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CQC report explained · a residential care home

What the CQC found at Freckleton Lodge

Goodpublished 17 December 2020, 5 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured that the home managed infection risks, including testing, PPE, isolation, cleaning, visiting and COVID-19 vaccinations. The provider also said it had measures to manage COVID-19-related staffing pressures.
Effective?
Good
This area was not rated in this targeted inspection.
Caring?
Good
This area was not rated in this targeted inspection.
Responsive?
Good
This area was not rated in this targeted inspection.
Well-led?
Good
This area was not rated in this targeted inspection.
The latest report, explained

What inspectors found, February 2022

Inspected but not rated; inspectors found good infection control, safe visiting arrangements and appropriate COVID-19 precautions.

This was an unannounced, targeted inspection on 21 January 2022. It focused on infection prevention and control during the COVID-19 pandemic, as well as staffing pressures.

Inspectors found the home was clean and well maintained. Staff used protective equipment correctly, testing was carried out, vaccination requirements were met, and the home followed guidance for isolation and visiting.

The home was inspected but not rated. This means the visit did not give an overall quality rating or a rated score for the five areas of care.

What inspectors praised
  • Infection control

    The home had written infection control procedures, regular testing and arrangements for isolating people who tested positive.

    “The provider's infection control policy and procedures helped to ensure the service adopted best practice which followed current guidance.” from the report
  • Cleanliness

    The home was clean and maintained. Cleaning was planned, properly equipped and monitored by the registered manager.

    “Staff followed written schedules for cleaning each area of the home.” from the report
  • Protective equipment

    Staff had COVID-19 training, used PPE appropriately and had enough PPE available.

    “We observed staff used personal protective equipment (PPE) appropriately. The service had ample stocks of PPE.” from the report
  • Visiting arrangements

    The home supported safe visits in several ways, including bedroom visits, a visiting pod and window visits. It also supported telephone and video contact.

    “The service facilitated safe visiting in line with current guidance.” 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 are you managing staffing pressures when staff are absent because of COVID-19?
  2. 02How do you currently arrange visits during an outbreak, including visits for essential care givers and people at the end of their lives?
  3. 03How often are residents and staff tested, and what happens if someone tests positive?
  4. 04How do you check that cleaning schedules, PPE use and infection control procedures are being followed?
  5. 05Are all non-exempt staff and visiting professionals still fully vaccinated against COVID-19?

This was an unannounced targeted inspection of infection prevention and control and COVID-19-related staffing pressures; the service was inspected but not rated. This explanation was written from the published report of 26 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.

An earlier report, explained

What inspectors found, December 2020

Rated Good; inspectors found strong infection controls, safe care and effective management during the pandemic.

This was an unannounced inspection on 24 November 2020. One inspector spoke with four people, five staff and the registered manager. They checked the building, two care records, staffing, recruitment, medicines and management records.

The home was rated Good overall. Safe and Well-led were both rated Good. Inspectors found good infection control, enough staff, safe medicines procedures and good systems for managing risks and checking quality.

The other three areas, Effective, Caring and Responsive, were not inspected during this visit because no concerns had been identified. Their previous ratings were used when calculating the overall rating.

What inspectors praised
  • Infection control

    The home had detailed infection control arrangements, regular cleaning and good supplies of protective equipment. Staff were observed using protective equipment correctly.

    “There were good stocks of PPE and infection control stations throughout the home.” from the report
  • Safe staffing and medicines

    People and staff said staffing levels were sufficient, and inspectors found staff responded quickly. Medicines were given safely and as prescribed, including for people who managed their own medicines.

    “Staff were patient and responded to people's needs quickly.” from the report
  • Management and feedback

    The management team had systems to check the quality of the home and gave people, visitors and staff ways to share their views. Feedback was used to make changes.

    “The Management team provided multiple opportunities to assist people, visitors and staff to feed back their experiences of living and working at the home.” 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. 01What were the previous ratings for Effective, Caring and Responsive, which were not inspected during this visit?
  2. 02How are infection control procedures and protective equipment managed now?
  3. 03How do you check that medicines are given safely and that people who self-administer them remain safe?
  4. 04How can residents and relatives give feedback, and what changes have been made in response?
  5. 05How do you check staffing levels meet people's needs when needs change?

This was a focused inspection of Safe and Well-led, including infection prevention and control; Effective, Caring and Responsive were not inspected and their previous ratings carried over. This explanation was written from the published report of 17 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.

The story over the years

Every inspection of Freckleton Lodge

4 rated inspections over 5 years: the service has improved, from Requires improvement to Good.

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

    Read what inspectors found at Freckleton Lodge →

  2. December 2020Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Freckleton Lodge →

  3. September 2019Goodstayed Good
    Safe: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. February 2017Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
  5. April 2016Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
  6. April 2019

    Registered with the Care Quality Commission on 26 April 2019.

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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