CQC report explained · a residential care home
What the CQC found at Newgate Lodge Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that infection risks were being managed, including the use of protective equipment, testing, hygiene, admissions and outbreak arrangements. The provider also said it had measures to manage COVID-19-related staffing pressures.
- 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.
What inspectors found, February 2022
Inspected but not rated; inspectors found good infection control and arrangements to manage COVID-19 risks.
This was an unannounced, targeted inspection on 8 February 2022. Inspectors were checking infection prevention and control because they had received concerns. They also asked about staffing pressures linked to COVID-19.
Inspectors found that staff were following current guidance. The home was clean and well maintained. Staff had training in using protective equipment and infection control, and infection control practices were regularly checked.
Visiting restrictions, testing, social distancing and protective equipment arrangements were in place. People were also supported to keep in touch with relatives using technology when visiting was restricted.
The service was inspected but not rated. This was not a full inspection of the home or an overall judgement on the quality of care.
Clean environment
Inspectors found the home clean and well maintained.
“The home was clean and well maintained throughout.” from the report
Infection control training
Staff had training in protective equipment and infection control. The management team regularly checked whether infection control practices were being followed.
“All staff received training on the correct use of personal protective equipment (PPE) and infection control.” from the report
Contact with relatives
When visiting was restricted, people could keep in touch with relatives using technology.
“The provider had ensured that people were able to maintain contact with relatives using technology whilst visiting was restricted.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection prevention and control arrangements are in place now?
- 02How are staff trained and checked in the safe use of protective equipment?
- 03How does the home manage staffing pressures and make sure they do not affect care?
- 04What are the current visiting arrangements, and how would relatives keep in touch if visits were restricted?
- 05How are people and staff currently tested for COVID-19 or other infections?
This was an unannounced targeted inspection of infection prevention and control, with questions about COVID-19-related staffing pressures; the service was inspected but not rated overall. This explanation was written from the published report of 25 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.
What inspectors found, March 2019
Rated Good; inspectors found safe, kind and personalised care, with a few records and confidentiality issues to improve.
This was an unannounced planned inspection on 6 February 2019. One inspector and an expert by experience spoke with people, relatives, staff and managers. They observed care and checked care plans, medicines records, staff records, accident records and quality checks.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. People and relatives said they felt safe, had enough staff and received kind care. Inspectors also found good support with food, healthcare, activities, communication and people's personal choices.
The home had agreed to improve a few points straight away. These included recording clearer instructions for supporting people who became distressed, checking photographic identity documents more carefully, protecting the confidentiality of complaints and recording follow-up from some audits.
Enough staff
Inspectors found staffing levels were suitable and people received help promptly. Staffing had recently been increased to support timely medicines administration.
“Staffing levels were appropriate and ensured people received responsive care and support.” from the report
Kind and respectful care
Staff were seen supporting people warmly and with respect for their privacy, dignity and individual communication needs.
“People were supported and treated with dignity and respect; and involved as partners in their care.” from the report
Food and choices
People had food and drink choices, including meals suited to cultural needs and fortified food for people who were underweight. Mealtimes were sociable.
“People had choice and access to sufficient food and drink throughout the day; food was well presented and people told us they enjoyed it.” from the report
Personalised activities
Activities, outings and one-to-one support were matched to people's interests and preferences. Records showed what activities had worked well for individuals.
“We found people were engaged in meaningful occupation and planned activities, outings and events were displayed in communal areas throughout the home.” from the report
Clearer distress guidance
needs fixingSome care plans did not clearly record the techniques staff should use when a person became distressed. The management team agreed to update this straight away.
“Care plans were detailed but would benefit from escalation responses for staff when people became distressed being more clearly recorded.” from the report
Recruitment identity checks
minorThe provider was asked to verify that photographic identity documents were a true likeness. This was intended to reduce the risk of identity fraud.
“We asked the provider to ensure that photographic ID was verified by the service as being a true likeness to reduce the risk of identity fraud.” from the report
Complaints confidentiality
needs fixingSome complaints and compliments were displayed in a reception book. Inspectors said this might not protect confidentiality, and the home agreed to change how responses were shown.
“We discussed that some complaints in a complaints and compliments book in the main reception, may be better sited in an office so that confidentiality was maintained” from the report
Audit follow-up
minorSome audit information, including a recent infection control audit, was not yet included in the manager's monthly review. Inspectors wanted follow-up actions to be completed and recorded.
“We discussed that some audits such as one recently carried out by the local infection control team could be included in the manager's monthly review to ensure best practice and follow up actions were completed and recorded.” from the report
- 01What changes have been made to record the techniques and escalation steps staff should use when someone becomes distressed?
- 02Has the new manager completed the application to be registered with the CQC, and what was the outcome?
- 03Has the new medicines system been introduced, and have all relevant staff received the planned training?
- 04Where are complaints now recorded, and how do you protect people's confidentiality while showing that issues have been addressed?
- 05How are infection control audit actions and other quality checks now recorded and followed up?
This was an unannounced planned inspection covering the home, the care provided and all five CQC questions; the previous inspection in August 2016 had also rated the service Good. This explanation was written from the published report of 6 March 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.
Every inspection of Newgate Lodge Care Home
2 rated inspections over 3 years: the service has held its Good rating throughout.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- March 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- April 2012
Report published without a new overall rating.
- 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.
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