CQC report explained · a residential care home
What the CQC found at Bishops Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found effective safeguarding, risk management, recruitment and infection control. They also found enough skilled staff and safe medicines arrangements.
- Effective?
- Good
- Staff had training and guidance to meet people's needs, including needs related to Prader-Willi syndrome. People received support with nutrition, decision-making and healthcare.
- Caring?
- Good
- People and relatives spoke highly of the care. Staff knew people's preferences, respected privacy and dignity, and supported people to express their views.
- Responsive?
- Good
- Care plans reflected people's needs, interests and preferences and were reviewed when needs changed. People were supported with activities, work opportunities, communication and complaints.
- Well-led?
- Good
- People, relatives and staff were positive about the management. Quality checks, feedback and partnership working were used to monitor the service and improve support.
What inspectors found, November 2018
New Directions (Hastings) Limited - Bishops Lodge was rated Good; inspectors found safe, kind and personalised care across all five areas.
This was an unannounced comprehensive inspection on 1 October 2018. Inspectors spoke with all four people living in the home, a relative, staff and the manager. They also reviewed care records, medicines, staff files, training, incidents and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough trained staff, safe medicines management, suitable risk assessments and good knowledge of the needs linked to Prader-Willi syndrome.
People were treated with respect and supported to make choices, stay independent and take part in activities. The home had systems for complaints, learning from incidents and monitoring quality. The rating stayed Good, the same as at the previous inspection in February 2016.
Safe staffing and medicines
The home had enough suitable staff and used risk assessments to reduce hazards. Inspectors found that medicines were managed safely.
“There continued to be sufficient skilled and experienced staff to ensure people were safe and cared for.” from the report
Respect and independence
Staff supported people to make choices and be as independent as possible. Inspectors saw respectful relationships and attention to privacy and dignity.
“People's privacy was respected and staff supported people to be as independent as possible.” from the report
Personalised lives
People were supported to follow their interests, use community facilities and take part in work or activities that mattered to them.
“People were supported to follow their interests and take part in activities that were socially and culturally relevant to them.” from the report
Open leadership
The manager was described as supportive and approachable. People, relatives and staff could give feedback and be involved in decisions about the home.
“People, their relatives and care staff continued to be happy with the way the service was managed and led.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you currently manage eating, food access and scalding or choking risks for people with Prader-Willi syndrome?
- 02How do you make sure there are enough trained staff for one-to-one activities and community trips?
- 03How are medicines, diabetes checks and other health needs checked and recorded now?
- 04How are people and relatives involved in reviewing care plans and making decisions about the home?
- 05What changes were made after the communal area and bedroom refurbishments mentioned in the report?
This was an unannounced comprehensive inspection covering all five questions, and the ratings remained Good from the previous inspection. This explanation was written from the published report of 28 November 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 Bishops Lodge
2 rated inspections over 3 years: the service has held its Good rating throughout.
- November 2018Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 18 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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19 live-in carers within about an hour of East Sussex
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 £1,000 to £1,400 a week. 13 can care for a couple. 10 years' experience on average.
“When he point blank refused to go into hospital for a life saving blood transfusion she talked him through the situation and agreed to go in the ambulance with him and stayed until he was settled.”
“Una felt safe, secure and loved in her time with Debbie which is a gift that I am eternally grateful for.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.