CQC report explained · a nursing home
What the CQC found at Eaton Lodge Nursing Home
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, January 2022
Eaton Lodge Nursing Home was rated Good after inspectors found safer, more personalised care, although some management improvements were still in progress.
Inspectors made an unannounced focused inspection on 14 December 2021. They spoke with people living in the home, relatives and staff, and checked care records, medicines, recruitment files and management records.
The home was rated Good for Safe, Responsive and Well-led. Inspectors found enough staff, safe medicines systems, suitable risk assessments and improved care plans that recorded people's routines, choices and preferences.
People said they felt safe and that staff were kind and caring. The home was clean, infection control measures were in place, complaints were investigated and people were supported to keep in touch with family and follow their interests.
The overall rating improved from Requires Improvement to Good. Inspectors said the home had made enough improvement to no longer be in breach of Regulation 17, although the new manager was still registering with the CQC and some improvements were continuing.
Safe staffing
Inspectors found enough staff to meet people's needs. Regular agency staff covered vacancies and knew the people they supported.
“There were enough staff to meet people's needs.” from the report
Personalised care plans
Care plans had been improved so they included people's routines, choices and preferences. Staff supported people in the way they preferred.
“Care plans now contained details about people's choices and preference including their routines.” from the report
Medicines and risk management
Medicines were administered, stored and recorded safely. Risks such as falls, wounds, diabetes and the use of equipment had been assessed.
“Medicines were managed safely. Nurses administered people's medicines, they received refresher training and their competency was checked.” from the report
Family relationships
People were supported to keep in touch with relatives through visits, video calls and telephone calls. They could also take part in community activities where appropriate.
“People were supported to maintain relationships that were important to them.” from the report
Improved oversight
The provider had increased monitoring of the home. Audits identified shortfalls and an action plan was being used to address them.
“The provider had continued to improve their oversight of the service, they visited the service weekly speaking to people and staff.” from the report
Resident involvement
minorResident meetings had not taken place during the previous year. The manager was developing plans to involve people more in the service.
“Resident meetings had not been held in the past year” from the report
Family communication
needs fixingRelatives said that communication had been affected by changes in managers. The new manager was working to improve contact with relatives.
“Relatives told us the change in managers over the last year had affected communication.” from the report
Activities still developing
minorA new activities co-ordinator was developing the role, and inspectors noted that activities remained an area for continued improvement.
“The manager told us activities was an area that would be focused on to continue with improvements.” from the report
- 01How are you making sure residents are involved in regular meetings and decisions about the home?
- 02What has changed to improve communication with relatives since the change in managers?
- 03What activities are now available, and how are residents' interests and hobbies being used to plan them?
- 04Has the manager completed CQC registration, and what is the current position?
- 05How are you checking that the improvements in care plans continue to be maintained?
This was a focused inspection of Safe, Responsive and Well-led; Effective and Caring were not assessed during this visit and the previous ratings for areas not looked at were carried forward. This explanation was written from the published report of 7 January 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, December 2020
Inspected but not rated; inspectors were assured that infection prevention and control arrangements were safe.
This was an unannounced, targeted inspection on 30 November 2020. Inspectors looked at infection prevention and control arrangements during the coronavirus pandemic.
They found the home was clean, with extra cleaning of frequently touched areas. Staff were using personal protective equipment properly, and equipment was available around the home.
Inspectors were assured about visitor controls, social distancing, admissions, testing, outbreak management and the infection control policy. The service was inspected but not rated, so this report does not give an overall quality rating.
Clear information for residents
People were given information about pandemic-related changes, including PPE, social distancing and isolation when needed.
“People had been given information to help them understand the changes that had been made due to the pandemic.” from the report
Clean environment
The home was clean and had increased cleaning of areas that people often touched.
“The service was clean and extra cleaning duties were being carried out such as regular deep cleaning and cleaning of areas that were often touched.” from the report
PPE and infection control
Staff used PPE appropriately, with fully equipped stations available around the home. Inspectors were assured that the provider was following infection control guidance.
“Fully equipped PPE 'stations' had been distributed around the service to ensure PPE was available to staff when needed.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visitors currently prevented from catching or spreading infections?
- 02How often are frequently touched areas cleaned, and how is this checked?
- 03What PPE is available to staff now, and how do you check that it is used correctly?
- 04How are residents and staff tested, and what happens if someone tests positive?
- 05How do you safely admit new residents and manage any infection outbreak?
This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it did not rate the other areas of care. This explanation was written from the published report of 25 December 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.
Every inspection of Eaton Lodge Nursing Home
6 rated inspections over 5 years: the service has improved, from Inadequate to Good.
- January 2022Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2020Inspected but not ratedSafe: Inspected but not rated
- September 2019Requires improvementstayed Requires improvementSafe: GoodResponsive: Requires improvementWell-led: Requires improvement
- August 2018Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- June 2018Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- February 2017Requires improvementup from InadequateSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- July 2016InadequateSafe: InadequateEffective: InadequateCaring: Requires improvementResponsive: InadequateWell-led: Inadequate
- September 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- November 2011
Report published without a new overall rating.
- February 2011
Registered with the Care Quality Commission on 25 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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