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CQC report explained · a residential care home

What the CQC found at St Ives Lodge Residential Care Home

Goodpublished 16 December 2017, 8 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 the home was preventing and managing infection risks. They found arrangements for PPE, testing, hygiene, social distancing and safe admissions.
Effective?
Good
This was not assessed during the targeted inspection.
Caring?
Good
This was not assessed during the targeted inspection.
Responsive?
Good
This was not assessed during the targeted inspection.
Well-led?
Good
This was not assessed during the targeted inspection, although inspectors noted that the registered manager sought external advice.
The latest report, explained

What inspectors found, February 2021

Inspected but not rated; inspectors were assured that infection prevention and control measures were in place.

This was a targeted, announced inspection on 4 February 2021. It looked only at infection prevention and control during the coronavirus pandemic.

Inspectors found the home clean and well maintained. They saw hand sanitiser and personal protective equipment available, separate entrances for staff and visitors, visitor temperature checks, and arrangements for social distancing.

The home had testing arrangements for people and staff. Staff received infection control and personal protective equipment training, and the provider sought advice from external agencies.

The home was inspected but not rated. This means the visit did not give an overall quality rating or a full rating for all five areas of care.

What inspectors praised
  • Clean premises and protective equipment

    The premises were clean and maintained. Extra cleaning had been added during the pandemic, and hand sanitiser and PPE were available.

    “Additional cleaning hours had been introduced since the beginning of the coronavirus pandemic in order to minimise the risk of the spread of infection.” from the report
  • Testing arrangements

    The provider had arrangements for testing people and staff in line with government guidance. Extra testing was used for staff working in or visiting more than one area.

    “The provider had appropriate arrangements to test people and staff for COVID-19 and was following government guidance on testing.” from the report
  • Staff infection control training

    Staff had received training on infection control and PPE. They were assigned to one location to help reduce the risk of cross infection.

    “All staff had received training on infection control and the use of PPE.” from the report
  • Family contact

    People could keep in touch with family and friends through phone and video messaging. The home also provided booths for safer visits.

    “The provider ensured that people using the service could maintain links with family members and friends.” 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 people and staff tested for infections, including staff who work in or visit more than one area?
  2. 02How are visitors currently supported to use PPE, follow social distancing and complete any health checks?
  3. 03How can residents currently keep in touch with family and friends, including people who need support with communication?
  4. 04How are staff trained and supported to use PPE and follow infection control procedures?

This was a targeted inspection of infection prevention and control only; the service was inspected but not rated and the other care questions were not assessed. This explanation was written from the published report of 12 February 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, December 2017

St Ives Lodge Residential Care Home was rated Good; inspectors found safe, kind and responsive care across all five areas.

The inspection was unannounced and took place on 20 and 21 November 2017. Inspectors observed care, spoke with people, relatives, staff and health professionals, and checked care files, medicines records, staff records, audits and the building.

The home was rated Good overall. It was also rated Good for Safe, Effective, Caring, Responsive and Well-led. Inspectors found that risks were assessed, medicines were managed safely, staffing levels met people's needs and the home was clean.

People were treated with kindness and respect. Their care plans included personal preferences, cultural and religious needs, health needs and activities. Inspectors also found regular staff training, healthcare support, complaints handling and quality checks.

The previous inspection in November 2015 also rated the home Good. Since then, the provider had invested in the building and staffing numbers had increased before this inspection.

What inspectors praised
  • Safe care and medicines

    Risks were regularly reviewed and staff had guidance to reduce them. Inspectors found medicines were stored, administered and recorded safely.

    “Care files each contained a set of risk assessments, which were up to date, detailed and reviewed regularly.” from the report
  • Kind and respectful staff

    Staff knew people well and supported their dignity, privacy, choices and independence.

    “Staff communication with all residents was warm and friendly, and staff showed compassion when talking about people who lived at the home.” from the report
  • Personalised care

    Care plans included people's histories, preferences and detailed instructions about their daily care. Plans were reviewed when needs changed.

    “Detailed care plans enabled staff to have a good understanding of each person's needs and how they wanted to receive their care.” from the report
  • Activities and social life

    People could take part in individual and group activities, outings and entertainment. Staff made efforts to include people with advanced dementia.

    “There's a lot of activity going on.” from the report
  • Open management

    Staff said they could raise concerns, and the home used audits, surveys and meetings to review the service.

    “The provider had a number of quality monitoring systems in place.” 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 have staffing levels changed since the inspection, and are there enough staff for my relative's current needs?
  2. 02How are care plans reviewed when a person's health, mobility, eating or communication needs change?
  3. 03What dementia activities are available now, including activities for people who prefer one-to-one support?
  4. 04How are medicines, including 'when required' medicines, checked and recorded?
  5. 05How would you involve our family and healthcare professionals if my relative needed end of life care?

This was an unannounced inspection of the overall service, covering Safe, Effective, Caring, Responsive and Well-led; all five ratings were given at this inspection. This explanation was written from the published report of 16 December 2017 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 St Ives Lodge Residential Care Home

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

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

    Read what inspectors found at St Ives Lodge Residential Care Home →

  2. December 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at St Ives Lodge Residential Care Home →

  3. December 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. May 2015

    Registered with the Care Quality Commission on 21 May 2015.

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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