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CQC report explained · a residential care home

What the CQC found at Sherwood Lodge

Goodpublished 24 April 2019, 7 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured that infection prevention and control arrangements were effective, including testing, protective equipment, cleaning, admissions and outbreak management.
Effective?
Good
This area was not covered by this targeted inspection.
Caring?
Good
This area was not covered by this targeted inspection.
Responsive?
Good
This area was not covered by this targeted inspection.
Well-led?
Good
This area was not covered by this targeted inspection.
The latest report, explained

What inspectors found, March 2021

Inspected but not rated; inspectors found strong infection control and safe arrangements during the Covid-19 lockdown.

This was an announced, targeted inspection on 3 March 2021. It looked at infection prevention and control during the national Covid-19 lockdown. The home was providing personal care to 48 people and could support up to 49.

Inspectors were assured that people were protected from infection. They found safe arrangements for visitors, admissions, testing, protective equipment, cleaning, social distancing and managing possible outbreaks.

The home supported people's mental wellbeing by helping them use tablets and social media to contact relatives. It also had a visiting pod and was preparing for more personal visits.

The home was inspected but not rated. This means the report does not give an overall quality rating or ratings for most of the five areas inspectors usually consider.

What inspectors praised
  • Infection control

    The home had detailed processes to reduce the risk of infection for people, staff and visitors.

    “The provider and registered manager had comprehensive processes to minimise the risk to people, staff and visitors from catching and spreading infection.” from the report
  • Testing and protective equipment

    Staff were tested weekly and people were tested every 28 days. Protective equipment and hand sanitiser were available throughout the home.

    “There was weekly testing of staff and every 28 days for people living in the home.” from the report
  • Visiting arrangements

    The home had created a visiting pod so relatives could visit without entering the home. Online booking was also available.

    “There was a visiting pod that had been created at the front of the home of the home so that visitors did not have to enter the home itself.” from the report
  • Contact with relatives

    Staff helped people use tablets and social media to keep in touch with relatives and friends during restrictions.

    “People's mental wellbeing had been promoted by innovative use of social media and electronic tablets so people could contact their relatives and friends.” from the report
  • Staff knowledge and support

    Staff had infection control training, access to guidance and support for their wellbeing. Inspectors found there were enough staff to provide continuity of care.

    “Staff also had comprehensive knowledge of infection prevention, access to good practice guidance and had attended Covid-19 specialist training hosted by the provider.” 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 visits arranged now, and is the visiting pod still used?
  2. 02How do you currently test people and staff for infection, and what happens if someone tests positive?
  3. 03What checks do you make before admitting someone to the home?
  4. 04How do staff support residents who cannot see relatives in person?
  5. 05How do you keep the infection prevention and control policy up to date?

This was a targeted inspection of infection prevention and control under the Safe question only; it did not assess the other four questions or provide an overall rating. This explanation was written from the published report of 12 March 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.

An earlier report, explained

What inspectors found, April 2019

Sherwood Lodge was rated Good after a previous Inadequate rating and special measures; inspectors found major improvements across all five areas.

This was an unannounced follow-up inspection on 12 March 2019. Inspectors spoke with people living there, relatives, staff and professionals. They observed care and checked care files, staff records, medicines, rotas, audits and other documents.

The home had improved substantially since the previous inspection. Staffing, risk management, safeguarding, medicines, staff training and care records had improved. People were treated with kindness and dignity, and their consent and care choices were recorded more appropriately.

The overall rating was Good. Safe, Effective, Caring, Responsive and Well-led were all rated Good. The report also noted some areas that still needed to become fully established, including regular dining checks and recording all relevant information about food and fluid intake.

What inspectors praised
  • Better staffing

    New staff had been recruited and staffing levels were checked against people's needs. Inspectors saw staff responding to people in a timely way.

    “Staffing levels had increased and the monitoring of people's assessed needs was completed to ensure the staffing levels were suitable.” from the report
  • Kind and respectful care

    People were involved in their care and daily choices. Staff were observed speaking kindly and protecting people's privacy and dignity.

    “People were supported and treated with dignity and respect; and involved as partners in their care.” from the report
  • Improved medicines safety

    People had enough medicines and records showed they received them as prescribed. Staff administering medicines had competency checks and extra training.

    “People had sufficient medicines, samples were checked against records and showed people received their medicines as prescribed.” from the report
  • Activities and engagement

    People could take part in activities inside the home and in the local community. Inspectors saw people engaging positively with activities.

    “A range of activities were provided to people both within the service as well as in the local community.” from the report
  • Stronger management checks

    Regular audits, meetings and action plans were being used to monitor the service and respond to feedback.

    “The registered manager had introduced systems that ensured the service was now being monitored regularly.” from the report
What inspectors were concerned about
  • Dining checks still needed embedding

    needs fixing

    The report said regular kitchen checks and a consistently positive dining experience needed to become established and sustainable.

    “The service needed to embed regular checks and a positive dining experience that promoted good practice and sustainability.” from the report
  • Weekend management cover

    needs fixing

    One person felt the home needed management on weekends. The management team said a senior care staff member and a 24-hour on-call system were available.

    “I think we need management on weekends. You can tell the difference with no managers on duty.” from the report
  • Food and fluid records

    needs fixing

    The service said it would ensure that all relevant information about people's individual needs was recorded in daily food and fluid records.

    “Where daily records were completed in relation to people's food and fluid intake the service confirmed they would ensure all relevant information about people's individual needs would be recorded.” from the report
Questions to ask them, based on this report
  1. 01What regular checks do you now carry out on meals, kitchens and the dining experience?
  2. 02How do you record and review each person's food and fluid needs and intake?
  3. 03Who provides senior management support at weekends, and how can families contact them?
  4. 04What evidence can you show that the improvements made since November 2018 have been maintained?
  5. 05How do you use feedback from residents and relatives to change care, meals or activities?

This was an unannounced scheduled follow-up inspection covering all five CQC questions and checking progress after the previous Inadequate rating and special measures. This explanation was written from the published report of 24 April 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 Sherwood Lodge

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

  1. March 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Sherwood Lodge →

  2. April 2019Goodup from Inadequate
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Sherwood Lodge →

  3. November 2018Inadequatedown from Good
    Safe: InadequateEffective: InadequateCaring: InadequateResponsive: Requires improvementWell-led: Inadequate

    Read this report on cqc.org.uk

  4. July 2015Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. December 2014Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. June 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. November 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. February 2011

    Registered with the Care Quality Commission on 15 February 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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