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CQC report explained · a residential care home

What the CQC found at Herries Lodge

Goodpublished 12 January 2023, 3 years ago

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

The five questions inspectors ask
Safe?
Good
People were protected from abuse and risks were assessed and managed. Medicines, recruitment, infection control, building safety, accidents and staffing were all checked and found to be managed safely.
Effective?
Good
People's needs and preferences were assessed and reviewed. Staff received training and induction, people were supported with food, drink and healthcare, and mental capacity requirements were followed.
Caring?
Good
Inspectors saw kind, caring and considerate interactions. Staff respected people's dignity, involved them in decisions and recorded their social and cultural preferences.
Responsive?
Good
Care was personalised and staff knew people's needs. People could choose activities or spend time privately, maintain relationships, raise concerns and have their end of life wishes recorded.
Well-led?
Good
The management team was described as open, approachable and focused on person-centred care. Audits, feedback and partnership working were used to identify and address improvements.
The latest report, explained

What inspectors found, January 2023

Herries Lodge was rated Good; inspectors found safe, kind and personalised care, with some minor improvements still needed.

This was an unannounced inspection on 12 December 2022. One inspector and an Expert by Experience observed care, spoke with seven people, two relatives and nine staff, and checked care, medicines, recruitment and management records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people were protected from abuse, received their medicines safely, and had their care needs and preferences understood.

Staff were described as kind and considerate. People were offered choices about meals and activities, could keep in contact with family and friends, and were supported to access healthcare. The inspection also found that the home used audits and feedback to improve care.

What inspectors praised
  • Safe medicines

    People received their medicines as prescribed. Staff had training and understood people's preferences for taking medicines.

    “People's medicines were stored and administered safely, and people received their medicines as prescribed.” from the report
  • Kind staff

    Inspectors saw staff treating people with kindness and consideration. People and relatives also spoke positively about the care.

    “We observed staff interacting with people and found they were kind, caring and considerate.” from the report
  • Personalised care

    Staff knew people well and supported individual choices, communication needs, interests and relationships.

    “People received person-centred care from staff who knew them well and understood their needs.” from the report
  • Quality monitoring

    The home used audits to find areas for improvement and acted on them in a timely way.

    “A range of audits took place and identified areas for improvement which were addressed in a timely way.” from the report
What inspectors were concerned about
  • Staff supervision records

    minor

    There was no tracker showing staff supervision. The registered manager had identified this and included it on an action plan.

    “There was no tracker in place for staff supervision, but the registered manager had identified this and had put this on their action plan to be addressed.” from the report
  • Limited bathrooms

    minor

    All bedrooms had en-suite shower facilities, but some bathrooms were being used for storage. Families should ask how much bathroom access people have.

    “All bedrooms were ensuite and had shower facilities, however, bathrooms were limited due to them being used for storage purposes.” from the report
Questions to ask them, based on this report
  1. 01How have you put the staff supervision tracker in place since the inspection?
  2. 02Which bathrooms are being used for storage, and how do you ensure people can access suitable bathrooms when needed?
  3. 03How do you review staffing levels at busy times and respond if staff are stretched?
  4. 04How are people's individual activity preferences recorded and reviewed, including for people who prefer to stay in their rooms?
  5. 05How will you involve families in reviewing end of life care arrangements?

This was an unannounced inspection covering all five key questions and infection prevention and control; it was the first inspection of this newly registered service. This explanation was written from the published report of 12 January 2023 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 Herries Lodge

3 rated inspections over 6 years: the service has held its Good rating throughout.

  1. January 2023Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Herries Lodge →

  2. September 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  3. October 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
  4. May 2021

    Registered with the Care Quality Commission on 6 May 2021.

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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