CQC report explained · a residential care home
What the CQC found at Hyde Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, March 2023
Hyde Lodge is rated Good; inspectors found kind, personalised care, but staffing, training and some environmental actions still needed attention.
The inspection took place over two visits. The first was announced and the second was unannounced. Inspectors reviewed three care plans, observed care, spoke with people, staff and managers, and received feedback from six relatives.
The home was rated Good overall. Safe, Caring, Responsive and Well-led were all rated Good. Inspectors found that people received personalised care, were treated with dignity, had choices and were supported to take part in community activities.
There were some areas still being improved. These included environmental safety actions, laundry handling, staff training and recruitment. The home was using agency staff, although inspectors found enough staff for people's assessed needs and noted that staffing was improving.
The previous overall rating was Outstanding, published in February 2018. The report says the change to Good did not indicate a decline in standards. The Effective question was not inspected and has no rating in this report.
Choice and independence
People were supported to make choices and live as independently as possible. Staff used communication aids and worked in the least restrictive way.
“People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.” from the report
Kind and respectful care
Relatives described staff as kind and caring. Inspectors observed calm and positive interactions.
“People were supported by staff who respected them. During the inspection we observed staff talking to people calmly and in a positive manner.” from the report
Personalised care plans
Care plans included important information about people's individual needs, preferences and communication. They were current and reviewed when needed.
“People's care plans were current and up to date and were reviewed when required.” from the report
Community activities
People were supported to maintain family relationships and take part in activities such as sensory clubs, bowling, swimming, cycling and cinema trips.
“People were supported to access activities to avoid social isolation.” from the report
Staffing cover
Although the home had experienced staffing problems and used agency staff, inspectors found that people's support needs were covered.
“Rotas confirmed people's support needs were covered by enough staff.” from the report
Environmental safety work
seriousExternal reports identified actions needed to improve fire safety and address materials that could pose a hazard. CQC shared this information with the local authority and fire service for follow-up.
“Two external reports had identified certain actions required to improve the environment.” from the report
Outstanding staff training
needs fixingSome staff still needed safeguarding training. The manager said the aim was for all staff to be trained by March 2023.
“Some staff required training to safeguard people from abuse however the manager confirmed they aimed to get all staff trained by March 2023.” from the report
Laundry handling
needs fixingInspectors said laundry processes needed improvement to reduce the risk of clean laundry becoming contaminated.
“Some improvements were required when handling laundry to prevent the risk of cross contamination to clean laundry.” from the report
Family involvement
minorSome relatives wanted more involvement in reviews of their loved one's care and better communication about care and support.
“Some relatives expressed a wish to be more involved in reviews of their loved one's care.” from the report
- 01Have all the fire safety and other environmental actions identified in the external reports now been completed?
- 02Are all staff now trained in safeguarding, equality and diversity, and the interventions needed to support people safely?
- 03How much agency staff is currently being used, and has recruitment reduced reliance on agency workers?
- 04How will relatives be involved in care plan reviews and kept better informed about their loved one's care?
- 05What changes have been made to laundry handling to prevent cross contamination?
This was an inspection prompted by concerns about staffing and care; Safe, Caring, Responsive and Well-led were rated, while Effective was not inspected and has no rating in this report. This explanation was written from the published report of 16 March 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.
What inspectors found, March 2018
Rated Outstanding; inspectors found exceptionally caring, personalised support, with all five areas rated Good or Outstanding.
The inspection was unannounced and took place on 13 February 2018. One inspector spoke with four staff members, the registered manager and four families. They reviewed three support plans and other records.
The home supported eight young people with learning difficulties. Inspectors found one-to-one staffing, safe medicines support, trained staff and effective work with health professionals. Support plans were clear and tailored to each person.
Care and support were rated Outstanding. Inspectors found strong relationships, excellent support for independence, family involvement and a wide range of personalised activities. The overall rating was Outstanding, with Safe, Effective and Well-led rated Good, and Caring and Responsive rated Outstanding.
Kind and supportive staff
Inspectors found staff had strong relationships with the young people and often did more than expected to support them.
“Staff went to great lengths, often over and above the expectations of their role to support the young people at Hyde Lodge.” from the report
Building independence
The home used tailored programmes, including a self-contained flat and an independent living skills programme, to help young people develop practical skills.
“There was a strong commitment amongst the staff team in supporting the young people at Hyde Lodge to reach their potential and maximise their independence.” from the report
Personalised activities
Activities reflected individual interests, cultural needs and abilities. Young people were supported to take part in community activities and enterprise schemes.
“People's activity programme was highly personalised and took account of their cultural needs.” from the report
Good safety arrangements
Young people had individual staffing, risk assessments and evacuation plans. Medicines were securely stored and records checked.
“People received safe support with their medicines.” from the report
Family involvement
Families were welcomed, kept involved and supported to maintain relationships and take part in important occasions.
“Families were encouraged to visit at any time and be part of their loved one's life at Hyde Lodge.” from the report
Some DoLS applications were still waiting
minorNot all applications for the required safeguards had been processed by the local authority. The registered manager was monitoring this and contacting the authority for updates.
“Not all of these applications had been processed by the relevant local authority, however the registered manager was monitoring this and in contact with them to check on progress.” from the report
- 01How will you make sure one-to-one staffing is available for my relative on every shift?
- 02How will you adapt communication methods, such as pictures, symbols or objects, to my relative's needs?
- 03What independent living skills programme would be put in place for my relative, and how would progress be reviewed?
- 04How are DoLS applications tracked, and what happens while an application is waiting to be processed?
- 05How will my family be involved in reviewing support plans and maintaining regular visits or visits home?
This was an unannounced inspection covering all five key questions and the overall quality and safety of the home. This explanation was written from the published report of 28 March 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 Hyde Lodge
2 rated inspections over 5 years: the service has slipped, from Outstanding to Good.
- March 2023Goodcurrent ratingdown from OutstandingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2018OutstandingSafe: GoodCaring: OutstandingResponsive: OutstandingWell-led: Good
- February 2017
Registered with the Care Quality Commission on 27 February 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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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”
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.