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CQC report explained · a residential care home

What the CQC found at Keo Lodge

Goodpublished 1 January 2020, 6 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured that the home was using protective equipment safely, providing testing, managing visitors and admissions safely, and preventing or managing infection outbreaks. The service was also meeting the COVID-19 vaccination requirements for relevant staff and visiting professionals.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Good
Are people treated with kindness and dignity?
Responsive?
Good
Is care built around the person? Care plans, activities, complaints.
Well-led?
Good
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, February 2022

Inspected but not rated; inspectors found good infection control arrangements during the COVID-19 response.

This was a targeted inspection on 7 February 2022. Inspectors looked at infection prevention and control, and asked about staffing pressures linked to COVID-19. The visit was announced three days beforehand.

Inspectors were assured that the home was managing visitors, shielding, social distancing, admissions, personal protective equipment, testing, cleaning and infection outbreaks appropriately. The home also had an up-to-date infection control policy.

The home had a clear visiting process. Visitors could see people in their rooms after completing a lateral flow test, having their temperature taken and using the provided protective equipment.

The service was inspected but not rated. This means the inspection did not provide an overall quality rating or a full set of ratings for all five areas.

What inspectors praised
  • COVID-19 response

    The provider acted quickly when people tested positive and arranged immediate isolation and a deep clean.

    “The provider responded swiftly when people tested positive for COVID-19 and supported them to isolate immediately” from the report
  • Infection control equipment

    Protective equipment stations were available throughout the building, and staff used protective equipment in line with government guidance when supporting people who were isolating.

    “Personal Protective Equipment (PPE) stations where staff could sanitise their hands, don and doff the appropriate PPE were placed throughout the building in key areas.” from the report
  • Visiting arrangements

    There was a clear process for visits from friends and family in people's rooms, with testing, temperature checks and protective equipment.

    “There was a clear visiting procedure which facilitated people having visits from friends and family in their rooms.” from the report
  • Monitoring and reviews

    The home monitored vaccination and testing, and regularly reviewed its COVID-19 risk assessments.

    “The provider regularly reviewed their risk assessments relating to COVID-19 to ensure they were up-to-date and accurate.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How have your infection prevention and control procedures changed since the inspection on 7 February 2022?
  2. 02How do you currently manage a COVID-19 or other infection outbreak, including isolation and deep cleaning?
  3. 03What testing, vaccination checks and protective equipment arrangements are currently in place for staff and visiting professionals?
  4. 04How can family visits take place now, and what checks or protective equipment are required?
  5. 05What measures are in place if COVID-19 causes staffing pressures?

This was a targeted inspection of infection prevention and control practices and COVID-19-related staffing pressures; the service was inspected but not rated. This explanation was written from the published report of 19 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.

An earlier report, explained

What inspectors found, January 2020

Rated Good; inspectors found safe, kind and personalised care with strong oversight.

This was an unannounced inspection on 11 December 2019. One inspector spoke with two people using the home, one relative, eight staff members and two health professionals. The inspector also reviewed care records, medicines records and management documents.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough trained staff, safe medicines systems, regularly updated risk assessments and kind staff who knew people well.

People were involved in their care planning and supported to make choices, be independent and take part in activities. The home worked with health professionals and used checks and audits to monitor quality.

The overall Good rating means the home met the standards inspectors checked and provided care that was consistently good at the time of this inspection. The previous rating was also Good, published on 18 May 2017.

What inspectors praised
  • Safe risk management

    Risk assessments were detailed and updated regularly. The home worked with outside professionals to manage risks in the community.

    “Risk assessments were updated regularly and reflected people's current support needs.” from the report
  • Safe medicines

    Medicines records showed people received medicines as prescribed. Staff had medicines training and regular competency checks.

    “Medicines administration records showed people received their medicines as prescribed.” from the report
  • Kind and respectful staff

    People were supported by regular staff who knew them well. Inspectors saw staff treating people with dignity and respecting their privacy.

    “People were supported by kind and caring staff who knew them well.” from the report
  • Personalised support

    Care plans included people's histories, needs and desired outcomes. People were involved in reviewing their care and had choices about daily activities.

    “Care plans were person centred and contained detailed information about people's life history, individual support needs and what outcomes they would like to achieve.” from the report
  • Strong management checks

    The provider and manager carried out regular checks on care quality, medicines and staff practice. They also had an action plan for further improvements.

    “The systems to monitor the quality of the service were robust and effective.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How would you assess and manage my relative's particular risks, especially when they are out in the community?
  2. 02How would my relative be involved in creating and reviewing their support plan?
  3. 03How would you support my relative to make choices where they may lack capacity, including decisions about medicines?
  4. 04What activities, work opportunities or community access would be available to my relative?
  5. 05How would you communicate information to my relative in a way they can understand?

This was an unannounced planned inspection that considered all five CQC questions and looked at both the premises and the care provided. This explanation was written from the published report of 1 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.

The story over the years

Every inspection of Keo Lodge

3 rated inspections over 5 years: the service has held its Good rating throughout.

  1. February 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Keo Lodge →

  2. January 2020Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Keo Lodge →

  3. June 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. January 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. November 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. January 2011

    Registered with the Care Quality Commission on 10 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.

Next steps

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