CQC report explained · a residential care home
What the CQC found at Oxclose Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention and control, including protective equipment, testing, cleaning, visiting and outbreak management. The provider 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?
- Outstanding
- 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, April 2022
Inspected but not rated; inspectors found good infection prevention and control during a targeted COVID-19 review.
The CQC visited the home without notice on 2 March 2022. This was a targeted inspection focused on infection prevention and control, including the effect of COVID-19 staffing pressures.
Inspectors found that the home was following government guidance when people tested positive. Staff had training in infection control, hand washing and using protective equipment. There was regular COVID-19 testing, and cleaning and touch-point sanitising took place throughout the day.
The home was inspected but not rated overall. The Safe question was also inspected but not rated. This means the report gives findings about infection control, rather than a full set of current ratings for the service.
Staff training
Staff had training in infection prevention and control, food hygiene, COVID-19, hand washing and the safe use of protective equipment. Their practical skills had also been checked.
“Staff had been trained in infection prevention and control, food hygiene and COVID-19.” from the report
Testing and vaccination
Regular COVID-19 testing was in place for staff and residents. The report says staff and residents had received their vaccines and booster.
“A regular programme of testing for COVID-19 was in place for staff and people who lived in the service.” from the report
Cleaning and outbreak controls
Cleaning happened throughout the day and touch points were regularly sanitised. The home also had up-to-date COVID-19 policies, procedures and risk assessments.
“We saw that cleaning took place throughout the day and touch points were regularly sanitised.” from the report
Visitor checks
The home checked professional visitors' vaccination status and negative lateral flow test results. Different visiting options helped relatives stay connected with residents.
“The registered manager had stringent checks in place on everyone who entered the service to reduce the risk to the service.” from the report
Inspectors raised no specific concerns in this report.
- 01How are COVID-19-related staffing pressures affecting the home now, and what measures are in place to manage them?
- 02How are cleaning schedules and the sanitising of touch points checked and recorded?
- 03How would visits be arranged if there were an infection outbreak or a resident needed to isolate?
- 04How are visitors' vaccination status and test results checked when they arrive?
- 05How does the home's Red, Amber, Green system change what staff do during an infection risk?
This was an unannounced targeted inspection of infection prevention and control and COVID-19-related staffing pressures; the service was inspected but not rated. This explanation was written from the published report of 12 April 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, October 2019
Oxclose Lodge was rated Good overall, with Outstanding caring; inspectors found safe, personalised support and noted that some end-of-life planning was unfinished.
This was an unannounced inspection on 30 September 2019. One inspector spoke with a person using the service, relatives and five staff. Records, medicines, recruitment, incidents and quality checks were also reviewed.
The home supported four people, against a maximum of five. Inspectors found people received safe care from staff who understood their complex needs. Medicines, staffing, infection control and health and safety checks were managed well.
Caring was rated Outstanding. Staff were described as exceptionally kind and respectful. People were supported to make choices, stay in contact with relatives, try activities and take part in their local community.
The overall rating was Good. Safe, effective, responsive and well-led were each rated Good. The caring rating improved from Good at the previous inspection, published in July 2017.
Kind and respectful care
Staff adapted how they communicated and supported each person. Relatives gave consistently very positive feedback about their dedication.
“People were cared for by staff who were kind, caring, compassionate and went above and beyond what was expected of them.” from the report
Strong understanding of complex needs
Staff knew people's health and care needs well and followed detailed guidance safely. External and internal health professionals supported ongoing care.
“Staff demonstrated detailed awareness and knowledge about people's care and treatment needs.” from the report
Active lives and community links
People were supported to take part in trips, hobbies, exercise, entertainment and local activities. Staff also looked for new experiences.
“People led active and fulfilling lives, they were supported to participate in activities, interests and hobbies they enjoyed.” from the report
Good oversight
The home used regular audits, incident reviews, feedback and provider checks to monitor safety and quality.
“There was a system of audits and processes in place that continually checked on the quality and safety of people's care.” from the report
End-of-life planning was incomplete
needs fixingDiscussions with relatives about end-of-life wishes had not been completed for one person. The manager was aware and was working with relatives to obtain this information.
“Due to the sensitivity of these discussions, this had not been completed, the registered manager was aware of this and was working with relatives in seeking this information.” from the report
End-of-life training was not yet provided
needs fixingStaff had not received end-of-life care training at the time of inspection. The manager said training would be provided when needed and tailored to the person's care needs.
“The registered manager told us staff had not received end of life care training, but this would be provided when required, and would be individual to the person's care needs.” from the report
- 01How will you finish discussing and recording my relative's end-of-life wishes?
- 02What end-of-life training have staff received now, and how would it be matched to my relative's needs?
- 03How do you make sure staff understand and follow each person's detailed risk and health support plans?
- 04How would you support my relative to keep relationships, hobbies and community activities if their needs changed?
- 05How are relatives involved in reviewing care plans and giving feedback about the service?
This was an unannounced inspection of the care provided and premises, covering all five CQC questions and the overall quality and safety of the home. This explanation was written from the published report of 16 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.
Every inspection of Oxclose Lodge
Each visit the CQC has published, newest first, back to the day the home was registered.
- April 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- October 2019GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
- April 2018
Registered with the Care Quality Commission on 30 April 2018.
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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
90 live-in carers within about an hour of Nottingham
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 £980 to £1,270 a week. 73 can care for a couple. 11 years' experience on average.
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.