CQC report explained · a nursing home
What the CQC found at Horsell Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, October 2021
Rated Good; inspectors found kind, personalised care, safe medicines and strong infection control, with some comments about staff being busy.
This was the home’s first inspection since it registered. It was an unannounced visit on 18 August 2021. Inspectors spoke with people, relatives and staff, observed care, and checked care, medicines, recruitment and management records.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were protected from harm, supported by trained staff, involved in decisions and treated with dignity.
The home provided personalised activities and care. Staff supported people’s interests, kept relatives involved where appropriate, monitored food and drink, worked with health professionals and had effective infection control arrangements after a COVID-19 outbreak.
Personalised care
Staff took time to learn about people’s histories, hobbies and preferences. This information was used in care plans and daily support.
“People received person-centred care that had been thoughtfully tailored to each person's individual needs.” from the report
Kind and respectful staff
People said staff were kind and respectful. Inspectors saw staff protect privacy and support people to remain as independent as possible.
“People were supported by kind and caring staff who treated them with respect and as individuals.” from the report
Activities and relationships
Activities reflected people’s interests and helped reduce isolation during pandemic restrictions. Staff also worked with families to maintain important relationships and events.
“Staff supported people to follow interests and created activities to match people's hobbies.” from the report
Medicines and infection control
Staff were trained and checked for competence when giving medicines. Inspectors were assured about infection prevention and control in all the areas checked.
“Following an outbreak of COVID-19 at the home, CQC undertook an infection prevention control (IPC) inspection and had been assured in all areas.” from the report
Staffing during busy periods
needs fixingSome people, relatives and staff felt the home could seem short-staffed at times. Inspectors found no effect on people’s care, but the manager was considering further recruitment.
“Some staff and relatives told us that at times it seemed there may be a shortage of staff, but nobody had noticed any impact on people's care.” from the report
- 01How many care staff are normally on duty during the busiest parts of the day?
- 02Has the planned recruitment of further staff taken place, and how do you check staffing remains sufficient as occupancy increases?
- 03How will you use my relative’s history, hobbies and preferences to plan their care and activities?
- 04How are medicines reviewed and how are staff checked as competent to administer them?
- 05What infection control arrangements are currently in place for visitors and for managing any outbreak?
This was the first comprehensive, unannounced inspection of the newly registered home and covered all five key questions, including infection prevention and control. This explanation was written from the published report of 20 October 2021 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, January 2021
Inspected but not rated; inspectors were assured that infection prevention and control measures were being followed.
This was an unannounced, targeted inspection on 17 December 2020. It checked infection prevention and control arrangements during the coronavirus pandemic, rather than the whole service.
Inspectors found the home clean and well maintained. They saw effective use of protective equipment, regular cleaning, staff and resident testing, and arrangements to manage possible infections.
The home was inspected but not rated. The report gives an assurance finding for infection prevention and control, but it does not provide ratings for the other areas of care.
Clean premises
The home had extra cleaning schedules, including cleaning of frequently touched areas throughout the day. Hand sanitiser was available around the home.
“The premises were clean and well maintained. Additional cleaning schedules had been introduced since the beginning of the coronavirus pandemic.” from the report
Protective equipment
Protective equipment was available around the home. There were also arrangements for disposing of used equipment and handling crockery, clothing and bedding for people who tested positive.
“There were trollies stocked with personal protective equipment (PPE) stationed around the home and each person had their own clinical waste bin to support the safe disposal of PPE worn by staff.” from the report
Staff infection control
Staff had recent infection control training and inspectors saw them following the correct procedures. Staff and residents could access weekly testing.
“All staff had received recent training in infection control and prevention (IPC) and were seen to be following correct IPC practices at all times.” from the report
Management oversight
The registered manager was visible in the home, led infection control work and sought advice from external agencies.
“The registered manager sought support and advice from external agencies including the local health protection team, Surrey County Council and CQC and was open to all advice and guidance offered.” from the report
Inspectors raised no specific concerns in this report.
- 01How are staff and residents tested now, and what happens if someone tests positive?
- 02How are visits and contact with families managed under the current arrangements?
- 03How often are frequently touched areas cleaned, and how can families see the cleaning arrangements?
- 04What arrangements are in place to prevent and manage an infection outbreak?
- 05How are staff kept up to date with infection prevention and control guidance?
This was a targeted inspection of infection prevention and control practices during the coronavirus pandemic; it did not assess the other care quality areas. This explanation was written from the published report of 6 January 2021 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 Horsell Lodge
Each visit the CQC has published, newest first, back to the day the home was registered.
- October 2021Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2021Inspected but not ratedSafe: Inspected but not rated
- October 2019
Registered with the Care Quality Commission on 30 October 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.
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77 live-in carers within about an hour of Surrey
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 £980 to £1,250 a week. 66 can care for a couple. 11 years' experience on average.
“Without his support we wouldn't have been able to navigate bringing and keeping Dad at home.”
“Not only has she looked after him beautifully, she has also been great company for him with lively conversation, kindness and humour.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.