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CQC report explained · a residential care home

What the CQC found at Cheddle Lodge

Goodpublished 19 December 2019, 6 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured that infection prevention and control procedures were being followed. This included PPE, social distancing, testing, cleaning and outbreak management.
Effective?
Good
This was not assessed in this targeted inspection.
Caring?
Good
This was not assessed in this targeted inspection.
Responsive?
Good
This was not assessed in this targeted inspection.
Well-led?
Good
This was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, December 2020

Cheddle Lodge was inspected but not rated; inspectors found good infection prevention and control arrangements, including PPE, cleaning and safe visiting plans.

This was an announced, targeted inspection on 17 November 2020. It checked infection prevention and control arrangements during the coronavirus pandemic.

Inspectors found that national PPE guidance was followed and staff had suitable infection control training. The home was clean and well organised, with extra cleaning of frequently touched surfaces.

Visiting restrictions were in place, with plans to support safe visits when guidance allowed. Inspectors were assured that the home had suitable arrangements for social distancing, testing, admissions and managing outbreaks.

The service was inspected but not rated. This means the inspection did not give an overall quality rating or a full rating across all five areas of care.

What inspectors praised
  • PPE and training

    Staff were following national PPE guidance and had received infection prevention and control training.

    “National guidance was followed on the use of personal protective equipment (PPE). Staff had received appropriate infection prevention and control training.” from the report
  • Clean environment

    The home was clean and organised, with additional cleaning of bedrooms, communal areas and frequently touched surfaces.

    “The home was clean and well organised.” from the report
  • Safe visiting plans

    Visiting restrictions were in place, but arrangements had been made for relatives to visit safely when guidance allowed.

    “Arrangements had been made to enable people's relatives to visit safely, when guidance allowed.” from the report
  • Outbreak planning

    The home had policies, procedures and risk assessments to reduce and manage coronavirus risks.

    “There were procedures, policies and risk assessments to manage and minimise the risks Covid 19 presented to people who used the service, staff and visitors.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01What infection prevention and control arrangements are currently in place for PPE, testing and outbreak management?
  2. 02How can relatives visit now, and what happens if coronavirus guidance changes?
  3. 03How often are bedrooms, communal areas and frequently touched surfaces cleaned?
  4. 04How do you maintain social distancing while allowing people to use communal areas?
  5. 05When was the home's infection prevention and control policy last reviewed?

This was a targeted inspection of infection prevention and control practices; it was not a full inspection and the service was inspected but not rated. This explanation was written from the published report of 3 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.

An earlier report, explained

What inspectors found, December 2019

Cheddle Lodge was rated Good; inspectors found safe, kind and personalised care, with improvements since the previous inspection.

Inspectors visited on 10 and 11 September and 29 November 2019. The first visit was unannounced. They spoke with a person using the service, relatives and staff, observed care, and checked care, medicine, training and management records.

They found that people were safe, treated with kindness and supported to make choices. Care plans were personal and kept up to date. People were supported with health needs, food, communication, activities and contact with family and friends.

The home was clean and medicines were managed safely. Inspectors found good checks on quality and safety. The home is larger than current best practice guidance suggests, but inspectors said the way it was organised reduced any negative effect.

The previous rating was Requires Improvement, with four breaches of regulations. The provider had made enough improvement, and the home was no longer in breach of those regulations. All five areas were rated Good at this inspection.

What inspectors praised
  • Personalised support

    Care records described people's preferences, communication and routines in detail. Staff supported people to make choices and become more independent.

    “People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.” from the report
  • Kind and respectful care

    Inspectors saw staff taking time, explaining things and speaking respectfully. Relatives and health professionals also gave positive feedback.

    “Our observations during the inspection showed that staff were kind and caring.” from the report
  • Safe care

    The home was clean, risks were assessed and medicines were managed safely. Equipment and building maintenance were checked regularly.

    “Risks to individuals and staff were identified and well managed.” from the report
  • Activities and relationships

    People took part in activities linked to their interests and were supported to keep in touch with family and friends, including through visits and video calls.

    “People took part in a wide range of activities both in the home and in the wider community.” from the report
  • Improved management

    Quality checks and audits had improved since the last inspection. Problems found through checks were dealt with promptly.

    “Systems of daily, weekly and monthly quality assurance checks and audits had significantly improved.” from the report
What inspectors were concerned about
  • Larger than current guidance

    minor

    The home is larger than current best practice guidance for this type of service. Inspectors said the organisation of the home and support reduced any negative effect, but this is still worth discussing for your relative.

    “This is larger than current best practice guidance.” from the report
Questions to ask them, based on this report
  1. 01How do you make sure the home's larger size does not affect my relative's privacy, independence or sense of home?
  2. 02How are night-time checks carried out and recorded now, following the improvements identified through a recent audit?
  3. 03How will you support my relative to communicate choices if they do not use words?
  4. 04How will you involve my relative and our family in mental capacity and best-interest decisions where needed?
  5. 05What activities and community opportunities could be matched to my relative's interests and ambitions?

This was a planned inspection covering all five CQC questions, including both the care provided and the home's premises; the first inspection day was unannounced. This explanation was written from the published report of 19 December 2019 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 Cheddle Lodge

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

  1. December 2020Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Cheddle Lodge →

  2. December 2019Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Cheddle Lodge →

  3. October 2018Requires improvementdown from Good
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. July 2016Good
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. December 2013

    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. February 2011

    Registered with the Care Quality Commission on 4 February 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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Most charge £980 to £1,260 a week. 88 can care for a couple. 10 years' experience on average.

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