CQC report explained · a residential care home
What the CQC found at Cavell Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention, safe admissions, protective equipment, testing, cleaning and outbreak planning. They also found that visits had previously been paused in a way that did not follow government guidance.
- 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?
- Good
- This area was not assessed in this targeted inspection.
What inspectors found, February 2022
Inspected but not rated; inspectors found strong infection controls, but visits were paused briefly in a way that did not follow government guidance.
Inspectors made an unannounced, targeted visit on 3 February 2022. They were checking infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures affected care.
They found that the home was clean, staff used protective equipment properly and people were admitted safely. Visitors were screened, tested and given protective equipment. The home also had testing, vaccination, cleaning and outbreak plans in place.
Visits had been stopped from 30 December 2021 to 3 January 2022 because of possible infection risks. Inspectors said this did not follow government guidance, although other ways to keep in touch were offered and visits had restarted in line with guidance.
The service was inspected but not rated. This was not a full assessment of all five areas of care, so it does not give an overall Good or Requires Improvement rating.
Strong infection controls
Inspectors found that staff used hand washing and protective equipment properly. There were protective equipment stations throughout the home.
“Staff were observed following good practice such as regular hand washing and wearing masks, gloves and aprons.” from the report
Clean environment
The home was clean and fresh, with planned cleaning of frequently touched areas and deeper cleaning.
“The service was clean and fresh. There were cleaning schedules in place including high touch point cleaning, fogging and deep cleaning.” from the report
Safe visiting arrangements
Visitors had their temperatures checked, completed a questionnaire, took a rapid test and wore suitable protective equipment. Visiting professionals were asked for vaccination evidence.
“All visitors had their temperature checked, completed a questionnaire, had a lateral flow test and were given appropriate personal protective equipment [PPE] to wear.” from the report
Pandemic planning
The home had an up-to-date COVID-19 policy and contingency plan. Staff and residents were part of regular testing, and staff were fully vaccinated.
“The service had an up to date COVID-19 policy and contingency plan in place to support people and staff in the event of an outbreak” from the report
Visits were paused outside guidance
needs fixingVisits were stopped between 30 December 2021 and 3 January 2022 because of possible infection concerns. Inspectors said this was not in line with government guidance, although alternative contact and some essential visits continued.
“This was not in line with government guidance however, the service had ensured people had stayed in touch with their friends and families by other means” from the report
- 01What process will you follow if there is a suspected outbreak, so visits remain in line with current government guidance?
- 02How will you keep families informed if visiting arrangements change?
- 03What alternative contact will you provide if visiting is temporarily restricted?
- 04How do you check that visitors and visiting professionals meet the home's testing, protective equipment and vaccination requirements?
This was an unannounced targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; it did not rate the other areas of care. This explanation was written from the published report of 26 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.
What inspectors found, August 2020
Inspected but not rated; inspectors found good infection control arrangements during the COVID-19 pandemic.
This was an announced, targeted inspection on 6 August 2020. Inspectors looked only at infection prevention and control measures as part of a national review of care homes.
Inspectors found that the home had acted early to reduce infection risks. This included visitor health checks, outdoor visiting, staff teams, extra cleaning, hand sanitiser stations, PPE and testing.
The inspectors were assured that the home was managing visitors, social distancing, admissions, PPE, testing, hygiene and possible outbreaks safely. The home was inspected but not rated, so this visit does not give an overall quality rating.
Early infection planning
The home introduced visiting restrictions and other safety protocols before government advice was issued.
“The registered manager implemented protocols before the government issued advice on restricting visiting to keep people safe.” from the report
Visitor safety
The home used outdoor space, health checks and screening forms to reduce the risks linked to visits.
“They have implemented health checks and screening forms for all visitors including professional visitors to complete to mitigate the risks of entry to the service.” from the report
Communication with relatives
Relatives were kept informed about activities and changes at the home through regular newsletters.
“The registered manager kept relatives informed of all activities and any changes at the service through regular newsletters.” from the report
Staff infection control
Staff worked in consistent teams, had infection control training and PPE, and the home increased cleaning and hand sanitising.
“Staff had been provided with the appropriate training and PPE to keep them and people safe.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visitor health checks and screening carried out now?
- 02How does the home manage visiting, including outdoor visits and visits at the end of life?
- 03How are staff teams organised now to reduce the spread of infection?
- 04How are PPE, staff testing and resident testing managed?
- 05How often are cleaning routines and infection control arrangements reviewed?
This was a targeted inspection of infection prevention and control measures only; the service was inspected but not rated. This explanation was written from the published report of 27 August 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 Cavell Lodge
3 rated inspections over 5 years: the service has held its Good rating throughout.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- August 2020Inspected but not ratedSafe: Inspected but not rated
- March 2020Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2015GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- June 2014
Report published without a new overall rating.
- July 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 1 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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