CQC report explained · a residential care home
What the CQC found at Cleeve Lodge
Rated Outstanding: inspectors found the home performing exceptionally well.
What inspectors found, April 2019
Rated Outstanding; inspectors found exceptionally caring, responsive and well-led care, with safety rated Good.
This was an unannounced planned inspection on 26 February 2019. One inspector spoke with people living in the home, relatives, staff and health professionals. They reviewed care records, medicine records, incident information and records about how the home was managed.
The home was rated Outstanding overall. It was rated Good for Safe and Outstanding for Effective, Caring, Responsive and Well-led. Inspectors found a warm, homely service where people were treated as individuals and supported to make choices about their lives.
The home had enough staff, used no agency staff and managed medicines and risks safely. Inspectors also found strong staff training, personalised activities, good links with health professionals and high-quality end of life care.
The previous inspection, published in June 2016, also rated the home Outstanding. This inspection found that the rating remained Outstanding.
Kind and respectful care
People were treated as individuals and staff were described as exceptionally kind, caring and compassionate. Inspectors saw strong relationships between people and staff.
“People were treated with dignity and respect in a way that truly valued them as individuals.” from the report
Personal choice and independence
The home supported people to make decisions and take positive risks, while putting steps in place to help keep them safe.
“People were involved in all aspects of their care and felt in control of their lives.” from the report
Activities and interests
People were supported to continue existing interests and try new experiences, including trips, cinema visits, bowling and contact with animals.
“Staff were continually looking for new experiences and opportunities for people to enjoy.” from the report
End of life support
The home had achieved Gold Standards Framework accreditation and provided compassionate support to people and relatives before and after a death.
“The service provided high quality end of life care.” from the report
Stable and supported staff team
The home did not use agency staff and had high staff retention. Staff received regular supervision, training and support for career development.
“The service did not use agency staff and had high levels of staff retention due to the positive and supportive culture.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you assess and review positive risks if my relative wants to go out alone or make a choice that carries some risk?
- 02How far has the electronic medicines system been introduced, and how do you check that medicines remain safe during the change?
- 03How would you find out about my relative's interests, history, communication needs and food preferences before they move in?
- 04What activities and community links would be available for my relative, including if they preferred to stay in their room?
- 05How would you record and respect my relative's wishes about hospital treatment and end of life care?
This was an unannounced planned inspection covering the overall quality of the care home and all five key questions. This explanation was written from the published report of 17 April 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.
What inspectors found, October 2016
Rated Outstanding; inspectors found kind, safe and highly personalised care, with a previous medicines-recording issue corrected.
This was an unannounced inspection on 6 September 2016. Two inspectors observed care, spoke with people, relatives, staff and health professionals, and checked care records, medicines records, staff files and management records.
The inspectors found a calm and friendly home. Staff were kind, knew people well and had enough time to provide care and talk with them. Medicines were managed safely, care plans were personalised, and people received suitable food and support from health professionals.
The strongest findings were about personalised care, activities, independence and leadership. The home was rated Outstanding overall. Safe, Effective and Caring were rated Good. Responsive and Well-led were rated Outstanding.
Personalised care
Staff used detailed knowledge of people's histories, preferences and communication needs to provide individual support. The home also helped people pursue ambitions and remain as independent as possible.
“The provider, registered manager and staff took exceptional steps to ensure people received personalised care that valued them as individuals.” from the report
Kind relationships
Inspectors saw staff offering reassurance, listening carefully and treating people with dignity. Staff appeared to know people well and had caring relationships with them.
“Throughout the inspection we saw many kind and compassionate interactions.” from the report
Strong leadership
The provider and manager were visible and approachable. Staff said they felt valued and listened to, while people's views were used to shape improvements.
“There was an open and honest culture that ensured people were at the centre of all the service did.” from the report
Earlier topical medicines recording issue
minorAn audit had found that records for giving topical medicines were not always completed accurately. The recording system was improved, and inspectors found the records accurate during this inspection.
“A medicine audit identified that records relating to the administration of topical medicines were not always completed accurately.” from the report
- 01How do you check that records for topical medicines remain accurate?
- 02How do you review staffing levels when a person's needs change?
- 03How will you record and use my relative's history, preferences and interests in their care?
- 04What activities and community opportunities could my relative take part in?
- 05How would you involve our family in decisions about care, health changes and end of life wishes?
This was an unannounced comprehensive inspection covering all five key questions and the overall rating. This explanation was written from the published report of 26 October 2016 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
2 rated inspections over 2 years: the service has held its Outstanding rating throughout.
- April 2019Outstandingcurrent ratingstayed OutstandingSafe: GoodEffective: OutstandingCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- October 2016OutstandingSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding
- December 2014
Registered with the Care Quality Commission on 17 December 2014.
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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38 live-in carers within about an hour of Oxfordshire
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 £980 to £1,300 a week. 32 can care for a couple. 12 years' experience on average.
“We can all fully relax around Nyarai and she feels like part of our family, which is no mean feat!”
“She was v competent and confident and we felt our mum was safe in her care. She supported us through a difficult time.”
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.