CQC report explained · a residential care home
What the CQC found at Radway Lodge Residential Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Risks were reviewed, staffing was sufficient and infection prevention arrangements were considered effective, although medicines recording needed review.
- Effective?
- Good
- Staff had training and support, and worked with health professionals when needed. People had suitable food, drink support and adaptations to help them remain independent.
- Caring?
- Good
- People were treated with kindness, dignity and respect. Staff offered choices and supported people to make decisions and stay as independent as possible.
- Responsive?
- Good
- Care plans recorded people's histories, preferences and interests. People were supported with activities, family relationships, communication needs and end of life wishes.
- Well-led?
- Good
- The home had a positive culture and regular audits, meetings and handovers. Managers understood their responsibilities and acted on feedback and incidents.
What inspectors found, October 2021
Rated Good in all five areas; inspectors found safe, kind and personalised care, with a medicines recording issue to review.
The unannounced inspection took place on 19 August 2021. One inspector and a medicines specialist spoke with people, staff and a health professional. They reviewed care plans, medicines records, complaints, incidents, training and quality checks.
The home was rated Good overall and Good for Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough trained staff, effective risk assessments, good infection control, kind relationships and care that reflected people's choices and interests.
Inspectors found that some handwritten medicines records had not been signed and checked by two staff. They recommended reviewing how verbal dose changes and handwritten records are recorded. The home was not reported to be in special measures.
Kind relationships
Inspectors saw warm and caring interactions. People and relatives said staff knew them well and treated them respectfully.
“Everyone we spoke with thought they were well cared for and treated respectfully by staff who wanted them to enjoy their life at Radway Lodge.” from the report
Personalised support
Care plans included people's life histories, preferences and interests. Staff supported activities, family contact and individual routines.
“The care plans included information about people's life histories, likes, dislikes and achievements which supported staff to get to know people.” from the report
Good staffing and training
Inspectors observed enough staff to meet people's needs. Staff had relevant training, induction and supervision.
“We observed sufficient levels of staffing to meet people's needs effectively. Interactions between staff and people were friendly, warm and caring.” from the report
Clean and prepared
The home had a strong cleaning system and inspectors were assured about its infection prevention and control arrangements.
“The home was clean and tidy. Radway Lodge had a robust cleaning regime in place to support good infection prevention and control.” from the report
Effective management
Audits covered areas such as medicines, falls, accidents and infection control. Managers used checks and staff meetings to maintain standards and share learning.
“A robust audit system was in place, for example, of accident and incidents, falls, medicines and infection prevention and control.” from the report
Medicines records
needs fixingSome handwritten medicines entries had not been signed and checked by two staff. One dose change had been recorded after a verbal message, so inspectors recommended that the recording process be reviewed.
“Some handwritten entries on people's medicines records had not been signed and checked by two members of staff.” from the report
- 01What changes have you made to record verbal medicines dose changes since this inspection?
- 02How do two staff check and sign handwritten medicines records now?
- 03How will you support my relative's individual interests, routines and family relationships?
- 04How do you monitor changes in a person's risks, eating and drinking needs or mobility?
- 05How are relatives involved in care reviews and giving feedback?
This was an unannounced inspection of the care, premises and management of the home, including infection prevention and control; the report says the previous comprehensive inspection was published on 19 June 2019. This explanation was written from the published report of 9 October 2021 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, June 2019
Rated Good; inspectors found safe, kind and personalised care, but some people wanted more activities and trips out.
This was an unannounced planned inspection on 8 May 2019. An inspector and an expert by experience visited the home. They spoke with 10 people, two relatives, a visitor, staff and health professionals. They also checked care records, medicines records, staff files and the home's quality checks.
Inspectors found that people were safe and treated with kindness, dignity and respect. Staff knew people's needs and preferences. Medicines were given safely, care plans were up to date, and staff had suitable training. People received support with food, healthcare and decisions about their care.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. This means the inspection found good care and that legal requirements were met. The overall rating was unchanged from the previous inspection.
Kind and respectful care
People were treated with dignity and staff built warm, meaningful relationships with them.
“People were supported by staff that were caring, compassionate and treated them with dignity and respect.” from the report
Safe staffing and medicines
Inspectors found enough staff on duty and saw evidence that medicines were stored, given and checked safely.
“People received their medicines safely and on time and said they were happy with the support they received.” from the report
Personalised care
Staff knew people's histories, preferences and communication needs. Care plans were detailed and updated when needs changed.
“People's care plans were detailed and up to date about people's individual physical, emotional and cultural needs.” from the report
Good leadership and improvement
The home had an open culture and used audits, feedback and incident reviews to improve care and the environment.
“The service had a range of effective quality monitoring arrangements in place.” from the report
Limited activities and outings for some people
needs fixingAlthough the home offered daily activities and some trips, three people said there was not much to do and they wanted to go out more often.
“However, three people said there wasn't much to do and said they would like to go out more.” from the report
Bathing choices were not clear to everyone
minorSeveral people thought baths or showers were limited to a set day each week. The provider said people could choose another day or have them more often, and inspectors recommended making this clearer.
“We recommend people are made more aware of this.” from the report
- 01How will you make sure my relative has enough activities that match their interests?
- 02How often can residents go out, and what help is available for trips into town or elsewhere?
- 03How will you explain clearly that residents can choose a different day for a bath or shower, or request one more often?
- 04How will you review my relative's care plan when their needs, preferences or health change?
- 05How do you involve relatives in decisions about care when a person needs help making a decision?
This was an unannounced planned inspection that assessed all five key areas and gave ratings for the overall service. This explanation was written from the published report of 19 June 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 Radway Lodge Residential Home
4 rated inspections over 7 years: the service has held its Good rating throughout.
- October 2021Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Radway Lodge Residential Home →
- June 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Radway Lodge Residential Home →
- November 2016Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
- October 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 17 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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