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CQC report explained · a residential care home

What the CQC found at Lostock Lodge

Goodpublished 7 November 2018, 7 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 infection prevention and control arrangements were effective, including the use of protective equipment, testing, cleaning and infection outbreak management. They also found that a sign about visiting was misleading, but it was removed during the inspection.
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, but a visiting sign was misleading.

This was an unannounced, targeted inspection on 6 January 2022. Inspectors checked infection prevention and control, visiting arrangements, and whether COVID-19 staffing pressures affected care.

Inspectors were assured that the home was using protective equipment safely, supporting testing, managing infections, admitting people safely and following social distancing measures. Relatives said people were well cared for and protected from infection.

The home was inspected but not rated. This means the visit did not result in an overall quality rating. It focused on infection control and related issues rather than all areas of care.

What inspectors praised
  • Infection control

    Inspectors found good practice to protect people from infection. The home used an ozone machine to help deep clean rooms after visits.

    “The staff ensured people were protected from the risk of infection by following good practice in relation to infection prevention and control.” from the report
  • Contact with families

    People had access to tablets so they could communicate with family and friends online.

    “People living in the home had access to 'tablets' to communicate via the internet with family and friends.” from the report
  • COVID-19 safeguards

    Inspectors were assured that the home used protective equipment safely, supported testing and followed relevant distancing and shielding measures.

    “We were assured that the provider was using PPE effectively and safely.” from the report
What inspectors were concerned about
  • Confusing visiting information

    needs fixing

    A sign on the door said visits were not allowed until the end of the month, although visits were allowed under current guidance. The sign was removed after inspectors discussed it with the manager.

    “However, there was a sign on the door which said visiting was not allowed until the end of the month.” from the report
Questions to ask them, based on this report
  1. 01How are current visiting arrangements explained to families and displayed at the entrance?
  2. 02What measures are in place if COVID-19 creates staffing pressures?
  3. 03How often are staff and residents tested, and how are the results managed?
  4. 04How do you check that staff use protective equipment correctly?
  5. 05How can residents use the tablets to keep in touch with family and friends?

This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; it did not rate the service overall. This explanation was written from the published report of 2 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 2021

Inspected but not rated; inspectors were assured about infection prevention and control during the COVID-19 pandemic.

This was an announced, targeted inspection on 8 December 2020. Inspectors checked infection prevention and control because the home was responding to coronavirus outbreaks.

Inspectors were assured that visitors were screened, PPE was used safely, testing was available, and people had COVID-19 risk assessments. They also found the home clean and hygienic, with increased cleaning routines.

Relatives spoke positively about the staff and said they were kept updated. The home supported garden and window visits, with safety measures in place.

The home was inspected but not rated. This report does not give ratings for the other areas of care.

What inspectors praised
  • Infection control

    Inspectors found strong arrangements to reduce the spread of infection, including increased cleaning and effective use of PPE.

    “The service had increased the cleaning schedules and routines to reduce the risks of cross infection. The environment was very clean and hygienic.” from the report
  • Visitor safety

    Visitors were screened and given protective equipment and facilities to clean their hands.

    “All visitors were asked to complete a health screening form, have their temperature checked and were provided with face masks to wear throughout their visit.” from the report
  • Family communication

    Relatives said the manager kept them informed during the pandemic and helped them maintain contact with family members.

    “Relatives told us they had been kept updated by the manager during the pandemic by email and telephone.” from the report
  • Testing and risk assessments

    People and staff took part in regular COVID-19 testing, and individual risk assessments covered people's specific needs.

    “People and staff were taking part in regular COVID-19 testing. Appropriate documentation was in place for people who were unable to consent to testing.” 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 arrangements changed since the inspection on 8 December 2020?
  2. 02How do you currently screen visitors and provide PPE during visits?
  3. 03How often are people and staff tested for infections, and how do you support someone who cannot consent to testing?
  4. 04How are individual infection risk assessments reviewed when a person's needs change?
  5. 05How will you keep our family updated if there is an outbreak or a change to visiting arrangements?

This was a targeted inspection of infection prevention and control only; the service was inspected but not rated and the other care areas were not assessed. 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.

The story over the years

Every inspection of Lostock Lodge

3 rated inspections over 2 years: the service has improved, from Requires improvement to Good.

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

    Read what inspectors found at Lostock Lodge →

  2. January 2021Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Lostock Lodge →

  3. November 2018Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. May 2017Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. February 2017Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate

    Read this report on cqc.org.uk

  6. June 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. June 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. December 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. October 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. April 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  11. October 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  12. February 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  13. December 2010

    Registered with the Care Quality Commission on 14 December 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.

Next steps

Weigh the report against the rest

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