivered care in a compassionate way.” from the report
Personalised support
Staff adapted routines and support to people's wishes, goals and abilities. People were supported to develop life skills and greater independence.
“The client dictates what happens, and when. There is a very flexible routine which operates 24 hours a day.” from the report
Meaningful activities
People were supported to take part in activities that mattered to them, including community activities, work opportunities and holidays.
“People had opportunities to socialise and take part in activities which were meaningful and which also had a therapeutic value.” from the report
Strong leadership
Inspectors found experienced leadership, good communication and regular checks on the quality and safety of the service.
“People and staff had benefited from the registered manager's strong and experienced leadership.” from the report
Mental capacity records
needs fixingThe information needed was present, but different forms caused confusion about where information should be recorded. The provider said further learning would be arranged.
“the variation of records were causing confusion in what needed to be recorded where.” from the report
Further acquired brain injury training
needs fixingA previous review had identified a need for more training specifically about acquired brain injuries. Further training was planned and was to be repeated for newer staff.
“The latest report by Inclusion Gloucestershire dated July 2017 had raised the need for training specifically related to ABI.” from the report
Access to care plans
minorOne person did not know that care plans existed and said they would like to see them. Inspectors advised the person to raise this with the manager.
“One person we spoke with was not aware records called care plans/support plans existed and they said they would be interested in seeing these.” from the report
- 01What further training have staff completed about acquired brain injuries, especially newer staff?
- 02What changes have been made to the forms used for mental capacity assessments and best interests decisions?
- 03How will my relative be shown their care plan and involved in keeping it up to date?
- 04How are my relative's rehabilitation goals, activities and opportunities for work or greater independence reviewed?
- 05How will relatives receive updates when their family member's care or needs change?
This was an unannounced first inspection after separate registration and assessed all five CQC areas, giving a rating for each. This explanation was written from the published report of 14 December 2017 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 Castleford Lodge
Each visit the CQC has published, newest first, back to the day the home was registered.
- December 2017Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2016
Registered with the Care Quality Commission on 3 June 2016.
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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
38 live-in carers within about an hour of Gloucestershire
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 £1,360 a week. 31 can care for a couple. 12 years' experience on average.
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
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.