CQC report explained · a residential care home
What the CQC found at Drayton Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Risks to people's safety and wellbeing were assessed and linked to care plans. Inspectors found enough staff, safe medicines management and a clean, well-maintained environment.
- Effective?
- Good
- People's needs and choices were assessed and reviewed. Staff worked with external professionals, supported people's physical and mental healthcare, and helped people develop healthier lifestyles.
- Caring?
- Good
- People were treated with kindness, dignity and respect. They were involved in decisions about their care and supported with cooking, cleaning, shopping, money and medicines.
- Responsive?
- Good
- Care was personalised and reflected people's preferences and goals. People could take part in activities, maintain relationships and raise concerns through staff and community meetings.
- Well-led?
- Good
- Inspectors found a positive, person-centred culture and effective systems for checking and improving quality. People, staff, families and external professionals were asked for their views.
What inspectors found, November 2023
Micado Homes - Drayton Lodge was rated Good in all five areas; inspectors found safe, caring support that helped people build independence.
This was an unannounced inspection on 07 November 2023. Two inspectors met all five people living at the home, observed care, checked the environment and medicines, and reviewed care records, staff training, meetings and quality checks.
Inspectors found that people were happy, felt supported and had good relationships with staff and each other. People were involved in shopping, cooking, activities and planning their care. Staff worked with health professionals and helped people understand their mental health needs, risks and choices.
The home had enough staff, safe medicines systems, a clean environment and suitable recruitment and training arrangements. Inspectors also found effective systems for complaints, incidents, feedback and quality checks.
The overall rating was Good, with Good ratings for Safe, Effective, Caring, Responsive and Well-led. All five ratings had remained Good since the previous inspection, published on 18 July 2018.
Building independence
People were supported to develop practical skills and confidence. The home also supported people to work towards living more independently in the future.
“People were supported to develop skills and be involved in shopping, cooking and a variety of activities inside and out of the home.” from the report
Kind and respectful care
People had good relationships with staff and each other. Inspectors observed kind and considerate interactions, and found that privacy, dignity and preferred names and pronouns were respected.
“We observed kind and considerate interactions between staff and people being cared for.” from the report
Safe medicines
Medicines were stored and managed safely. People could work towards managing their own medicines when assessed as ready and safe.
“Medicines were safely stored. Staff had training to understand about the safe handling of medicines.” from the report
Listening and improvement
People and staff were asked for their views, and the home investigated complaints, accidents and incidents. Community meetings helped people resolve concerns about living together.
“There were effective systems for monitoring and improving the quality of the service.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you assess and support my relative's specific mental health risks and signs of relapse?
- 02What would the planned transition into the home involve, including visits, overnight stays and meetings?
- 03What restrictions would apply to my relative, including drug and alcohol testing, and what would happen if a condition was breached?
- 04How would you help my relative progress with cooking, shopping, money, medicines and other independence goals?
- 05How would my relative raise a concern or complaint, and how would they be involved in resolving problems within the home?
This was an unannounced inspection that looked at all five CQC questions and the care and accommodation provided; all five ratings carried over as Good from the previous inspection. This explanation was written from the published report of 25 November 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, July 2018
Micado Homes - Drayton Lodge was rated Good; inspectors found caring, safe support, with some records needing improvement.
This was an announced comprehensive inspection on 2 July 2018. The inspector spoke with four people living in the home, the manager, the director and a staff member. They reviewed care records, medicines, staff files, complaints, audits and other management records. Feedback was also received from three social care professionals.
The home supported six people with mental health needs and/or a history of substance misuse. Inspectors found people were treated with dignity and respect. Staff understood people's needs, supported independence and worked with health and social care professionals. The home was clean, safely maintained and had enough staff.
Inspectors found some gaps in records and asked the home to improve them. These included recording certain legal restrictions in risk assessments, recording who attended fire drills, recording window restrictor checks and documenting some recruitment information. A care plan was also added after the inspection for a person's weight gain.
The overall rating was Good, and each of the five areas was rated Good. This means the inspection found the service was meeting the relevant standards at that time. The rating had not changed since the previous inspection on 8 June 2016.
Respectful relationships
People said staff were friendly, listened to them and understood their needs. Inspectors saw staff speaking with people in a friendly way and supporting their choices.
“We saw that the staff had a good rapport with people.” from the report
Support for independence
People were involved in their care plans and supported to make their own decisions. Staff helped people build daily living skills and move towards more independent living where appropriate.
“People were supported to be as independent as they wanted to be.” from the report
Safe medicines practice
Medicine records had no gaps in staff signatures, and checks matched the recorded quantities. Staff who administered medicines were trained and had their competence checked annually.
“We looked at all the medicines administration records (MAR) charts for people using the service and saw these were completed appropriately and there were no gaps in staff signatures.” from the report
Good professional links
The home worked with community mental health teams, GPs and other professionals. Inspectors found that changes in people's health or presentation were noticed and acted on.
“The staff team worked closely with the community mental health teams and GP to ensure people remained stable and developed daily living skills at their own pace.” from the report
Risk records
needs fixingSome risk assessments did not clearly record restrictions or conditions linked to Mental Health legislation. The manager said the information was made clearer shortly after the inspection.
“Some people were under certain restrictions arising from Mental Health legislation, but the risk assessments did not always fully record if a person had any particular restriction or condition that staff would need to know about.” from the report
Fire and window safety records
needs fixingFire drill records did not always show which staff were present. Checks on window restrictors had also not been recorded since the previous inspection, although these were checked during this inspection.
“We saw that the fire drills did not always indicate who had been present.” from the report
Recruitment records
needs fixingOne staff file did not initially contain the reason for leaving previous jobs or the interview questions and answers. The manager said this information was obtained two days after the inspection.
“We saw that for one staff member, the reason for leaving their previous jobs had not been completed and there was no evidence of the interview questions and answers.” from the report
Health care planning
needs fixingOne person had gained nearly 20 pounds over two months, but there was no care plan for this at the time of inspection. The manager said a plan was written shortly afterwards.
“There was no care plan in place for this issue and shortly after the inspection the registered manager confirmed they had written a care plan to guide and inform staff on how to support this person appropriately.” from the report
End of life wishes
minorNo one needed end of life care during the inspection, but care plans did not record people's end of life wishes. This could leave staff without written guidance if needs changed.
“Currently there was no evidence in people's care plans with regards to their end of life wishes which would inform the staff team on how the person wanted to be supported.” from the report
- 01How do you now record and review any Mental Health legislation restrictions or conditions in each person's risk assessment?
- 02How do you make sure fire drills record which staff attended, and that window restrictor checks are documented every month?
- 03What checks do you complete before employing staff, including interview records and reasons for leaving previous jobs?
- 04How would you respond if my relative gained or lost a significant amount of weight, and how would this be recorded in their care plan?
- 05How will you help my relative find suitable activities, and how will you record their wishes about future or end of life care?
This was a comprehensive inspection covering all five questions, so all five ratings were assessed during the visit. This explanation was written from the published report of 18 July 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 Drayton Lodge
3 rated inspections over 7 years: the service has held its Good rating throughout.
- November 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2014
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 14 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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