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CQC report explained · a residential care home

What the CQC found at Highgate Lodge Care Home

Requires improvementpublished 19 November 2025, 10 months ago

Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.

The latest report, explained

What inspectors found, April 2023

Rated Good; inspectors found safe, kind and person-centred care, with some improvements still in progress.

This was the first inspection of the newly registered home. It was unannounced. Inspectors visited on 28 February 2023 and completed inspection activity on 16 March 2023. They spoke with people, relatives, staff, the provider and manager, and reviewed care, staff and management records.

Inspectors rated the home Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. They found enough staff, safe medicines support, suitable risk assessments and effective infection control. People and relatives said they felt safe and were treated well.

The home assessed people's needs, supported their eating and drinking, worked with health professionals and provided personalised care. Staff were described as kind and supportive. The home had complaints and monitoring systems, and sought views from people and staff.

Some work was still underway. This included replacing a bathroom with a wet room, producing information in different languages and recruiting an activities coordinator. These points did not prevent an overall Good rating.

What inspectors praised
  • Safe staffing and medicines

    Inspectors found enough staff to keep people safe. Medicines were administered in line with people's individual needs, with staff training and competency checks.

    “Medication was administered safely and in line with people's individual requirements.” from the report
  • Kind and respectful care

    Staff treated people kindly and respectfully. The home supported privacy, dignity, independence and involvement in care decisions.

    “We observed staff being kind and caring to people throughout the inspection.” from the report
  • Personalised support

    Care records contained clear information about people's needs, preferences and oral health. The home considered communication, cultural and religious needs.

    “People received personalised care; care records contained clear information for staff on how to support people's needs.” from the report
  • Positive management

    Staff felt supported and able to suggest improvements. The provider used audits, surveys, meetings and supervisions to monitor quality.

    “The provider had effective governance systems in place and audits were regularly completed.” from the report
What inspectors were concerned about
  • Activities staffing

    minor

    The home was recruiting an activities coordinator at the time of the inspection. It was still providing some activities, including an external entertainer.

    “We were informed during the inspection they were currently recruiting an activities coordinator.” from the report
  • Communication information

    minor

    The manager was still producing information in different languages. Families should check how the home will communicate with a person who does not use English as their first language.

    “The registered manager was in the process of producing information in different languages.” from the report
  • Bathroom improvement

    minor

    One bathroom was being replaced and converted into a wet room. Families may wish to check whether this work has been completed.

    “There was an ongoing process of improvement in place replacing one of the bathrooms and turning it into a wet room.” from the report
Questions to ask them, based on this report
  1. 01Has the bathroom replacement and wet room work now been completed?
  2. 02Has an activities coordinator been recruited, and what activities are available each week?
  3. 03How will information and care discussions be provided if my relative does not speak English as their first language?
  4. 04How will you assess and review my relative's care needs before admission?
  5. 05How will my relative and our family be involved in care plan reviews and complaints?

This was an unannounced first inspection of the newly registered home covering all five CQC key questions, including infection prevention and control. This explanation was written from the published report of 15 April 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 Highgate Lodge Care Home

7 rated inspections over 6 years: the service has improved, from Inadequate to Good.

  1. April 2023Goodcurrent ratingup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Highgate Lodge Care Home →

  2. November 2019Requires improvementdown from Good
    Safe: GoodEffective: GoodCaring: Requires improvementResponsive: GoodWell-led: Requires improvement
  3. June 2018Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
  4. October 2017Requires improvementstayed Requires improvement
    Safe: GoodWell-led: Requires improvement
  5. June 2017Requires improvementup from Inadequate
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
  6. January 2017Inadequatestayed Inadequate
    Safe: InadequateEffective: InadequateCaring: InadequateResponsive: InadequateWell-led: Inadequate
  7. October 2016Inadequate
    Safe: InadequateEffective: InadequateCaring: Requires improvementResponsive: InadequateWell-led: Inadequate
  8. June 2022

    Registered with the Care Quality Commission on 20 June 2022.

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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