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CQC report explained · a residential care home

What the CQC found at Pear Tree Lodge Residential Home

Goodpublished 31 October 2018, 7 years ago

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

The five questions inspectors ask
Safe?
Good
People felt safe and staff understood safeguarding procedures. Inspectors found suitable risk assessments, safe recruitment, enough staff and safe medicines management.
Effective?
Good
Staff had suitable induction, training and supervision. People's health, nutrition, consent and access to healthcare were supported, and building improvements were being made.
Caring?
Good
Staff were observed to be kind, patient, friendly and respectful. People were involved in decisions and their independence, privacy and dignity were supported.
Responsive?
Good
Care was planned around people's needs, preferences and interests. Activities were provided, and people knew how to complain, although some care plans were not easy to follow.
Well-led?
Good
Managers had clear improvement plans, worked alongside staff and carried out regular checks. People, relatives and staff said the home was managed well.
The latest report, explained

What inspectors found, October 2018

Rated Good; inspectors found safe, kind and well-managed care, but care plans were not always easy to follow.

The unannounced inspection took place on 17 September 2018. One inspector and an expert-by-experience spoke with people living in the home, relatives, staff, managers and a visiting GP. They also observed care and checked records, medicines, training and recruitment files.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people felt safe, staff were kind and respectful, medicines were managed safely, and people's health, food and activities were supported.

This was the first inspection since the new provider registered to run the home. Inspectors found that the provider had followed its improvement plan. Building work was still underway, but risk assessments were in place and the work had been planned to reduce disruption.

What inspectors praised
  • Improvement after takeover

    The new provider had followed its action plan and inspectors found improvements in the quality of care.

    “At this inspection we found that they had followed the action plan keeping to timescales and improving the quality of care people received.” from the report
  • Kind and respectful staff

    People described staff as caring, and inspectors saw friendly and respectful interactions. Staff knew people well and supported their independence.

    “People were treated with care and kindness. People's wellbeing was protected and all interactions observed between staff and people living at the service were respectful and friendly.” from the report
  • Safe medicines and staffing

    Medicines were administered as prescribed, and staff competence was checked. Inspectors also found sufficient staff and safe recruitment checks.

    “Medicines were managed and administered safely and as prescribed.” from the report
  • Choice and activities

    People were offered choices about food and daily life. Activities included music, exercises, crafts, outings and individual entertainment.

    “People we spoke with praised the activities that were provided.” from the report
  • Open management

    Managers were accessible and communicated with people, relatives and staff. Regular meetings and audits were used to monitor the service.

    “Regular audits were carried out by the management team to ensure people who used the service received a high standard of care.” from the report
What inspectors were concerned about
  • Care plans were hard to follow

    needs fixing

    Although the care plans contained the necessary information, some were not easy to follow. Duplicated information could lead to mistakes. The manager had sent CQC a new format after the inspection.

    “We found that the care plans although containing all necessary information were not easy to follow.” from the report
  • End-of-life information

    minor

    Care plans contained some information about people's wishes at the end of life, but the report says the new format would provide more detail for staff.

    “Care plans contained some information as to how people wished to be supported at the end of their life.” from the report
Questions to ask them, based on this report
  1. 01Have all residents' care plans now been changed to the new, clearer format?
  2. 02How do you check that duplicated or conflicting information in care plans does not lead to mistakes?
  3. 03What information is recorded about each person's wishes for end-of-life care?
  4. 04What building work is still outstanding, and how will you minimise disruption to residents?
  5. 05What is the policy for storing, disposing of and accessing CCTV recordings in communal areas?

This was an unannounced inspection covering all five CQC areas and the overall rating; it was the first inspection since the new provider registered the home. This explanation was written from the published report of 31 October 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.

The story over the years

Every inspection of Pear Tree Lodge Residential Home

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. October 2018Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Pear Tree Lodge Residential Home →

  2. April 2018

    Registered with the Care Quality Commission on 9 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.

Next steps

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