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CQC report explained · a residential care home

What the CQC found at Milton Lodge Retirement Home

Goodpublished 18 October 2019, 6 years ago

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

The latest report, explained

What inspectors found, November 2020

Inspected but not rated; inspectors were assured that infection prevention and control measures were being followed.

The inspection took place on 6 November 2020. It was an announced thematic review focused on infection prevention and control during the coronavirus pandemic.

Inspectors found good practice in helping people keep in touch with family and friends, providing activities during lockdown, using protective equipment, cleaning frequently touched areas and managing visitors.

The home was rated “Inspected but not rated”. This means the inspection did not give a formal overall rating or rated judgements for the five key questions.

What inspectors praised
  • Keeping in touch

    The home supported people to maintain contact with relatives through garden visits, gifts, video calls and telephone calls.

    “People were supported to stay in regular contact with friends and family.” from the report
  • Supporting wellbeing

    The home arranged outdoor entertainment and helped people stay connected during lockdown and isolation.

    “The provider had considered the effect of lockdown and isolation on people's wellbeing” from the report
  • Protective equipment

    Protective equipment was available in several communal areas and could be accessed easily by staff.

    “Wall mounted Personal Protective Equipment (PPE) stations stocked with masks, gloves and aprons were situated in a number of communal areas around the home and were easily accessible for staff.” from the report
  • Cleaning arrangements

    Frequently touched areas were identified and cleaned more often.

    “Areas of the service which may be more frequently touched such as handles and light switches were identified with a symbol and increased cleaning was in place.” from the report
  • Visitor precautions

    The home used signs, temperature checks and hand sanitiser as part of its infection control arrangements for visitors.

    “Visitors to the service were temperature checked and hand sanitiser was available on entry.” 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 are people currently supported to keep in regular contact with their relatives?
  2. 02How often are frequently touched areas such as handles and light switches cleaned?
  3. 03How do you make sure staff use masks, gloves and aprons safely and effectively?
  4. 04How are visitors checked and supported to follow infection prevention measures?
  5. 05What arrangements are in place for testing people using the service and staff?

This was a thematic review of infection prevention and control during the coronavirus pandemic; the service was inspected but not rated and the other key questions were not assessed. This explanation was written from the published report of 24 November 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.

An earlier report, explained

What inspectors found, October 2019

Milton Lodge Retirement Home was rated Good; inspectors found safe, kind and personalised care, with some improvements needed to the environment and weekend activities.

This was an unannounced planned inspection on 17 September 2019. Inspectors spoke with six people, four relatives and six staff. They also reviewed care, medicines and management records.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough suitably trained staff, safe medicines support, good care planning and kind interactions.

Inspectors noted some personal items in shared bathrooms, equipment stored in difficult places and some out-of-date or undignified posters. The home removed the bathroom items during the inspection and later provided an action plan for the other environmental issues. Some people and relatives also raised concerns about fewer activities at weekends.

What inspectors praised
  • Kind and respectful care

    People and relatives described staff as kind, compassionate and respectful. Inspectors also saw friendly and positive interactions.

    “People and their relatives told us they were treated with kindness, compassion and respect.” from the report
  • Safe staffing and medicines

    Inspectors found suitable staffing levels, robust recruitment checks and staff who were trained and checked as competent to support people with medicines.

    “Recruitment processes remained robust ensuring only the right people were employed at the service.” from the report
  • Personalised support

    Care plans included people's individual needs, preferences and communication requirements. People were encouraged to make choices and remain as independent as possible.

    “Care plans contained person-centred information which reflected people's needs.” from the report
  • Good leadership and improvement

    Management was described as approachable and supportive. Regular checks and feedback were used to maintain and improve the service.

    “Systems had been developed to ensure performance remained good and continued to improve.” from the report
What inspectors were concerned about
  • Shared bathroom items

    needs fixing

    Personal items were left in two bathrooms used by several people, which could have created an infection control risk. They were removed during the inspection, and managers said they would reinforce the infection control policy.

    “We did observe some personal items had been left in two of the bathrooms.” from the report
  • Equipment storage

    needs fixing

    Some equipment was stored in unsuitable or inconvenient places, including a bathing chair at the top of stairs and wheelchairs in the lounge. Managers had plans to provide a shed for storage.

    “The design of the building meant that the storage of equipment presented a challenge.” from the report
  • Out-of-date displays

    needs fixing

    Some posters and displays were out of date and some did not respect people's dignity. Managers discussed this with inspectors and later provided an action plan.

    “Some of these were out of date and some did not respect people's dignity.” from the report
  • Weekend activities

    minor

    Some people raised concerns that there were not enough activities at weekends. The service said it was exploring ways to improve this.

    “We received some concerns about a lack of activities taking place at weekends.” from the report
Questions to ask them, based on this report
  1. 01What changes have you made to prevent personal items being left in shared bathrooms, and how do you check infection control?
  2. 02Where are bathing chairs, wheelchairs and other equipment stored now, and how do you keep routes clear and safe?
  3. 03What has changed since the inspection to make posters and displays current and respectful of people's dignity?
  4. 04What activities are now available at weekends, and how do residents help choose them?
  5. 05How will you make sure my relative's care plan reflects their health needs, preferences, communication needs and interests?

This was an unannounced planned inspection covering all five CQC questions, including the premises and care provided; all previous Good ratings remained Good. This explanation was written from the published report of 18 October 2019 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 Milton Lodge Retirement Home

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

  1. November 2020Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Milton Lodge Retirement Home →

  2. October 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Milton Lodge Retirement Home →

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

    Read this report on cqc.org.uk

  4. January 2015

    Registered with the Care Quality Commission on 23 January 2015.

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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