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CQC report explained · a nursing home

What the CQC found at Derwent Lodge

Goodpublished 6 July 2018, 8 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The latest report, explained

What inspectors found, March 2022

Inspected but not rated; inspectors found generally good infection controls, but not all staff had recent infection control training.

This was an unannounced, targeted inspection on 15 February 2022. It focused on infection prevention and control during a COVID-19 outbreak, and on whether staffing pressures affected people.

Inspectors found the home was visibly clean. It used cleaning schedules, provided infection control information in written and visual formats, and followed guidance for safe visiting, testing, masks and personal protective equipment.

There was one shortfall. Not all staff had completed recent infection control training, which increased the risk of care not being provided safely. The provider acted immediately after inspectors raised this and completed the training.

What inspectors praised
  • Clean environment

    The home was visibly clean and used cleaning schedules to show that cleaning was taking place.

    “The service was visibly clean, and the domestic staff had completed cleaning schedules to evidence the cleaning was taking place.” from the report
  • Clear infection information

    People received infection prevention information in more than one format, including written and visual information.

    “People were provided with information about infection prevention control (IPC) in a range of formats which included written and visual.” from the report
  • Safe visiting arrangements

    The home followed government guidance for visits during the outbreak, including masks and evidence of a negative lateral flow test.

    “The provider followed current government's guidance on visiting care homes.” from the report
  • Support during isolation

    During the outbreak, people were supported to isolate while their emotional wellbeing was considered.

    “During the active COVID- 19 outbreak, people were supported to isolate, considering their emotional wellbeing.” from the report
What inspectors were concerned about
  • Incomplete recent training

    serious

    Not all staff had completed recent infection prevention and control training. Inspectors said this increased the risk of staff not providing care safely, although the provider took immediate action afterwards.

    “Not all staff had completed recent infection and prevention control (IPC) training. This increased the risk of staff not providing care to people safely.” from the report
Questions to ask them, based on this report
  1. 01Have all staff now completed recent infection prevention and control training?
  2. 02How do you check that infection control training stays up to date?
  3. 03What happens if there is another infection outbreak, and how will residents be supported emotionally while isolating?
  4. 04How are visitors checked for masks, testing and vaccination or exemption requirements?
  5. 05How do you monitor staffing pressures during COVID-19 or other outbreaks?

This was an unannounced targeted inspection of infection prevention and control during a COVID-19 outbreak, with questions about staffing pressures; it was not a full service inspection and the service was not rated. This explanation was written from the published report of 10 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.

An earlier report, explained

What inspectors found, August 2020

Derwent Lodge was inspected but not rated; inspectors found good infection control measures during the COVID-19 pandemic.

Inspectors visited on 6 August 2020. This was an announced, targeted inspection during the coronavirus pandemic. It looked only at infection prevention and control in the home.

Inspectors were assured that the home was using protective equipment safely, following shielding and social distancing rules, and accessing testing for people and staff. They also found suitable cleaning, hygiene and outbreak measures.

The home had increased activities to reduce isolation and had introduced a safer system for visits. People were given information in written and visual formats, and staff had risk assessments and access to wellbeing support.

What inspectors praised
  • Protective equipment

    There was enough protective equipment and staff were using it appropriately.

    “The provider had ensured there was enough supply of personal protective equipment and we saw staff used this appropriately.” from the report
  • Infection control

    The home had changed cleaning products and used steam cleaning to reduce infection risks.

    “Cleaning products had been changed to meet the new infection control and steam cleaning was used to further reduce the risks.” from the report
  • Support for people and staff

    People received information in different formats. Staff at higher risk were assessed and could access wellbeing support.

    “Risk assessments had been completed to consider any staff who maybe at higher risk and measures were in place to support them.” from the report
  • Activities and visiting

    Activities had increased to help reduce isolation, and a safer visiting system was in place.

    “Activities within the service had been increased and promoted to reduce people's risk of isolation.” 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. 01How do you now make sure there is enough protective equipment, and that staff use it safely?
  2. 02How are visitors currently managed to reduce the risk of infection?
  3. 03How do you arrange testing for people living here and for staff?
  4. 04What activities are available to reduce isolation, especially when visiting is restricted?
  5. 05How are the infection prevention and control policy and cleaning arrangements kept up to date?

This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it was not a full inspection and the service was not rated. This explanation was written from the published report of 27 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.

The story over the years

Every inspection of Derwent Lodge

2 rated inspections over 2 years: the service has held its Good rating throughout.

  1. March 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Derwent Lodge →

  2. August 2020Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Derwent Lodge →

  3. July 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. June 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. August 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. May 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. 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

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