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CQC report explained · a nursing home

What the CQC found at Oak Lodge

Outstandingpublished 31 January 2020, 6 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Good
Inspectors were assured that the home had measures to prevent and control infection. They found appropriate arrangements for visitors, social distancing, admissions, personal protective equipment, testing, hygiene and managing outbreaks.
Effective?
Outstanding
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Outstanding
Are people treated with kindness and dignity?
Responsive?
Good
Is care built around the person? Care plans, activities, complaints.
Well-led?
Outstanding
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, October 2020

Oak Lodge was inspected but not rated; inspectors were assured that infection prevention and control measures were in place.

This was an announced, targeted inspection on 21 August 2020. It looked at infection prevention and control measures as part of a review during the coronavirus pandemic.

Inspectors found that the home was preventing visitors from catching and spreading infections. They were also assured about shielding, social distancing, safe admissions, personal protective equipment, testing, hygiene, outbreak management and the infection control policy.

Inspectors also found good practice in the visiting arrangements and activities. The home was inspected but not rated, so this report does not give an overall quality rating.

What inspectors praised
  • Safer visiting

    The home created a visiting area separated by a Perspex wall, with outside access for families. It provided a warm and comfortable place for visits.

    “This area provided people with comfortable chairs and a visiting area in the warmth for colder days or when people were unwell.” from the report
  • Activities and contact

    The home offered a range of activities intended to keep people involved and reduce isolation, including entertainment, contact with local children and activities linked to events.

    “A wide variety of activities for people to keep them involved and lift the feelings of isolation” from the report
  • Infection control

    Inspectors were assured that infection prevention and control arrangements were being followed, including the safe use of personal protective equipment.

    “We were assured that the provider was using PPE effectively and safely.” 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. 01Are the visiting arrangements with the Perspex wall still in place, and how are visits managed now?
  2. 02How does the home currently provide and check personal protective equipment for staff?
  3. 03How are people admitted safely and tested for infection?
  4. 04How does the home prevent and manage infection outbreaks?
  5. 05What activities and contact with families or the local community are available now?

This was a targeted inspection of infection prevention and control measures only; the service was inspected but not rated. This explanation was written from the published report of 2 October 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, January 2020

Rated Outstanding; inspectors found exceptionally effective, caring and well-led support, with safe and responsive care rated Good.

Inspectors visited without warning on 10, 15 and 16 October 2019. They spoke with people, relatives, staff and healthcare professionals. They observed care, reviewed the home and checked care, medicines, staffing and management records.

The home was calm, friendly and welcoming. Inspectors found exceptionally kind staff who respected people's dignity, choices and independence. Care was personalised and helped people maintain their health, wellbeing and quality of life.

The home had strong systems for medicines, risk management, infection control and learning from incidents. It offered varied activities, links with the community and good support for people and families at the end of life.

The overall rating was Outstanding. Effective, Caring and Well-led were also Outstanding. Safe and Responsive were rated Good. These ratings were unchanged from the previous inspection published on 14 March 2017.

What inspectors praised
  • Kind and respectful care

    Staff were exceptionally kind, compassionate and patient. They promoted dignity, independence and happiness in everyday care.

    “Staff were exceptionally kind, compassionate and patient in their approach.” from the report
  • Improved mobility

    The home identified a gap in mobility support and recruited a physiotherapist. Inspectors saw examples of people becoming more independent after exercises and therapy.

    “The provider had recruited a physiotherapist and had adapted an area in one of the lounges to be used as a gym.” from the report
  • Safe medicines support

    The electronic prescribing system used barcode scanners and electronic medicines records. Records showed people consistently received medicines as prescribed.

    “Records showed people consistently received their medicines as prescribed.” from the report
  • Personalised activities

    There were varied activities, one-to-one support and outings. Staff worked hard to help people make friends and avoid social isolation.

    “Staff went the extra mile to support people to prevent social isolation.” from the report
  • Strong leadership

    Inspectors found clear responsibilities, regular audits and improvement plans. People, relatives and staff were involved in shaping the home.

    “There were extremely robust measures in place to monitor quality, safety and experience of people within the service.” 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 would you assess and support my relative's mobility when they first move in or return from hospital?
  2. 02How would you support my relative if they have dementia or find group activities difficult?
  3. 03How would you involve our family in decisions about care, including decisions about capacity and restrictions on freedom?
  4. 04How do you record and check medicines, including medicines prescribed to be taken only when needed?
  5. 05How would you discuss and provide end of life care if my relative wished to remain at the home?

This was an unannounced planned inspection covering all five CQC questions, including care, nursing, premises, records, staff and management. This explanation was written from the published report of 31 January 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.

The story over the years

Every inspection of Oak Lodge

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

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

    Read what inspectors found at Oak Lodge →

  2. January 2020Outstandingstayed Outstanding
    Safe: GoodEffective: OutstandingCaring: OutstandingResponsive: GoodWell-led: Outstanding

    Read what inspectors found at Oak Lodge →

  3. March 2017Outstanding
    Safe: GoodEffective: OutstandingCaring: OutstandingResponsive: GoodWell-led: Outstanding

    Read this report on cqc.org.uk

  4. June 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. June 2013

    Registered with the Care Quality Commission on 5 June 2013.

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

Care at home

26 live-in carers within about an hour of Hampshire

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 £1,020 to £1,260 a week. 23 can care for a couple. 14 years' experience on average.

“I cannot recommend Prisca highly enough, she is one in a million.”
Emily B., about Prisca S.
“He stayed with her throughout the pandemic, refusing to visit his own family, who lived nearby, to reduce the risk of infection.”
Roderick N., about Jaison M.
See live-in carers near HampshireProfiles, rates and reviews are free to look at.

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.