CQC report explained · a residential care home
What the CQC found at Stanborough Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection testing, PPE, safe admissions, outbreak management and visitor infection controls. They were only somewhat assured about the layout and hygiene of the premises because some areas needed maintenance or were cluttered.
- Effective?
- Good
- This question was not assessed during this targeted inspection.
- Caring?
- Good
- This question was not assessed during this targeted inspection.
- Responsive?
- Good
- This question was not assessed during this targeted inspection.
- Well-led?
- Good
- This question was not assessed during this targeted inspection.
What inspectors found, March 2022
Stanborough Lodge was inspected but not rated; infection controls were mostly reassuring, but some premises and visiting arrangements needed improvement.
This was an unannounced, targeted inspection on 24 February 2022, with a follow-up video call on 3 March 2022. Inspectors looked at infection prevention and control, visiting arrangements, and staffing pressures linked to COVID-19.
Inspectors were assured about testing, personal protective equipment, safe admissions, visiting infection controls and the management of outbreaks. They found clear procedures for visitors and planned admissions, including testing and isolation where needed.
The home was only partly satisfactory in the layout and cleanliness of some areas. Parts of the older building needed maintenance, and a staff changing area was cluttered. Visiting arrangements were initially more restricted than government guidance allowed, but they were increased after inspectors raised this.
Visitor infection controls
Visits were pre-arranged, with rapid testing, guidance and protective equipment. The designated visiting area was cleaned between visits when it was used.
“Clear infection control procedures were in place for visitors.” from the report
Safe admissions
Admissions were planned carefully, with COVID-19 testing and isolation periods completed when required.
“Admissions were carefully planned, with COVID-19 tests being undertaken and periods of isolation being completed where required.” from the report
Testing and PPE
Staff completed lateral flow tests before shifts, residents were tested every four weeks, and PPE stations were available throughout the building.
“PPE stations were seen to be situated throughout the building, providing easy access to staff.” from the report
Maintenance and clutter
needs fixingSome parts of the older building needed maintenance, and a staff changing area was cluttered. Inspectors said this could make effective cleaning harder and increase infection risks.
“These issues could inhibit effective cleaning and present an infection or transmission risk.” from the report
Visiting restrictions
needs fixingAt the start of the inspection, visits were limited to certain days, numbers and lengths. The home changed this after inspectors raised concerns, increasing visits to seven days a week and allowing discretion for individual needs.
“This was not in line with Government guidance.” from the report
- 01What maintenance work is planned for the older parts of the building, and when will it be completed?
- 02How are cluttered areas, including the staff changing area, kept clear and easy to clean?
- 03How do you now arrange visits seven days a week, and how do you respond when someone needs a visit outside the usual hours?
- 04What infection control checks are carried out between visits and in shared areas?
- 05How are staffing pressures linked to COVID-19 monitored, and what action is taken if they affect the service?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; the other quality questions were not assessed. This explanation was written from the published report of 29 March 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.
What inspectors found, March 2019
Stanborough Lodge rated Good; inspectors found safe, kind and personalised care, with some tired areas and limited dementia signage.
This was a planned inspection on 31 January 2019. Inspectors reviewed information about the home, observed care, spoke with seven people, three relatives or visitors, the manager, a provider representative and three staff members. They also checked two care records and records about medicines, incidents, accidents and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people felt safe, staff were trained and knew people well, medicines were managed safely, and people received kind and personalised care.
Some parts of the building looked tired and needed re-decoration. Inspectors also found little signage to help people living with dementia find their way around. The provider sent plans for re-decoration, and the manager said signage would be considered as part of this work. The home was rated Good at the previous inspection in August 2016 and remained Good.
People felt safe
People and visitors said they felt safe. Staff understood safeguarding and how to reduce risks, and the environment and equipment were safe and maintained.
“People continued to feel safe living at the service.” from the report
Kind and respectful care
Inspectors saw staff treating people with kindness, dignity and respect. Staff knew people's preferences and encouraged independence.
“People continued to receive care from staff who were kind and caring.” from the report
Personalised support
Care plans described people's needs, likes and choices. People could take part in activities and make decisions about their daily lives.
“People received person centred care that met their needs.” from the report
Good management checks
The home used audits and reviews of incidents and complaints to identify improvements. Staff said they felt supported by the management team.
“Audits were completed on a wide range of areas of the service.” from the report
Tired decoration
minorSome areas of the home looked tired and needed re-decoration. The provider sent plans for work to be carried out within six months of the inspection.
“We found that some areas of the home were looking tired and in need of re-decoration.” from the report
Limited dementia signage
minorThere was little signage to help people living with dementia find their way around. The manager said this would be discussed as part of the re-decoration plan.
“We found that there was little signage to assist people who were living with dementia in finding their way around easily.” from the report
- 01Which areas needed re-decoration at the inspection, and what work has been completed since then?
- 02What signage is now available to help people living with dementia find their way around?
- 03How are staffing levels checked when people's needs change or staff are absent?
- 04How are relatives involved in reviewing care plans and decisions about care?
- 05What activities are currently available for someone with my relative's interests and abilities?
This was a planned inspection of the care home, covering accommodation and care across all five CQC questions; all five ratings were given as Good. This explanation was written from the published report of 5 March 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.
Every inspection of Stanborough Lodge
3 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- March 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- March 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2015Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- June 2014
Report published without a new overall rating.
- July 2013
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- June 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 19 January 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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