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CQC report explained · a residential care home

What the CQC found at Sovereign Lodge Care Home

Goodpublished 2 December 2022, 3 years ago

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

The five questions inspectors ask
Safe?
Good
People were protected from abuse and risks were assessed and reviewed. Medicines were managed safely overall, but records for topical medicines were not always clear.
Effective?
Good
People had detailed, person-centred care records and access to healthcare support. Some records about drinking were not fully completed.
Caring?
Good
Staff treated people with dignity and respect, supported independence and involved people in decisions about their care.
Responsive?
Good
Care was personalised to people's needs, communication needs were recorded and activities were available. Complaints were handled through the home's procedure.
Well-led?
Good
Inspectors found an open and positive culture, with audits and feedback used to monitor and improve the service.
The latest report, explained

What inspectors found, December 2022

Sovereign Lodge Care Home is rated Good; inspectors found safe, kind and personalised care, with some medicine records needing improvement.

Inspectors made an unannounced visit on 28 September 2022. They spoke with people living in the home, relatives, staff and a visiting healthcare professional. They observed care and checked care plans, medicine records, staff recruitment files and management records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough trained staff, safe recruitment, good infection control and care that respected people's choices, dignity and independence.

Inspectors found that records for topical medicines were not always clear. They recommended improving how these medicines were documented, and the manager later confirmed that improvements had been made. Some records of people's drinking were also incomplete.

This was the first inspection of the newly registered service. It had previously been part of a different registration with the same provider, which was rated Good in 2019. The inspection was prompted partly by a reported death, but it did not examine the circumstances of that incident.

What inspectors praised
  • Enough trained staff

    Inspectors found enough suitably trained staff to support people. Recruitment checks had also been completed safely.

    “There were enough suitably trained staff to provide support to people who use the service.” from the report
  • Dignity and independence

    People were treated respectfully and encouraged to do things for themselves where possible. Staff also respected people's wishes about how they spent their time.

    “People were treated with dignity and respect, and their independence was promoted whenever possible.” from the report
  • Good partnership working

    Staff worked with healthcare professionals to support people's physical and mental health. Visiting professionals reported that staff raised concerns promptly.

    “the staff are proactive in caring for people and raising concerns about their health in good time.” from the report
What inspectors were concerned about
  • Topical medicine records

    needs fixing

    Records did not always make clear which topical medicine should be used. Inspectors recommended reviewing the recording process, and the manager later said improvements had been made.

    “The process for recording topical medicines meant it was not always clear what topical medicine should be used.” from the report
  • Drinking records

    minor

    Some records about people's drinking were incomplete, although inspectors saw people drinking during the visit.

    “Sometimes records were not fully completed in the relation to drinking, however people we observed drinking during the inspection.” from the report
Questions to ask them, based on this report
  1. 01How are topical medicines recorded now, and how do you check that the records clearly show what should be applied?
  2. 02How do you make sure records of people's food and drink are completed accurately?
  3. 03What changes have been made following the inspection's recommendation about topical medicines?
  4. 04How would you respond if my relative's health changed or they needed timely healthcare support?
  5. 05How will my relative's preferences, communication needs and interests be included in their care plan and activities?

This was an unannounced inspection covering all five key questions; it did not examine the circumstances of the reported death, which were subject to a separate CQC investigation. This explanation was written from the published report of 2 December 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.

The story over the years

Every inspection of Sovereign Lodge Care Home

2 rated inspections over 3 years: the service has held its Good rating throughout.

  1. December 2022Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Sovereign Lodge Care Home →

  2. December 2020Inspected but not rated
    Safe: Inspected but not rated
  3. November 2019Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  4. September 2022

    Registered with the Care Quality Commission on 12 September 2022.

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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