CQC report explained · a residential care home
What the CQC found at The Lodge at Burcot Grange
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found staff understood people's risks, responded promptly, managed medicines safely and followed infection prevention measures. The home had also made changes that led to a major reduction in falls.
- Effective?
- Good
- This area was not inspected during this focused visit. Its previous rating was used when calculating the overall rating.
- Caring?
- Good
- This area was not inspected during this focused visit. Its previous rating was used when calculating the overall rating.
- Responsive?
- Good
- Inspectors found that care was planned around people's choices, needs and preferences. People were supported to maintain relationships, enjoy activities and receive personalised end of life care.
- Well-led?
- Good
- Inspectors found clear leadership, good communication and effective checks on care quality and risks. Leaders used incidents, feedback and partnership working to improve care.
What inspectors found, March 2022
Rated Good; inspectors found safe, person-centred care, while two areas were not checked during this focused inspection.
This was an unannounced focused inspection on 24 August 2021. Inspectors looked at Safe, Responsive and Well-led after concerns had been raised about managing people's safety risks. They spoke with people, relatives and staff, observed care, and checked care, medicines, recruitment and management records.
Inspectors found people were safe and supported promptly. Staff understood people's risks, medicines were managed safely, infection controls were in place, and checks before recruiting staff were completed. The home also helped people keep relationships, follow their interests and receive personalised end of life care.
People, relatives and staff gave strong positive feedback about the home. Leaders reviewed incidents and acted on learning, including changes linked to a major reduction in falls. Safe, Responsive and Well-led were rated Good. Effective and Caring were not inspected at this visit, so earlier ratings for those areas were carried forward into the overall rating.
Personalised care
People and relatives were involved in planning care. Staff adjusted support as people's needs changed and helped people keep control of daily life.
“People and their relatives were involved in identifying people's safety risks and needs.” from the report
Prompt support
People said they did not have to wait long for help, and inspectors saw staff responding promptly when support was requested.
“We saw people did not have to wait long if they wanted support from staff.” from the report
Learning from falls
The provider and manager reviewed incidents, looked for patterns and changed support after falls. Inspectors found this had made falls much less frequent.
“Patterns and trends were also analysed to inform the development of the home.” from the report
End of life care
End of life plans included people's spiritual needs and preferences. Staff were praised for sensitive support before and after people's deaths.
“There had been many compliments received by staff from relatives and other health and social care professionals.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you assess and manage my relative's specific risks, including falls, choking, skin problems or their health conditions?
- 02How do you make sure medicines are given safely and reviewed when my relative's needs change?
- 03How will you involve me and my relative in reviewing the care plan?
- 04What activities and support are available to help my relative maintain important relationships and interests?
- 05What changes have been made since the inspection to keep falls low and learn from incidents?
This was a focused inspection of Safe, Responsive and Well-led only; Effective and Caring were not inspected and their previous ratings were carried forward into the overall rating. This explanation was written from the published report of 25 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, April 2019
The Lodge at Burcot Grange was rated Good; inspectors found kind, personalised care and effective safety systems, with some morning staffing pressure to monitor.
This was an unannounced planned inspection on 9 April 2019. One inspector and an Expert by Experience visited, spoke with people, relatives, staff and healthcare professionals, and checked care records, medicines, training, complaints, incidents and quality checks.
All five areas were rated Good. Inspectors found people were treated with kindness, dignity and respect. Care was personalised, staff understood people's needs, medicines were managed safely, and people had access to healthcare, activities and community links.
The report also noted that some morning personal care periods could be busy. A new tool for working out staffing needs was being introduced. One person's legal condition linked to their deprivation of liberty authorisation was still being actioned.
Kind and respectful care
Inspectors saw positive relationships between staff and people. Staff supported personal choice, dignity and independence.
“People were supported and treated with dignity and respect; and involved as partners in their care.” from the report
Personalised support
Assessments and care records covered individual needs, preferences and communication needs. These were reviewed when people's needs changed.
“People's care records were detailed about their individual needs and preferences, and were regularly reviewed and updated as their needs changed.” from the report
Safe systems
The home had detailed risk assessments, safe medicines procedures, staff training and regular checks of the building and equipment.
“The service environment and equipment was well maintained and records were kept of regular health and safety checks.” from the report
Activities and community links
People could take part in activities inside and outside the home. The home also supported links with local people, families and a school.
“There was a range of activities for people to partake in, including activities within the service and attending local venues for tea dances and outside entertainers were regularly used.” from the report
Strong oversight
Managers used audits, meetings and incident reviews to check standards and make improvements. Staff said they could raise concerns and suggest ideas.
“The service had an extensive range of effective quality monitoring arrangements in place.” from the report
Busy mornings
needs fixingStaff reported that some morning periods of personal care could be very busy. The home was introducing a dependency tool to help decide suitable staffing levels.
“We received feedback that some periods of personal care in the morning could get very busy.” from the report
Legal condition still being actioned
seriousOne person had a condition attached to their deprivation of liberty authorisation that the home was legally required to meet. Inspectors said action was still in progress at the visit.
“One person had a condition on their DoLS which the service was legally obligated to meet.” from the report
- 01How do you staff the home during the busiest morning personal care periods?
- 02Is the staffing dependency tool now in use, and how does it affect staffing numbers?
- 03What action was taken to meet the legal condition attached to the person's deprivation of liberty authorisation?
- 04How are each person's communication needs and changing preferences shared with all staff?
- 05How will you involve our relative and family in care reviews and decisions?
This was an unannounced planned inspection covering all five key questions and both the premises and care provided; the service had not been rated previously. This explanation was written from the published report of 30 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.
Every inspection of The Lodge at Burcot Grange
2 rated inspections over 3 years: the service has held its Good rating throughout.
- March 2022Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2019GoodSafe: GoodResponsive: GoodWell-led: Good
- November 2017
Registered with the Care Quality Commission on 20 November 2017.
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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At least 100 live-in carers within about an hour of Worcestershire
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 £1,260 a week. 85 can care for a couple. 9 years' experience on average.
“I have never met a person who is so kind and thinks about others before himself to such an extent as Chris Malagala.”
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
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.