CQC report explained · a residential care home
What the CQC found at Roxburgh Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm, medicines were managed safely and there were enough staff. However, some care records and emergency evacuation plans were not accurate or up to date, and infection control concerns were identified.
- Effective?
- Good
- Care plans reflected people's needs and goals. Staff had appropriate training and support, people's nutrition and healthcare needs were met, and staff followed mental capacity and consent requirements.
- Caring?
- Good
- Staff treated people with kindness, dignity and respect. They understood people's communication methods, supported independence and helped people stay in touch with relatives.
- Responsive?
- Good
- People received personalised support and were helped to take part in activities and pursue their interests. Information was provided in formats people could understand, and complaints could be raised easily.
- Well-led?
- Requires improvement
- There was a positive and inclusive culture, with clear staff roles and good partnership working. However, audits did not always identify problems, and lessons from incidents and audits were not consistently communicated to staff.
What inspectors found, August 2023
Rated Good overall; inspectors found kind, safe and personalised care, but the home needs to improve its quality checks and records.
This was the home's first inspection. It was unannounced, with visits on 28 and 29 June 2023. Inspectors observed care, spoke with people, relatives and staff, and checked care, medicines, recruitment and management records.
Inspectors rated safe, effective, caring and responsive care as Good. They found enough trained staff, safe medicines practice, respectful support, personalised care plans and help for people to make choices, stay independent and take part in activities.
The well-led rating was Requires Improvement. Some care records were inaccurate or out of date, infection control concerns were found, and lessons from incidents and audits were not always shared with staff. The provider took immediate action on the concerns raised.
Kind and respectful care
Inspectors saw warm, patient interactions. Staff understood people well and supported their dignity, choices and independence.
“Throughout the inspection interactions between staff and the people they supported were kind and caring.” from the report
Well-trained staff
Staff had completed mandatory and specialist training. Their competence was checked, and there were enough staff to provide one-to-one support when needed.
“There were enough staff to meet people's needs, including for one-to-one support for people to take part in activities how and when they wanted.” from the report
Safe medicines practice
Medicines were stored, managed and disposed of safely. Staff understood the medicines people needed and were trained and assessed as competent.
“People's medicines were stored, managed and disposed of safely.” from the report
Personalised communication and activities
Staff understood individual ways of communicating. People were supported to make choices, develop skills and take part in activities they enjoyed.
“Staff had good awareness, skills and understanding of individual communication needs, they knew how to facilitate communication” from the report
Care records were not always reliable
needs fixingSome care plans were inaccurate or not updated, including personal emergency evacuation plans. Records belonging to other people were also found in the wrong files, although the provider acted when this was raised.
“They were not always accurate and updated in all areas.” from the report
Quality checks missed problems
needs fixingAudits did not always identify inconsistencies. Lessons from incidents and audits were not routinely shared with staff, so the home needed to improve how it learned and made changes.
“There was limited evidence that lessons learnt from incidents and audits were always communicated to staff, to ensure continuous learning and improvements took place.” from the report
Infection control concerns
needs fixingInspectors were not fully assured about safety through the layout and hygiene practices of the premises. The provider took immediate action after the concerns were raised.
“We were not always assured that the provider was promoting safety through the layout and hygiene practices of the premises.” from the report
Some activities were cancelled
minorMost feedback about activities was positive, but one relative reported that several activities had been cancelled for different reasons.
“However, one relative told us a number of activities had been cancelled for a variety of reasons.” from the report
- 01What changes have you made to ensure care plans and personal emergency evacuation plans are accurate and kept up to date?
- 02How do you check that records are stored in the correct person's file?
- 03What has changed in the layout and hygiene arrangements since the infection control concerns were raised?
- 04How are lessons from accidents, incidents and audits now shared with all staff?
- 05How do you make sure planned activities go ahead, or that suitable alternatives are offered when they are cancelled?
This was an unannounced first inspection covering all five CQC questions, with visits on 28 and 29 June 2023 and further inspection activity continuing until 17 July 2023. This explanation was written from the published report of 17 August 2023 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 Roxburgh Lodge
Each visit the CQC has published, newest first, back to the day the home was registered.
- August 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- July 2020
Registered with the Care Quality Commission on 23 July 2020.
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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Fees, photos and reviews from families
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99 live-in carers within about an hour of Bradford
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 £1,250 a week. 87 can care for a couple. 12 years' experience on average.
“Carla has been a god send with the implementation of bringing mum back home from respite care.”
“She understands the needs of an elderly person in the early stages of dementia and has treated my mother with great kindness and skill.”
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.