CQC report explained · a residential care home
What the CQC found at Ebor Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about PPE, testing, visiting, hygiene, admissions, outbreak management and the infection control policy. The provider also said it had measures to manage COVID-19-related staffing pressures.
- Effective?
- Good
- This area was not assessed in this targeted inspection.
- Caring?
- Good
- This area was not assessed in this targeted inspection.
- Responsive?
- Good
- This area was not assessed in this targeted inspection.
- Well-led?
- Requires improvement
- This area was not assessed in this targeted inspection.
What inspectors found, February 2022
Inspected but not rated; inspectors found good infection control and visiting arrangements during the COVID-19 pandemic.
The inspection took place on 2 February 2022 and was announced 24 hours in advance. It was a targeted check of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures.
Inspectors found that the home was using personal protective equipment safely, arranging visits in line with guidance, and providing regular testing for people and staff. Staff had infection control training and had received COVID-19 vaccinations where required.
The home was inspected but not rated. The report only records findings about infection control and related arrangements, so it does not give an overall quality rating or ratings for most areas of care.
Infection control
Inspectors were assured that the home was using PPE safely, keeping its infection control policy up to date and managing infection risks.
“We were assured that the provider's infection prevention and control policy was up to date.” from the report
Testing and vaccination
People and staff were included in regular testing. The home met the requirement for non-exempt staff and visiting professionals to be vaccinated.
“People and staff were part of a regular testing programme.” from the report
Further development
minorCQC signposted the provider to resources to develop its approach. The report does not explain what specific improvement was needed.
“We have also signposted the provider to resources to develop their approach.” from the report
- 01What infection prevention and control arrangements are in place now, and how are they checked?
- 02How are visits currently arranged, including visits during any infection outbreak?
- 03How do you manage staffing pressures if staff are absent because of COVID-19?
- 04How do you provide testing and vaccination checks for staff and visiting professionals?
- 05What changes did you make after CQC signposted resources to develop your approach?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it did not rate the other areas of care. This explanation was written from the published report of 12 February 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 2020
Ebor Lodge was rated Good overall; inspectors found safe, kind and responsive care, but well-led was Requires Improvement.
This was an unannounced inspection on 15 January 2020. Inspectors spoke with five people, three relatives and five staff. They reviewed care records, medicine records, staff files and management information.
The home was rated Good for safe, effective, caring and responsive care. Inspectors found enough staff, safe medicine systems, kind support, personalised care and meaningful activities.
The well-led rating was Requires Improvement. Governance systems had improved but were not yet fully embedded. Inspectors found gaps in one recruitment file, outdated information in some care records and policies that did not show they had been reviewed.
The overall rating improved from Requires Improvement at the previous inspection. The provider was no longer in breach of the two regulations identified previously.
Safe staffing and medicines
Inspectors found enough staff to meet people's needs and saw that medicines were given at the right time. Staff were trained and their medicine skills were checked.
“Medicines systems were organised, and people were receiving their medicines when they should.” from the report
Kind and respectful care
People and relatives spoke positively about the staff. Inspectors saw staff using person-centred communication and respecting people's privacy, choices and independence.
“Staff consistently interacted with people in a person-centred way.” from the report
Personalised support
Care plans included people's routines, preferences and support needs. People and their representatives were involved in reviewing their care.
“Care plans were detailed, and person centred.” from the report
Meaningful activities
People could take part in regular activities and outings that matched their interests. Inspectors saw people engaged in games, music and social activities.
“People were absorbed and engaged, and there was some dancing and singing.” from the report
Management checks not fully established
needs fixingThe home's quality monitoring systems had improved but were not yet fully embedded. They had failed to identify a gap in one staff recruitment file.
“The provider had systems in place to monitor the quality of the service, however these were not fully embedded into their systems.” from the report
Outdated information in care records
seriousSome old information had not been removed from care plans and risk assessments. Inspectors said this could lead to the wrong care or support being given.
“However, older outdated information was not always removed creating some conflicting information which could put people at risk of incorrect care and support.” from the report
Policies did not show recent review
minorMany policies were dated 2017 or 2018 and did not show that they had been reviewed or updated, even though the policies inspectors checked were in line with current procedures.
“Most were dated 2017 or 2018 and were not showing they had been reviewed or updated.” from the report
- 01How are you checking that care plans and risk assessments contain only current information?
- 02What new checks make sure all recruitment documents are complete before staff start work?
- 03How are you making sure the quality-monitoring systems are now fully embedded?
- 04When were the home's policies last reviewed, and how will future reviews be recorded?
- 05What activities and outings are currently available, and how are they matched to each person's interests?
This was an unannounced planned inspection covering all five key questions, including the premises and care provided; no one was receiving end-of-life care during the visit. This explanation was written from the published report of 29 January 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 Ebor Lodge
4 rated inspections over 4 years: the service has held its Good rating throughout.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- January 2020Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- December 2018Requires improvementstayed Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- October 2017Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- October 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2014
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- May 2012
Registered with the Care Quality Commission on 1 May 2012.
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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13 live-in carers within about an hour of Kingston upon Hull, City of
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 £1,020 to £1,350 a week. 12 can care for a couple. 8 years' experience on average.
“What truly stands out is how mindful and attentive she is to all of my medical needs, always going above and beyond to ensure I’m comfortable and well cared for.”
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