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CQC report explained · a residential care home

What the CQC found at Coneygar Lodge

Outstandingpublished 27 November 2018, 7 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Good
Inspectors were assured that the home was using PPE safely, supporting testing, managing infection risks and keeping its infection control policy up to date.
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.
The latest report, explained

What inspectors found, March 2021

Inspected but not rated; inspectors found good infection control practice during the COVID-19 pandemic.

This was an announced, targeted inspection on 17 February 2021. It checked how the home was preventing and controlling infections during the coronavirus pandemic.

Inspectors found good practice. Staff had extra training, suitable protective equipment was available, infection control audits were completed, and the home had arrangements for testing, isolation and visitors.

The home was inspected but not rated. This report does not give an overall quality rating or ratings for the other four areas of care.

What inspectors praised
  • Protective equipment

    Staff had extra training and understood how to use protective equipment. The home had stocks of masks, gloves, aprons and hand sanitiser.

    “There were sufficient stocks available including masks, gloves, aprons and hand sanitiser.” from the report
  • Infection control oversight

    A dedicated infection control lead supported staff, and audits and action plans helped the registered manager monitor infection control.

    “Infection prevention and control audits took place and action plans were developed to follow up on any required actions.” from the report
  • Support for visitors and relatives

    The home had a booking system and provided visitors with protective equipment and hand gel. Staff also helped people keep in touch with relatives during isolation.

    “Staff supported people and their relatives to understand the isolation processes and how the service could help to alleviate them feeling lonely, such as video calls with friends and loved ones.” 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. 01Are visitor pods still available, and how does the current booking system work?
  2. 02How are people and staff tested for COVID-19 now?
  3. 03Who is currently responsible for infection control, and how are any actions from audits followed up?
  4. 04How are people supported if they need to isolate or cannot receive a normal visit?
  5. 05What are the current arrangements for PPE, hand sanitiser and infection control training?

This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it did not provide a full service rating or ratings for the other four areas. This explanation was written from the published report of 3 March 2021 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, November 2018

Rated Outstanding; inspectors found exceptionally caring, personalised care, with Safe and Effective rated Good.

This was an unannounced inspection of the home. Inspectors visited on dates recorded in different parts of the report as 14 and 17 September 2018, and 17 and 18 September 2018. They spoke with people living there, relatives, staff, visitors and health professionals, observed care, and checked care, recruitment and management records.

The home was rated Outstanding overall. Caring, Responsive and Well-led were rated Outstanding. Safe and Effective were rated Good. Inspectors found kind staff who knew people well, supported their independence and helped them maintain interests, friendships and community links.

Inspectors found safe medicines systems, enough staff, suitable training, good meals and effective links with health services. The report also says two lasting power of attorney documents were not held on file, but the manager arranged for copies to be brought in immediately.

What inspectors praised
  • Kind and respectful care

    People and relatives consistently described staff as compassionate and caring. Inspectors observed respectful relationships and a calm, friendly atmosphere.

    “Without exception, people and their relatives told us about the very kind and caring approach from staff.” from the report
  • Personal interests and activities

    Staff helped people reconnect with past interests, including art, singing and community activities. People who did not want group activities were offered individual time.

    “Many examples were shared in regards how people had been engaged to take up lifelong interests, which recreated a sense of belonging and purpose.” from the report
  • Responding to changing needs

    The home reviewed care and arranged equipment when people's needs changed. This helped people remain at the home and continue to live as independently as possible.

    “The service responded to people changes in need.” from the report
  • Safe medicines and staffing

    Medicines were stored, administered and recorded safely. Inspectors also found enough staff and appropriate recruitment checks.

    “The service had safe arrangements for the ordering, storage and disposal of medicines.” from the report
  • Strong leadership

    Inspectors found committed leadership, a whole-team approach and quality checks aimed at continuous improvement.

    “The service was exceptionally well led. The service benefitted from strong leadership.” from the report
What inspectors were concerned about
  • Missing legal documents

    minor

    Two lasting power of attorney documents were not held in people's care files when checked. The manager arranged for copies to be brought in immediately.

    “The registered manager explained they were aware of the relatives who held LPAs, but found that two documents were not held on record.” from the report
Questions to ask them, based on this report
  1. 01How will you make sure all lasting power of attorney documents are kept in the correct care files?
  2. 02How would you update my relative's care plan if their health or mobility changed?
  3. 03How would you support my relative's hobbies, faith, communication needs and choice about activities?
  4. 04How are medicines checked if there is an error or if a medicine is time-specific?
  5. 05How many staff would usually be available for my relative's needs, including during sickness or emergencies?

This was an unannounced inspection covering all five key questions, with care, premises, records, staff and people's experiences considered; the report gives conflicting visit dates. This explanation was written from the published report of 27 November 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.

The story over the years

Every inspection of Coneygar Lodge

2 rated inspections over 3 years: the service has improved, from Good to Outstanding.

  1. March 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Coneygar Lodge →

  2. November 2018Outstandingup from Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding

    Read what inspectors found at Coneygar Lodge →

  3. April 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. December 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. 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.

Next steps

Weigh the report against the rest

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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 £1,040 to £1,340 a week. 11 can care for a couple. 10 years' experience on average.

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