CQC report explained · a residential care home
What the CQC found at Kacee Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention and control, including PPE, testing, cleaning, visitor arrangements and outbreak management. The wider safe rating was not given.
- Effective?
- Good
- This area was not assessed in this targeted inspection.
- Caring?
- Good
- This area was not assessed in this targeted inspection.
- Responsive?
- Good
- This area was not assessed in this targeted inspection.
- Well-led?
- Requires improvement
- This area was not assessed in this targeted inspection.
What inspectors found, March 2021
Kacee Lodge: Inspected but not rated; inspectors were assured about infection prevention and control during the Covid-19 pandemic.
This was an unannounced, targeted inspection on 27 January 2021. It looked at how the home was preventing and controlling infection during the coronavirus pandemic.
Inspectors were assured that the home had suitable infection control policies, used personal protective equipment safely, carried out testing, and followed social distancing and hygiene guidance. They also found plans for managing outbreaks and regular cleaning of frequently touched surfaces.
People living at the home had received their first Covid-19 vaccination. Staff were receiving theirs. The home also used video calls, newsletters, telephone calls and socially distanced garden visits to help people keep in touch with relatives.
The home was inspected but not rated. This means the report does not give an overall quality rating or ratings for the wider areas of care.
Infection control
Inspectors found that the home was following infection prevention guidance and had measures to reduce the risk of infection spreading.
“The service was following correct infection prevention and control guidance and policy to protect people from infection and prevent the spread of infection.” from the report
Testing and PPE
The home followed whole-home testing guidance and had PPE and hand sanitiser available. Staff had received infection control and Covid-19 training.
“The manager was following the government's guidance on whole home testing for people and staff.” from the report
Contact with relatives
The home used several ways to help people keep in touch with relatives when normal visits were restricted.
“Alternative forms of maintaining social contact were used for relatives.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection prevention and control arrangements are in place now, and what has changed since the January 2021 inspection?
- 02How often are people living here and staff tested for Covid-19 or other infections now?
- 03What is the current vaccination position for people living here and staff?
- 04How are PPE supplies, cleaning and staff training checked?
- 05How can relatives keep in contact with people living here, and what are the current visiting arrangements?
This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it did not rate the wider areas of care. This explanation was written from the published report of 6 March 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 2020
Kacee Lodge is rated Good; inspectors found safe, kind and effective care, but local management checks still needed improvement.
This was an unannounced inspection on 22 and 29 November 2019. One inspector observed care, spoke with two relatives and staff, and checked care, medicine, recruitment and management records.
The home was rated Good overall. Safe, effective, caring and responsive were all rated Good. Inspectors found enough staff, safe medicine systems, kind care and support that met people's health needs.
Well-led was rated Requires Improvement. Local checks had not found gaps in recruitment records, laundry cleanliness or information about people's protected characteristics. The home had improved since the previous inspection, including training, financial records and some building work.
Safe care and medicines
Risks, safeguarding concerns and medicines were managed well. Inspectors found that medicines were given as prescribed and that lessons were learned after a serious incident.
“Risks to people were anticipated and managed well to keep them safe.” from the report
Skilled staff
Staff had completed training for complex needs, including epilepsy, PEG feeding, choking risks and distressed behaviour. Training records had improved since the previous inspection.
“Staff had completed a range of training, on line and face to face which gave them the skills and knowledge to carry out their roles” from the report
Kind and respectful care
Staff knew people well and supported privacy, dignity and choice. Inspectors saw positive, respectful interactions.
“People using the service were well cared for, by staff that knew them well.” from the report
Prompt health support
Staff noticed changes in people's health and made referrals when needed. People were supported to attend health appointments and follow professional advice.
“Changes in people's care and support needs were identified and responded to promptly.” from the report
Recruitment checks
seriousTwo staff files did not contain references from previous employers. A disclosed conviction had not been discussed or risk-assessed, so inspectors recommended better recruitment arrangements.
“Their audits had not identified issues with safe recruitment, cleanliness of the laundry and failed to recognise and address people's protected characteristics.” from the report
Equality and personal preferences
needs fixingCare records had limited information about people's age, disability, race, religion or belief, sex and sexual orientation. People had not been involved in choosing male or female staff for their care.
“there was limited information about people's identity, such as age, disability, race, religion or belief, sex and sexual orientation” from the report
Community activities
needs fixingThere was limited evidence that people took part in activities in the wider community regularly. Relatives had also raised this in a survey.
“Further work was needed to ensure people accessed community-based activities on a more regular basis.” from the report
Laundry cleanliness
needs fixingThe laundry floor and area around the washing machine were dirty and needed attention. The manager referred this to the estates team during the inspection.
“the floor was dirty around the edge of the walls, and there was a build-up of dust, and fluff around the back of the washing machine.” from the report
Building condition
minorSome décor and furniture needed modernising. A refurbishment plan was in place, with fire doors and flooring already improved.
“The environment was a safe and comfortable place for people to live, however improvements were needed to the décor, and to replace worn furniture.” from the report
- 01Have references now been obtained for every staff member, and are all disclosed convictions recorded and risk-assessed?
- 02How do you record and act on each person's preferences about the sex of the staff providing personal care?
- 03What regular community activities are available, and how do you record that people have taken part?
- 04Has the laundry flooring been repaired and has a cleaning check been added to the home's regular audits?
- 05Which refurbishment work has been completed since the inspection, and what remains outstanding?
This was an unannounced comprehensive inspection covering all five questions, including both the care provided and the premises; it was prompted partly by a serious scalding incident, but inspectors found no ongoing evidence of risk from that concern. This explanation was written from the published report of 10 January 2020 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 Kacee Lodge
3 rated inspections over 4 years: the service has held its Good rating throughout.
- March 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- January 2020Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- November 2018Requires improvementdown from GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- June 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- October 2011
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 19 November 2010.
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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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 £1,260 a week. 25 can care for a couple. 10 years' experience on average.
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