CQC report explained · a residential care home
What the CQC found at Cleeve Lodge Care Home
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- Inspectors were assured that infection prevention and control procedures were being followed. They found arrangements covering visitors, social distancing, admissions, protective equipment, testing, cleaning, outbreaks and infection control policies.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Outstanding
- Are people treated with kindness and dignity?
- Responsive?
- Outstanding
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Outstanding
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, December 2020
Cleeve Lodge Care Home was inspected but not rated; inspectors found good infection prevention arrangements for its designated COVID-19 unit.
This was an announced, targeted inspection on 25 November 2020. It looked only at infection prevention and control because the home had been chosen as a designated care setting for people discharged from hospital with a positive COVID-19 status.
Inspectors found a separate, self-contained unit with four en-suite bedrooms and its own entrance. Dedicated staff worked in the unit and did not work elsewhere in the home while it was in use. The unit was clean and well decorated.
The home had supplies of personal protective equipment, infection control training, updated policies and plans for staff sickness, bad weather or an outbreak. Inspectors were assured that infection risks were being managed, but the service was not given an overall quality rating.
Separate COVID-19 unit
The home had identified a self-contained area with four en-suite bedrooms and a separate entrance. Inspectors said this made access safer and found the unit clean and well decorated.
“There was a separate entrance for this unit so access to this area was safe.” from the report
Dedicated staff
Staff working in the designated unit did not work elsewhere in the home while the unit was in use. This helped reduce the risk of infection spreading.
“The staff team would not work anywhere else in the home during the use of this unit.” from the report
Protective equipment and training
Staff had infection control training, including how to put on and remove protective equipment. The home had good supplies of suitable protective equipment and a station in the unit.
“All staff had training in how and when to wear the PPE correctly.” from the report
Planning for outbreaks
The home had plans for staff sickness, poor weather and possible outbreaks. It also had updated infection prevention policies and new equipment intended to reduce cross-contamination.
“Plans had been made for winter when staff sickness, poor weather or an outbreak were most likely to occur.” from the report
Inspectors raised no specific concerns in this report.
- 01Is the separate designated unit still available, and is it still accessed through its own entrance?
- 02Are staff still dedicated to the designated unit and prevented from working elsewhere in the home while it is in use?
- 03How often are staff trained and checked on putting on and removing personal protective equipment?
- 04What testing arrangements are currently in place for residents and staff?
- 05What has changed since the inspection in the home's infection control, outbreak and business continuity plans?
This was a targeted inspection of infection prevention and control measures only; it did not provide an overall rating or assess the other areas of care. This explanation was written from the published report of 17 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.
What inspectors found, August 2020
Inspected but not rated; inspectors found reassuring infection prevention and control arrangements.
This was an announced, targeted inspection on 12 August 2020. It looked at infection prevention and control during the coronavirus pandemic. At the time, 21 people lived in the home, which could accommodate up to 33 people.
Inspectors found good practice at the entrance, including visitor health checks, handwashing guidance, temperature checks and advice about protective equipment. They were also assured that the home was using protective equipment safely, supporting social distancing and shielding, and managing testing and possible outbreaks.
The home had introduced a pen pal scheme to reduce loneliness. Staff also supported people's independence and practised what to do if someone was suspected of having COVID-19. The overall service and Safe question were marked 'Inspected but not rated', so this report does not give a quality rating for the home.
Visitor infection checks
Visitors were given instructions about handwashing, health declarations, temperature checks and the protective equipment needed for their visit.
“Visitors are asked, usually in advance, to read and sign the risk assessment, have their temperature checked and complete a health declaration.” from the report
Protective equipment
Inspectors were assured that protective equipment was being used effectively and safely.
“We were assured that the provider was using PPE effectively and safely.” from the report
Reducing isolation
A pen pal scheme was introduced to help people stay connected during the pandemic.
“A 'pen pal' scheme was introduced to help reduce social isolation during the pandemic.” from the report
Staff preparation
Staff completed mock exercises about responding to suspected COVID-19 cases, and their actions were assessed as part of supervision.
“Staff training was carried out in a number of ways.” from the report
Supporting independence
The home supported one person to go into the community independently, with advice and equipment to reduce infection risks.
“People's independence has continued to be promoted.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visitors currently screened, and what health declarations or temperature checks are still required?
- 02What protective equipment is required for different types of visitors, including visiting health professionals?
- 03How often are residents and staff tested, and what happens when someone has a positive result or symptoms?
- 04What is the current plan for preventing and managing an infection outbreak?
- 05How do staff practise and assess their response to a suspected infection?
This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it did not provide ratings for Effective, Caring, Responsive or Well-led. This explanation was written from the published report of 28 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 Cleeve Lodge Care Home
2 rated inspections over 3 years: the service has improved, from Good to Outstanding.
- December 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- August 2020Inspected but not ratedSafe: Inspected but not rated
- June 2018Outstandingup from GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- October 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- November 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 25 January 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.
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
39 live-in carers within about an hour of South 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 £1,020 to £1,280 a week. 32 can care for a couple. 11 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.