CQC report explained · a nursing home
What the CQC found at Jericho Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, August 2022
Jericho Lodge: Rated Good overall, but inspectors rated well-led Requires Improvement because checks and records were not always effective.
Inspectors visited unannounced on 14 July 2022. They spoke with two residents, a support worker and managers, and reviewed care records, staff files, training records, medicines records and management checks.
Residents said they felt safe, liked living there and were treated with respect. Inspectors found enough staff, safe medicines practice, personalised care, support with healthcare, activities and independence. Infection prevention measures were also satisfactory.
The main weaknesses were in management checks. One staff file was missing important recruitment evidence, staff supervision had not been taking place, and some healthcare records were incomplete. The overall rating remained Good, but the well-led rating fell from Good at the previous inspection to Requires Improvement.
Safe medicines practice
Residents received medicines on time and records were completed correctly. Medicines were counted and stored safely.
“Staff completed medicines administration records (MAR) charts and we saw these were completed correctly, with medicines counted after each administration time.” from the report
Respect and independence
Residents were treated with kindness and respect. They were supported to cook, do their laundry, go out and make decisions about their lives.
“People told us they led independent lives and their right to privacy was respected.” from the report
Personalised activities
Care plans reflected individual preferences and residents took part in activities they chose, including community activities and volunteering.
“People were supported to take part in a variety of activities of their choosing.” from the report
Recruitment checks
needs fixingOne of the three staff files reviewed had an incomplete employment history, only one reference and an unclear identity document. Inspectors recommended that recruitment processes be reviewed.
“We reviewed three staff files, in one file there was an incomplete employment history and only one reference on file.” from the report
Staff supervision
needs fixingInspectors found that individual one-to-one supervision had not taken place recently. Managers said supervision would restart after the inspection.
“There were no recent individual 1:1 supervisions for staff since the outbreak of the COVID-19 pandemic.” from the report
Healthcare records
needs fixingSome healthcare information was incomplete. The hospital passports reviewed were blank, which could make important information less readily available if someone needed hospital care.
“For example, the hospital passports we saw were blank.” from the report
Quality checks
needs fixingThe home's own checks had not identified the problems with staff records, supervision and healthcare records. Inspectors recommended that quality assurance checks become more thorough.
“These issues were not identified in the providers own quality assurance checks.” from the report
- 01What recruitment checks are now completed for every member of staff, including employment history, references and identity checks?
- 02How often do staff now receive individual supervision, and can you show how this is recorded?
- 03Have all hospital passports and healthcare records been completed and kept up to date?
- 04What changes have been made to quality assurance checks so that missing records and staff support are identified promptly?
- 05Who is currently responsible for managing the home while the registered manager application is being processed?
This unannounced inspection looked at all five CQC questions and infection prevention and control measures, with evidence from two residents, staff, managers and records. This explanation was written from the published report of 24 August 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, February 2022
Jericho Lodge was inspected but not rated; inspectors found strong COVID-19 controls but a problem with personal items in the bathroom.
This was an announced, targeted inspection on 21 January 2022. Inspectors looked mainly at infection prevention, visiting arrangements and pressures on staffing during the COVID-19 pandemic. The home provided personal and nursing care for up to three people, with two people living there at the time.
Inspectors were assured about most infection controls. These included visitor screening, face coverings, testing, personal protective equipment, ventilation, safe visiting arrangements and plans for admissions or outbreaks. Staff and visiting professionals were meeting the COVID-19 vaccination requirements, unless exempt.
The inspectors were only somewhat assured about safety linked to the layout and hygiene of the premises. They saw toothbrushes and toiletries in a bathroom, and asked the home to develop a process to prevent personal items being mixed up or shared. The service was inspected but not rated, so this report does not give an overall quality rating.
Visitor infection controls
Visitors were screened for symptoms, asked to use face coverings and kept apart from residents and staff as far as possible. The home also supported other ways for residents to keep in touch with relatives.
“The provider was following best practice guidance to prevent visitors to the home spreading the Covid-19 infection.” from the report
Protective equipment
Inspectors were assured that protective equipment was being used safely and in line with current guidance.
“Use of PPE was in accordance with current government guidelines.” from the report
Vaccination requirements
The service was meeting the requirement for non-exempt staff and visiting professionals to be vaccinated against COVID-19.
“The service was meeting the requirement to ensure non-exempt staff and visiting professionals were vaccinated against COVID-19.” from the report
Plans for COVID-19 risks
The home had risk assessments and plans for testing, admissions, isolation and what to do if a resident or staff member tested positive.
“The provider had completed risk assessments for residents where it considered the risks of Covid-19 and how risks could be mitigated.” from the report
Personal items in the bathroom
needs fixingToothbrushes and toiletries were left in a shared bathroom area. Inspectors asked the home to develop a process to make sure items were not mixed up or shared between residents.
“During our visit, we observed personal items in the bathroom including toothbrushes on the sink and toiletries on the bath.” from the report
- 01What process is now in place to keep each resident's toothbrushes and toiletries separate?
- 02How do staff check that personal items are not mixed up or shared?
- 03How are visitors currently screened and supported to use face coverings?
- 04What is the home's process if a resident or staff member tests positive for COVID-19?
- 05How are visits arranged so residents have contact with relatives while reducing infection risks?
This was a targeted inspection of infection prevention and control, visiting arrangements and staffing pressures; the service was inspected but not rated and the other key areas were not assessed. This explanation was written from the published report of 4 February 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 Jericho Lodge
3 rated inspections over 6 years: the service has held its Good rating throughout.
- August 2022Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- February 2022Inspected but not ratedSafe: Inspected but not rated
- December 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2014
Report published without a new overall rating.
- September 2013
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- February 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 21 January 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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