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CQC report explained · a residential care home

What the CQC found at Redfield Lodge

Goodpublished 3 December 2019, 6 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured about infection prevention, use of protective equipment, testing, safe admissions, cleaning and outbreak management. The provider also said it had measures to reduce the risks from COVID-19-related staffing pressures.
Effective?
Good
This area was not rated in this targeted inspection.
Caring?
Good
This area was not rated in this targeted inspection, although inspectors found that emotional wellbeing and family visits had been supported.
Responsive?
Good
This area was not rated in this targeted inspection, although visits were individually risk assessed and end of life visits were supported.
Well-led?
Good
This area was not rated in this targeted inspection. Inspectors described communication between the provider, manager, staff, residents and relatives as effective and supportive.
The latest report, explained

What inspectors found, February 2022

Inspected but not rated; inspectors found strong infection control, clean premises and safe visiting arrangements.

This was a targeted inspection about infection prevention and control during the COVID-19 pandemic. Inspectors also asked about staffing pressures and whether these affected care. The visit was announced with one hour's notice.

Inspectors found good systems for visitors, including checking COVID Passes, lateral flow tests and contact details. Visits were individually risk assessed, and essential care givers and end of life visits were supported.

The home was described as exceptionally clean. Inspectors were assured that people were admitted safely, staff used personal protective equipment correctly, testing was available and outbreaks could be prevented or managed.

This was not a full inspection of the home. The overall service and Safe question were marked 'Inspected but not rated', so the report does not give a Good, Requires improvement or Inadequate rating.

What inspectors praised
  • Infection control

    Inspectors were assured that the home had effective arrangements for preventing and managing infections, including testing, protective equipment and safe admissions.

    “We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
  • Visiting support

    Visits were planned around each person's needs and safety. Essential care givers and end of life visits were also supported.

    “The emotional wellbeing of people and their families had been supported throughout the pandemic.” from the report
  • Clean premises

    The home had cleaning schedules and extra cleaning for frequently touched areas.

    “The home was exceptionally clean and there were good systems in place to ensure cleaning schedules were completed” from the report
  • Communication and teamwork

    Inspectors found supportive communication between the provider, manager, staff, residents and relatives. Staff had infection control training and regular updates.

    “There was effective, supportive communication between the provider, registered manager, staff, people living at the home and their relatives.” 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 are staffing pressures affecting the home now, and what measures are in place if staff are absent?
  2. 02How are visits currently arranged, including visits during an outbreak and visits at the end of life?
  3. 03How do you check that staff and visiting professionals follow testing, vaccination and protective equipment requirements?
  4. 04How often are cleaning checks and infection control spot checks completed, and what happens when a problem is found?
  5. 05How are new residents safely admitted and supported if they need to isolate?

This was a targeted inspection of infection prevention and control and COVID-19-related staffing pressures; it did not give ratings for the other care quality questions. This explanation was written from the published report of 10 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.

An earlier report, explained

What inspectors found, December 2019

Redfield Lodge was rated Good; inspectors found safe, kind and personalised care with strong leadership.

This was an unannounced inspection on 30 October 2019. One inspector reviewed information sent to CQC, spoke with relatives and staff, observed care, and checked three people's care records and other service records.

The home supported up to 40 people living with dementia. There were 37 people living there at the time. Inspectors found enough trained staff, safe medicine systems, good infection control and suitable checks to manage risks.

People were treated with kindness, respect and dignity. Staff supported personal choices, activities, healthcare, food preferences and family relationships. The home also provided end of life care with help from health professionals.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The rating was unchanged from the previous inspection, published in April 2017.

What inspectors praised
  • Staffing and safety

    Inspectors found enough staff on duty and said staff responded promptly. Recruitment checks and risk management systems were in place.

    “People were supported by enough staff with the skills, experience and knowledge to meet their needs.” from the report
  • Kind and respectful care

    Staff built trusting relationships and supported people with patience, dignity and respect. Independence and personal choice were central to care.

    “Independence and autonomy was always promoted and was at the centre of the care and support people received.” from the report
  • Personalised activities

    The home offered activities and spaces designed for people living with dementia, including memory prompts, a sensory room, trips and visits from the local community.

    “Many of the items and pictures of memorabilia created conversations and reminiscence.” from the report
  • Open management

    The management team was visible and staff said they felt supported. Audits and reviews were used to identify and act on improvements.

    “The registered manager and deputy led by example, they were caring, kind and respected.” 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 many staff are on duty for each shift now, and how do you make sure this remains enough for people living with dementia?
  2. 02How do you involve families in care planning and respond when a person's communication needs or health changes?
  3. 03What CCTV is currently used in the home, where is it located, and how are people's privacy and views considered?
  4. 04Are any Deprivation of Liberty Safeguards applications still waiting to be processed, and how do you review them?
  5. 05How would you support my relative's food, drink, mobility, medicines and end of life preferences?

This was an unannounced inspection covering the premises and care provided, with all five CQC questions assessed; the previous overall rating and each key question rating were also Good. This explanation was written from the published report of 3 December 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.

The story over the years

Every inspection of Redfield Lodge

4 rated inspections over 5 years: the service has improved, from Requires improvement to Good.

  1. February 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Redfield Lodge →

  2. December 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Redfield Lodge →

  3. April 2017Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. April 2016Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. May 2015Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  6. September 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. September 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. September 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. May 2011

    Registered with the Care Quality Commission on 12 May 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.

Next steps

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