CQC report explained · a nursing home
What the CQC found at Courtlands Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found good infection prevention and control arrangements. They were assured about cleaning, visiting, protective equipment, testing, admissions and managing outbreaks.
- Effective?
- Good
- This targeted inspection did not assess this question.
- Caring?
- Good
- This targeted inspection did not assess this question.
- Responsive?
- Good
- This targeted inspection did not assess this question.
- Well-led?
- Good
- This targeted inspection did not give a rating for this question, although inspectors found good oversight of the COVID-19 outbreak and infection control.
What inspectors found, March 2022
Inspected but not rated; inspectors found good infection control and safe visiting arrangements after a COVID-19 outbreak.
Inspectors visited the home on 11 February 2022. The visit was announced 24 hours in advance and was triggered by a recent COVID-19 outbreak.
This was a targeted inspection. Inspectors looked mainly at infection prevention and control, visiting arrangements and the effect of any COVID-19-related staffing pressures.
The home was clean and staff followed infection control guidance. Visitors used testing and protective equipment, and people had support with COVID-19 testing, vaccination and individual risk assessments. The home was inspected but not rated, so this report does not give an overall quality rating.
Clean environment
The home was clean and had schedules for regular cleaning, including high-touch areas.
“The service was clean. There were clear cleaning schedules to ensure that all areas of the home were cleaned.” from the report
Safe visiting
Visitors were required to follow infection control measures, including testing and using protective equipment.
“Visiting procedures were robust to reduce the risk of COVID-19.” from the report
Staff infection control
Staff had relevant training, took part in testing and vaccination, and were observed using the correct protective equipment.
“Staff participated in the testing and vaccination programme. We observed staff wearing the correct PPE throughout our inspection.” from the report
Support for people
People were supported to take part in COVID-19 testing and vaccination, and their individual COVID-19 risks were assessed.
“People had been supported to participate in the COVID-19 testing programme and vaccination programme.” from the report
Inspectors raised no specific concerns in this report.
- 01What visiting arrangements are currently in place, and how are visitors supported to use protective equipment safely?
- 02How would the home manage another COVID-19 outbreak?
- 03How are COVID-19-related staffing pressures being managed, and what effect could they have on care?
- 04How are people’s individual risks from COVID-19 reviewed and updated?
- 05How does the home keep staff training and checks on infection control up to date?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it did not provide a full rating of the home or assess all five areas of care. This explanation was written from the published report of 3 March 2022 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, January 2019
Rated Good; inspectors found safe, kind and personalised care, with a brief medicines security lapse.
This was an unannounced comprehensive inspection on 17 December 2018. One inspector reviewed information held by CQC, spoke with seven people using the home and several staff, observed care, and checked care, staffing, training and quality records.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough trained staff, safe medicines processes, suitable care planning, good access to healthcare and kind support.
People said they enjoyed living at the home and that staff were friendly and supportive. The home supported people's choices, independence, interests and community activities, and had systems for complaints and quality checks.
The report says the rating remained Good, as it had been at the previous inspection in March 2016. Inspectors did note that a medicines trolley was briefly left unlocked and unattended, although it stayed within staff eyesight.
Personalised support
Staff knew people's likes, dislikes and preferences. Activities and support were planned around each person's interests and needs.
“People received personalised care that was responsive to their needs.” from the report
Good safety planning
The home assessed individual risks, investigated incidents and had emergency plans. Staff understood how to protect people from harm while avoiding unnecessary restrictions.
“Staff had an excellent knowledge and understanding of the specific risks to each person and the steps they could take to control the risks.” from the report
Support for independence
People were supported to make choices, take part in household tasks, access the community and maintain their interests.
“This promoted their independence and gave them a pride in their surroundings.” from the report
Active management oversight
The manager and provider used regular audits, meetings and feedback to monitor the service and act on improvements.
“Effective systems were in place to monitor the quality of the service and the care provided.” from the report
Medicines trolley left unsecured
minorInspectors saw the medicines trolley left unlocked and unattended briefly, although it remained within staff eyesight. The manager said this was not usual practice and would not happen again.
“However, we observed an occasion during the administration of medicines, when the medicines trolley was left unlocked and unattended briefly, although it was within the eye sight of the member of staff.” from the report
Accessible information still developing
minorThe home provided some large print and easy read information, but the manager said accessible information arrangements were still being developed.
“They said they were further developing accessible information, although provided information in large print and easy read format.” from the report
- 01What changes were made after the medicines trolley was found unlocked and unattended?
- 02How do you check that medicines are secure throughout administration rounds?
- 03What accessible information is available for someone who needs easy read, large print or pictorial information?
- 04How are a person's individual interests and community activities included in their care plan?
- 05How are people and their families involved in reviewing care plans and giving feedback?
This was an unannounced comprehensive inspection covering the overall service and all five key questions; the Good ratings had remained unchanged since March 2016. This explanation was written from the published report of 8 January 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 Courtlands Lodge
2 rated inspections over 3 years: the service has held its Good rating throughout.
- March 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- January 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- March 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 18 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.
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9 live-in carers within about an hour of Lincolnshire
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.
8 can care for a couple. 10 years' experience on average.
“Martin was more than a carer, he managed the home and became my uncle's best friend, enriching his life during his last few years.”
“Magda was always positive and proactive about trying new things to keep dad busy. She also introduced new ideas for keeping dad healthy.”
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.