CQC report explained · a nursing home
What the CQC found at Corrina Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People felt safe, risks were clearly recorded and staff knew how to respond to safeguarding concerns. Inspectors found good medicines practice and suitable infection control arrangements.
- Effective?
- Good
- People's needs were assessed and care plans were based on those assessments. Staff were trained and supported, although epilepsy training had not been completed for care staff at the time of the inspection and was arranged afterwards.
- Caring?
- Good
- People and relatives described staff as kind, respectful and attentive. People were supported to make choices, keep their independence and have privacy.
- Responsive?
- Good
- Care plans were personalised and regularly reviewed. There was a range of activities and support for communication, although some people felt activities did not suit them and activities for younger people were unclear.
- Well-led?
- Good
- The manager was visible, involved in the home and used audits, feedback and partnerships to improve care. The report describes stable staffing, regular monitoring and an open approach to complaints.
What inspectors found, January 2023
Rated Good; inspectors found kind, safe and well-organised care, with some mixed views about food and activities.
This was an unannounced inspection on 12 December 2022. Inspectors spoke with people, relatives, staff and the manager. They reviewed care records, medicines records, recruitment files and the systems used to monitor the home.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. People said staff were kind, knew their needs and supported their choices. Inspectors found suitable staffing, safe medicines practices, personalised care plans and respectful care.
The inspection was prompted partly by an incident in which a person sustained a serious injury. This was subject to a safeguarding investigation. Inspectors found no evidence during this inspection that people were at risk of harm from this concern.
The home was also rated Good at the previous inspection, published on 27 June 2019. The report says this rating remained Good in all five areas.
Kind and respectful care
People and relatives said staff were kind, attentive and respectful. Inspectors saw polite and dignified interactions during care and mealtimes.
“People were happy living at Corrina Lodge. They told us staff were kind towards them and knew their needs well.” from the report
Personalised care
Care plans recorded people's backgrounds, preferences and important needs. Staff took time to learn what mattered to each person.
“Care plans were personalised, detailed people's background, family history and listed things that were important to them.” from the report
Safe staffing and medicines
Inspectors saw enough staff on duty and found good medicines systems. Staff had the required checks, training and competency assessments.
“There were good medicines practices within the service, which meant people received the medicines their required in line with their prescription.” from the report
Strong management
The manager was visible and used audits, feedback and partnerships to improve the service. The home reported a stable staff team and no use of agency staff.
“Regular monitoring took place to review the quality of service people received.” from the report
Healthcare support
People had access to support from healthcare professionals, including a pharmacist, dietician, GP, dentist and eye specialist.
“There was evidence in people's care records of healthcare professional input which included the GP, speech and language therapy team and community mental health team.” from the report
Limited food choice
minorFeedback about the food was mixed. Some people wanted more choice, and inspectors raised this with the manager.
“People told us, "The choice is fairly limited" and, "Could be better. It would be nice to have more choice.” from the report
Activities may not suit everyone
minorSome people said activities did not match their interests or age group. The report says this was fed back to the manager.
“one or two people did mention that the activities did not always suit them and provision of activities for younger people were a bit vague.” from the report
Epilepsy training
needs fixingCare staff had not received epilepsy training at the time of the inspection, despite people living at the home with epilepsy. The manager later provided evidence that training had been arranged.
“We noticed that care staff had not received training in epilepsy, despite people living at the service with this condition.” from the report
Housekeeping staff pressure
minorHousekeeping staff said they felt under pressure because their team had been reduced. Inspectors had no concerns about cleanliness, and a bank cleaning employee was recruited afterwards.
“We were told by housekeeping staff however that they felt under pressure due to a current reduction in their team.” from the report
- 01Has all care staff training in epilepsy now been completed, and how is staff competence checked?
- 02How do residents help choose meals, and what changes have been made in response to comments about limited choice?
- 03How do you make sure activities suit people of different ages, abilities and interests?
- 04Has the housekeeping team remained fully staffed since the inspection, and how do you monitor cleaning standards?
- 05What was learned from the serious injury incident and the related safeguarding investigation?
This was an unannounced inspection of the whole care home, including the premises and care provided, and it assessed all five CQC questions. This explanation was written from the published report of 26 January 2023 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, June 2019
Corrina Lodge was rated Good; inspectors found safe, kind care, but records and some staff practice still needed improvement.
This was an unannounced inspection on 23 May 2019. Inspectors spoke with nine people, seven relatives and seven staff. They reviewed care records, medicines records, staff files and the home's management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found improvements in staffing, medicines, staff training, legal decision-making and management since the previous inspection.
People generally felt safe and well cared for. They enjoyed a choice of food and activities, had access to health professionals and were involved in decisions. However, some care plans were not detailed or easy to read, and inspectors saw some occasions where staff practice did not fully protect people's dignity.
Safety improvements
Risks were identified and managed through care plans, equipment checks and monitoring of accidents. People and relatives generally felt safe.
“Risks to people's safety and well-being were known to staff and measures were in place to minimise them.” from the report
Medicines
Medicines were stored and administered safely. Inspectors found complete medicines administration records with no gaps.
“MAR charts were signed following each administration and no gaps were identified.” from the report
Staff skills
Training and supervision had improved. New staff shadowed experienced workers, and training covered people's specific health needs.
“Staff received regular supervision to support them in their roles.” from the report
Open leadership
The home had regular audits and meetings, and people, relatives and staff were involved in decisions about improvements.
“People, relatives and staff were encouraged to take an active role in the continued development of the service through a variety of different forums.” from the report
Care plan detail
needs fixingCare plans did not always include the personalised information and guidance staff needed. Some handwritten records were also difficult to read, and inspectors recommended that the review should continue.
“Although staff were aware of people's needs and responded to them, people's care plans did not always contain this personalised information and guidance for staff to follow.” from the report
Respectful practice
needs fixingInspectors saw some staff fail to check people's comfort or preferred position. Clothing protectors were put on without discussion and were sometimes called bibs.
“Despite these positive comments we observed on some occasions staff did not always fully demonstrate caring values.” from the report
Staffing in one area
needs fixingStaffing had improved overall, but inspectors still had concerns about staffing in one area of the home. The provider said staffing would be increased there.
“There were continued concerns in one area of the service which were addressed by the provider and registered manager following our inspection.” from the report
End-of-life records
minorEnd-of-life care plans contained only basic information. The manager agreed that more personal detail would be helpful and said this would be added.
“The registered manager acknowledged that additional personalised details would be beneficial and assured us this would be implemented.” from the report
- 01What staffing changes have been made in the area where inspectors found continued concerns, and how are you checking that they are effective?
- 02How do you make sure each care plan contains clear, personalised guidance and is easy for staff to read?
- 03What checks are now in place to make sure staff ask about people's comfort and preferences and use respectful language?
- 04How do you review capacity assessments when a person's needs change?
- 05How have you added personal wishes and preferences to end-of-life care plans?
This was an unannounced planned inspection of all five CQC areas, following the previous Requires Improvement rating. This explanation was written from the published report of 27 June 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.
Every inspection of Corrina Lodge
5 rated inspections over 7 years: the service has held its Good rating throughout.
- January 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2019Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2018Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- November 2017Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- August 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
- August 2014
Report published without a new overall rating.
- September 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- February 2011
Registered with the Care Quality Commission on 15 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.
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