CQC report explained · a nursing home
What the CQC found at Foresters Lodge
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, February 2021
Inspected but not rated; inspectors found good infection control arrangements during the COVID-19 pandemic.
The inspection took place on 11 February 2021 and was announced. It was a targeted inspection of infection prevention and control in response to the coronavirus pandemic.
Inspectors found that visitors were screened, had temperature checks and were given personal protective equipment. Hand sanitising facilities, supplies of protective equipment and clinical waste bins were available.
Staff had infection control training and updated COVID-19 training. People and staff received regular tests, cleaning of frequently touched areas had increased, and the home followed guidance on admissions, isolation, social distancing and outbreaks.
The home was inspected but not rated. This means the inspection did not give an overall quality rating or a rated judgement for the other four questions.
Visitor safety
Visitors were screened and were required to use hand sanitiser and protective equipment before entering.
“Effective systems were in place to ensure visitors to the service followed government guidelines for wearing Personal Protective Equipment (PPE).” from the report
Protective equipment
The home had good supplies of protective equipment in accessible stations, with clinical waste bins available for staff.
“The service had good supplies of PPE that were readily available in stations throughout the service.” from the report
Cleaning and training
Staff had infection control training, and cleaning schedules included more frequent cleaning of commonly touched surfaces.
“Staff had received infection control training. Cleaning schedules had been enhanced to include more frequent cleaning of touch points such as handrails and light switches.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visitors currently screened and supported to use protective equipment?
- 02How often are frequently touched areas such as handrails and light switches cleaned now?
- 03How does the home currently arrange testing for people living here and staff?
- 04What procedures are used when a new resident is admitted or someone needs to isolate?
- 05How would the home manage an infection outbreak?
This was an announced targeted inspection of infection prevention and control during the coronavirus pandemic; it was not a full inspection and the service was inspected but not rated. This explanation was written from the published report of 24 February 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, January 2019
Foresters Lodge is rated Good; inspectors found safe, kind and personalised care, with some minor record-keeping and activity shortfalls.
This was a comprehensive inspection on 21 and 26 November 2018. The first day was unannounced. Inspectors spoke with people, relatives, staff and managers, observed care, and checked care plans, medicines, staff files and other records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People told inspectors they felt safe, staff were caring, and there were enough staff with suitable training.
Inspectors found detailed care plans, safe medicines procedures, access to nursing and other health professionals, and regular checks on quality. They noted some omissions in food and fluid charts, minor omissions in care plans and that activities were lacking in some areas.
The overall Good rating was unchanged from the previous inspection. The report says there was no evidence of serious risks or concerns.
People felt safe
People and relatives told inspectors they felt safe. Staff understood safeguarding and how to report concerns.
“People living at Foresters Lodge and their relatives told us they felt safe.” from the report
Caring relationships
Inspectors saw staff being patient, considerate and reassuring. People were treated with dignity and respect.
“We saw that people were happy, content and well cared for which demonstrated the positive impact for people living at Foresters Lodge.” from the report
Personalised care
Care plans were detailed and reflected people's individual needs. People could choose when they received care and support.
“People received personalised care that responded to their needs.” from the report
Staffing and training
Inspectors found enough staff on duty and robust recruitment checks. Staff had basic and specialist training to meet people's needs.
“Staff were well trained in basic care and in specialist subjects giving them the knowledge they required to care for people who used the service.” from the report
Quality checks
The home had regular monitoring, management meetings and discussions about lessons learned. These systems were used to identify improvements.
“The quality monitoring had been robust.” from the report
Incomplete recording
minorFood and fluid charts had some omissions. Inspectors believed people had enough to eat and drink, but the records were not always complete.
“Food and fluid charts were completed but there were some omissions.” from the report
Minor care-plan omissions
minorSome minor omissions were found in care plans. These were completed after the clinical lead nurse was told, and inspectors found no impact on people.
“We did note some minor omissions in care plans but these were completed as soon as the clinical lead nurse was informed.” from the report
Activities and going out
needs fixingInspectors found activities were lacking in some areas. One person wanted to go out more, and inspectors discussed how staff could become more involved to reduce social isolation.
“We observed activities were lacking in some areas.” from the report
- 01How do you now make sure food and fluid charts are completed fully and accurately?
- 02How do you check that care plans contain all the information staff need?
- 03What activities are available now for people who do not join group activities?
- 04How do you support people who want to go out more often?
- 05What changes were made after the local authority improvement notice, and how are those changes checked?
This was a comprehensive inspection covering all five questions, and all five Good ratings remained unchanged from the previous inspection. This explanation was written from the published report of 15 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 Foresters Lodge
2 rated inspections over 3 years: the service has held its Good rating throughout.
- February 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- January 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- August 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 12 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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16 live-in carers within about an hour of East Riding of Yorkshire
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 £1,030 to £1,420 a week. 14 can care for a couple. 7 years' experience on average.
“She was always 'just present enough': attentive, available, kind and engaging, but without ever over-stepping any boundary”
“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.”
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.