CQC report explained · a residential care home
What the CQC found at Clare Lodge Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, May 2018
Clare Lodge Care Home is rated Good; inspectors found kind, personalised care, with some medicines record-keeping needing improvement.
The inspection was unannounced and took place on 16 April 2018. One inspector observed care, spoke with people, relatives, staff and managers, and reviewed care records, medicines records, training records and quality checks.
The inspectors found that people were safe and received care that met their needs. Staff were described as kind and respectful. People had choices about their care, food and activities, and staff knew their personal routines and preferences.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. This was the same rating as at the previous inspection in November 2015. Some improvements were needed in medicines records, best-interest decision records and recruitment documentation.
People felt safe
People and relatives said they felt safe. Risks such as falls, moving and handling, bedrails and pressure ulcers were assessed and reviewed.
“People received their care and support when they needed it and wanted it and staff went about their duties in a calm and organised way.” from the report
Kind and respectful care
Staff treated people with courtesy and kindness. They protected privacy and dignity while encouraging people to remain as independent as possible.
“Staff were always courteous and kind towards people they supported, often sharing banter and jokes between each other in a respectful and dignified way.” from the report
Personalised support
Staff knew people's backgrounds, routines, likes and dislikes, and used this knowledge to shape their support.
“Staff were knowledgeable about people's preferred routines, likes and dislikes, backgrounds and personal circumstances and used this to good effect in providing them with personalised care and support that met their individual needs.” from the report
Food and health support
People had food choices and support to eat and drink. The home responded to individual diets and worked with health professionals when needed.
“People were provided with appropriate levels of support to help them eat and drink in a calm, relaxed and patient way.” from the report
Activities and complaints
The home provided activities linked to people's interests and planned to increase activity-coordinator hours. Complaints were investigated and resolved.
“Concerns and complaints raised by people who used the service or their relatives were appropriately investigated and resolved.” from the report
Medicines records
needs fixingRecords were not always accurate for medicines prescribed at a variable dose or to be taken as needed. The provider created an action plan to improve audits and monitoring.
“We checked a random sample of boxed medicines and found that record keeping was not always accurate in respect of medicines prescribed as a variable dose or 'as needed' (PRN).” from the report
Best-interest decision records
needs fixingThe records did not always give a clear trail showing how decisions made in people's best interests had been reached.
“Further work was needed to ensure that records provided a clear audit trail of how decisions made in people's best interest had been reached.” from the report
Recruitment documentation
needs fixingInspectors advised verifying references and adding more detail to application forms so gaps in previous employment could be explored.
“More detail was needed within application forms to enable them to explore any gaps in prospective staff member's previous employment history.” from the report
- 01What changes were made to records for variable-dose and as-needed medicines after the inspection?
- 02How do you now check that medicines records are accurate and regularly audited?
- 03How are best-interest decisions recorded, and can you show how the decision-making process is documented?
- 04How are references verified and gaps in applicants' employment histories checked?
- 05What activities are currently available, and did activity-coordinator hours increase from 18 to 30 hours a week as planned?
This was an unannounced inspection covering all five key questions; the report says the overall rating and each question rating remained Good. This explanation was written from the published report of 23 May 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.
Every inspection of Clare Lodge Care Home
2 rated inspections over 2 years: the service has held its Good rating throughout.
- May 2018Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- May 2011
Registered with the Care Quality Commission on 6 May 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.
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At least 100 live-in carers within about an hour of Hertfordshire
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Most charge £980 to £1,300 a week. 82 can care for a couple. 12 years' experience on average.
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