CQC report explained · a residential care home
What the CQC found at Faldonside Lodge
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- Inspectors were assured about infection prevention and control, including PPE, testing, social distancing, hygiene, admissions and managing possible outbreaks.
- Effective?
- Good
- This question was not covered by this targeted inspection.
- Caring?
- Outstanding
- This question was not covered by this targeted inspection.
- Responsive?
- Outstanding
- This question was not covered by this targeted inspection.
- Well-led?
- Outstanding
- This question was not covered by this targeted inspection.
What inspectors found, March 2021
Faldonside Lodge was inspected but not rated; inspectors found good COVID-19 infection prevention arrangements.
This was an announced, targeted inspection on 19 February 2021. It focused on infection prevention and control during the coronavirus pandemic.
Inspectors found that people's COVID-19 risks had been assessed and that care plans explained how staff should reduce those risks. Staff used PPE correctly, supplies were available, and visitors were given clear instructions about PPE and social distancing.
People and staff were tested at the required intervals. The home supported contact with relatives through visits, telephone calls and video calls, with screens and a booking system used for face-to-face visits.
The service was inspected but not rated. This report does not give an overall rating or ratings for the other four questions.
Individual risk plans
People's COVID-19 risks had been assessed, with care plans setting out the actions staff should take to reduce those risks.
“People's individual risks in relation to COVID-19 had been assessed and care plans were in place to detail what actions staff should take” from the report
PPE arrangements
Staff were observed using PPE in line with government guidance. The home had enough supplies and several PPE stations.
“There were sufficient stocks of PPE, and a number of PPE stations throughout the home.” from the report
Visitor precautions
Visitors were given clear information about PPE and social distancing, with hand sanitiser available inside the home.
“There was clear signage on display on the exterior of the service.” from the report
COVID-19 testing
People living in the home and staff were tested at the intervals required by government guidance.
“People living in the service and staff were tested for COVID-19 at the intervals stipulated by government guidelines.” from the report
Family contact
The home supported contact with relatives through face-to-face visits, telephone calls and video calls. Screens and a booking system were used for visits.
“People were supported to maintain contact with their relatives either by face to face visits, telephone, and video-calling.” from the report
Inspectors raised no specific concerns in this report.
- 01How are each person's COVID-19 risks and care plans reviewed now?
- 02How do you make sure PPE supplies and PPE stations remain available?
- 03How often are people living here and staff tested, and what happens if someone tests positive?
- 04How are face-to-face visits arranged, and are screens and social distancing still used?
- 05How do you keep the infection prevention and control policy up to date?
This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it did not rate the other four key questions or give an overall rating. This explanation was written from the published report of 17 March 2021 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, February 2020
Faldonside Lodge rated Outstanding; inspectors found exceptionally caring, responsive and well-led care, with only minor recording issues.
Inspectors visited unannounced on 27 January 2020. They spoke with people living in the home, relatives, staff and health professionals. They also reviewed care, medicine, recruitment, training, maintenance and management records.
The home was rated Outstanding overall. Caring, Responsive and Well-led were Outstanding. Safe and Effective were Good. Inspectors found people received highly personalised care, were treated with kindness and were supported to make choices.
The home had enough trained staff, managed risks, gave medicines safely and supported people's health, nutrition and communication needs. A few minor issues were found, including incomplete recording of some water safety checks, and these were acted on immediately.
The previous overall rating was Good, published on 5 July 2017. Caring, Responsive and Well-led had each improved from Good to Outstanding.
Highly personalised care
Care was built around each person's needs, preferences, history and wishes. Staff were described as thoughtful, caring and accepting.
“People received exceptionally individualised care from staff who were thoughtful, caring and accepting.” from the report
Kind and respectful staff
Inspectors found warm relationships between staff and residents. People were treated as individuals and supported with dignity and compassion.
“People's individuality was celebrated, and they were made to feel valued and enabled.” from the report
Responsive to people's lives
The home supported people to continue interests, attend community events and maintain important relationships. It also adapted care quickly when people became unwell.
“People received exceptionally person-centred care that was adapted to meet their needs, preferences and wishes.” from the report
Strong team culture
Staff felt supported and involved, while families and health professionals described good communication and strong working relationships.
“The registered manager nurtured a supportive and inclusive culture within the staff team that meant staff were dedicated, open and skilled in their roles.” from the report
Some medicines practice needed correction
minorInspectors found minor issues in medicines practice. The manager took immediate action, but families should ask what was found and how medicine checks are now recorded.
“Good practice was mostly followed. Where we found minor issues with this, the registered manager took immediate action to rectify it.” from the report
Water safety checks were not recorded
minorStaff were flushing taps and descaling equipment, but these actions were not being recorded. The manager contacted contractors to assess the risk immediately.
“However, although staff were regularly flushing taps and descaling equipment, their actions were not being recorded.” from the report
- 01What were the minor medicines issues found at the inspection, and how do you check that medicines are now recorded correctly?
- 02How are tap flushing and equipment descaling recorded and checked now?
- 03How would you support my relative's particular communication needs, including any language, hearing or technology needs?
- 04How do you adjust staffing when residents' needs or dependency levels change?
- 05How would you support my relative to continue their interests, relationships and community activities?
This was an unannounced comprehensive inspection of the care home, covering all five rating areas, the premises and the care provided. This explanation was written from the published report of 12 February 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 Faldonside Lodge
3 rated inspections over 5 years: the service has improved, from Good to Outstanding.
- March 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- February 2020Outstandingup from GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- July 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 16 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.
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13 live-in carers within about an hour of Norfolk
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 £990 to £1,120 a week. 9 can care for a couple. 14 years' experience on average.
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.