CQC report explained · a residential care home
What the CQC found at Goodson Lodge Care Centre
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, September 2020
Goodson Lodge Care Centre was inspected but not rated; inspectors were assured about infection prevention and control.
This was an announced, targeted inspection during the coronavirus pandemic. Inspectors looked at infection prevention and control measures in the home.
Inspectors found robust processes for personal protective equipment, staff changing clothes on site, cleaning and visits. People could have pre-booked outdoor visits with family, following social distancing rules.
The home had support from a specialist dementia nurse and used one-to-one support when people needed help to follow isolation or distancing guidance. Inspectors were assured that infection risks were being managed.
The home was inspected but not rated. This means the inspection did not give a new overall rating or a full rating for all five areas of care.
Personal protective equipment
Staff changed into their uniform at the home and had training in using personal protective equipment. Separate clean and used changing rooms helped reduce infection risks.
“The service had a 'clean' and 'used' changing room system which meant risk of carrying pathogens in and out of the service was reduced.” from the report
Family visits
People were supported to see family members through pre-booked outdoor visits. These followed social distancing guidance.
“People were supported to have visits with their family. Visits took place outside, were pre-booked and followed social distancing guidelines.” from the report
Support for people with dementia
A specialist dementia nurse advised the home on helping people follow distancing and isolation guidance. One-to-one support was used when needed.
“The service responded to people's individual needs during the isolation period, if required, one to one support was implemented to ensure guidelines could be followed.” from the report
Cleaning checks
Managers carried out regular checks on cleaning and infection control. The home also used an illuminometer to check whether surfaces had been cleaned sufficiently.
“Regular audits were completed by the management team to ensure cleaning and infection control policies were being implemented effectively.” from the report
Inspectors raised no specific concerns in this report.
- 01What is the home's current overall CQC rating, given that this inspection was not rated?
- 02How are visits with family arranged now, and what infection control rules apply?
- 03How are staff trained and checked on the safe use of personal protective equipment?
- 04How does the home support people with dementia who find social distancing or isolation difficult?
- 05What cleaning checks are carried out now, and how are the results acted on?
This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it did not provide ratings for the other areas of care. This explanation was written from the published report of 10 September 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.
What inspectors found, June 2018
Goodson Lodge Care Centre is rated Good overall, but inspectors found gaps in safety records and rated Safe Requires Improvement.
This was an unannounced inspection on 8 and 9 May 2018. It was the first inspection since the home registered with CQC in May 2017. Inspectors spoke with people, relatives and staff, observed care, and checked care, medicine, recruitment and management records.
Overall, the home was rated Good. Effective, Caring, Responsive and Well-led were all rated Good. People described staff as kind and respectful. Inspectors found good training, safe medicines management, personalised care, activities, and systems for handling complaints.
Safe was rated Requires Improvement. Records did not always show that required 15-minute observations or repositioning support had taken place. Inspectors made two recommendations about record keeping. The home responded promptly by reminding staff about completing the records.
Kind and respectful care
People and relatives spoke positively about staff. Inspectors observed warmth, humour and respect, including staff supporting privacy and personal choices.
“The staff are very kind, they listen to me. They are very respectful of what I tell them.” from the report
Medicines management
Medicines were administered and stored safely. Records were checked and audited, and staff administering medicines had their competence assessed.
“Medicines were managed, stored and administered safely. We saw that records were completed and regularly audited” from the report
Staff training
Staff received training in areas including first aid, moving and handling, and fire safety. New staff also completed the Care Certificate and shadowed experienced workers.
“Staff completed a broad range of training, including subjects such as first aid, moving and handling, and fire safety.” from the report
Personalised care
Care plans included information about people's history, interests and wishes. People and relatives were involved in creating and reviewing them.
“The service was responsive and provided personalised care. People had care plans in place and these were created based on detailed assessments of their needs and wishes.” from the report
Management oversight
The management team used audits, accident reviews and meetings to monitor quality and share learning with staff.
“There were quality monitoring processes in place, such as accident and incident analysis, and audits.” from the report
Gaps in safety observations
seriousRecords did not consistently show that required observations had been completed. Some gaps lasted several hours, including after one person had fallen and sustained a facial fracture.
“The service did not consistently ensure observations were complete in evidencing that staff were supporting people's safety.” from the report
Incomplete repositioning records
needs fixingRecords for two people who needed repositioning every two hours had seven gaps over five days. The home was asked to review how these records were completed.
“Records of position changes for two people in the five days preceding the inspection showed seven gaps in total.” from the report
Limited time outside the home
minorPeople enjoyed the activities provided, but some said they wanted more opportunities to go shopping or spend time in the local community.
“While people enjoyed the activities that were provided, people felt they could become isolated from what was happening outside of the home.” from the report
Key worker contact
minorSome people and relatives said they did not see the key worker as often as they wanted. Management said this information may need to be explained more clearly.
“Some people and their relatives told us they didn't get to see the key worker as often as they would like.” from the report
- 01How do you now check that 15-minute observations are completed and recorded without gaps?
- 02How do you check that people who need repositioning are supported at the required times and that this is recorded?
- 03What opportunities are available for residents to go shopping or spend time outside the home?
- 04Who is the key worker for my relative, and how often will they meet with my relative and keep in touch with our family?
- 05How has the home managed the high turnover of staff during the management transition?
This was an unannounced first inspection covering all five CQC questions, the premises and the care provided. This explanation was written from the published report of 20 June 2018 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 Goodson Lodge Care Centre
Each visit the CQC has published, newest first, back to the day the home was registered.
- September 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- June 2018GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2017
Registered with the Care Quality Commission on 19 May 2017.
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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