CQC report explained · a residential care home
What the CQC found at Hengrove Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from avoidable harm. Risk assessments, safeguarding training, staffing, medicines and infection control were found to be safe, although one person's skin checks were not consistently recorded.
- Effective?
- Good
- This key question was not rated in this inspection.
- Caring?
- Good
- This key question was not rated in this inspection. Inspectors did observe staff treating people gently and kindly, and relatives gave positive feedback.
- Responsive?
- Good
- This key question was not rated in this inspection. Inspectors noted that people's views were sought, including about menus, activities and trips.
- Well-led?
- Good
- The home had an open, person-centred culture, good communication and systems for monitoring quality and safety. Some incident forms had not yet been reviewed and signed by the manager.
What inspectors found, May 2022
Rated Good; inspectors found safe, kind care, but some skin-check and incident records were incomplete.
This was an unannounced inspection on 28 April 2022. One inspector and an Expert by Experience spoke with the manager, three staff members, one resident and two relatives. They also spoke by phone with 10 more relatives and checked three care records.
The home was rated Good overall, with Good ratings for Safe and Well-led. People and relatives said they were happy with the care. Staff were kind, risk assessments were in place, medicines and infection control were managed safely, and there were enough staff at the time of the inspection.
Inspectors found one person's required skin checks had not always been recorded. Some incident forms had also not yet been reviewed and signed by the manager. These issues were discussed with the manager, who said action would be taken. The rating was unchanged from the previous Good rating, published on 14 June 2018.
Clear risk planning
Individual risk assessments gave staff clear instructions about moving and handling, equipment and how many staff were needed.
“There were individual risk assessments in place which gave clear guidance to staff on how to manage people's care safely.” from the report
Safe staffing and medicines
Inspectors found enough staff at the time of the visit. Medicines were securely stored and recorded on medicine administration charts.
“There were sufficient numbers of staff to ensure people were safe.” from the report
Open management
Relatives and staff said communication was good and that they could raise concerns. The home used audits and checks to monitor quality.
“There was a system of audits and checks in place to monitor the service and identify areas for improvement.” from the report
Skin checks not always recorded
needs fixingOne person's care plan required skin checks every four hours because of the risk of pressure damage. These checks had not been recorded consistently.
“We noted that for one person, their care plan stated a skin assessment should be carried out four hourly due to their risk of developing pressure damage to the skin.” from the report
Incident records not all reviewed
minorSome incident forms had not been reviewed and signed by the manager at the time of inspection. The manager said forms would be read promptly, with a full review each month.
“We noted that some, but not all incident forms had been reviewed and signed by the registered manager.” from the report
- 01How do you now make sure all required skin checks are completed and recorded on time?
- 02What staff training has been delivered about preventing and recording skin damage?
- 03How quickly are accident and incident forms reviewed, and how do you check for repeated patterns?
- 04What activities and community links have been developed since pandemic restrictions eased?
- 05How can relatives raise concerns, and how will they be kept informed about the response?
This inspection focused on Safe and Well-led after concerns about risk management and care plans; Effective, Caring and Responsive were not newly rated. This explanation was written from the published report of 24 May 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, April 2022
Inspected but not rated; Hengrove Lodge had good infection control and visiting arrangements during the COVID-19 pandemic.
This was an announced, targeted inspection on 11 February 2022. Inspectors gave two hours' notice and looked mainly at infection prevention, visiting arrangements and staffing pressures linked to COVID-19.
Inspectors were assured that the home was using PPE safely, arranging testing, managing outbreaks, keeping its policy up to date and following shielding and social distancing rules. They also found arrangements for safe visits with families and essential caregivers.
People inspectors spoke with were happy with the care. The home was inspected but not rated, so this report does not give a full overall quality rating or ratings for all five questions.
Infection control
Inspectors found measures to prevent and manage infection, including safe use and disposal of PPE.
“The home had sufficient measures in place to prevent and manage the risk of infection.” from the report
Family visits
The home had alternative visiting arrangements during the outbreak and communicated them with families by email and phone.
“The provider had alternative arrangements in place for visiting during the outbreak to ensure people were able to safely visit their families and essential caregivers.” from the report
People were happy
People inspectors spoke with said they were happy with the quality of care.
“They look after me, I am happy here” from the report
Inspectors raised no specific concerns in this report.
- 01What has changed in your infection prevention and control arrangements since the inspection in February 2022?
- 02How do you currently manage staff shortages, and what effect do they have on people's care?
- 03How are visits arranged now, and how do you communicate visiting changes with families?
- 04How do you check that staff and visiting professionals meet the current vaccination or exemption requirements?
- 05What are the service's current ratings for Effective, Caring, Responsive and Well-led?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; the service was inspected but not rated. This explanation was written from the published report of 2 April 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.
Every inspection of Hengrove Lodge
3 rated inspections over 6 years: the service has held its Good rating throughout.
- May 2022Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2022Inspected but not ratedSafe: Inspected but not rated
- June 2018Goodstayed GoodSafe: GoodWell-led: Good
- February 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2014
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- June 2012
Report published without a new overall rating.
- February 2011
Registered with the Care Quality Commission on 7 February 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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40 live-in carers within about an hour of Bristol, 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 £1,300 a week. 34 can care for a couple. 11 years' experience on average.
“She became a good friend to my mother in law, chatting with her, dancing with her, knitting with her and the list goes on”
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
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