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CQC report explained · a residential care home

What the CQC found at The Lodge

Goodpublished 24 January 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 measures were in place. This included safe use of PPE, testing, visiting arrangements, cleaning and management of infection risks.
Effective?
Good
This question was not assessed in this targeted inspection.
Caring?
Good
This question was not assessed in this targeted inspection.
Responsive?
Good
This question was not assessed in this targeted inspection.
Well-led?
Good
This question was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, July 2021

Inspected but not rated; inspectors were assured that infection control measures were safe and well managed.

This was a targeted, announced inspection on 29 June 2021. It looked at infection prevention and control because of COVID-19.

Inspectors found the home clean and tidy, with spacious communal areas, good ventilation and access to the garden. Cleaning schedules covered high-touch areas, and the manager checked them daily.

Inspectors were assured that the home used PPE safely, supported testing, managed COVID-19 risks and followed guidance on visiting, social distancing and shielding. Easy-read information and pictures helped people understand vaccination, including information translated into one person's first language.

The home was inspected but not rated. This means the inspection did not give an overall quality rating or assess all five areas of care.

What inspectors praised
  • Clean and suitable environment

    The home was clean and tidy. Its communal areas were spacious, and the layout supported social distancing and access to the garden.

    “The home was clean, tidy and communal areas were spacious, allowing for social distancing.” from the report
  • Cleaning checks

    There were cleaning schedules for high-touch areas, with daily checks by the registered manager.

    “There were cleaning schedules in place, which identified high touch areas for enhanced cleaning.” from the report
  • Accessible vaccination information

    The home used easy-read guides and pictures to explain vaccination. Information was also translated into one person's first language.

    “Easy read guides and pictures were made available to explain to people about the vaccination process.” 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 high-touch areas cleaned now, and how are these checks recorded?
  2. 02How is PPE use checked for staff and visitors?
  3. 03How does the home currently arrange testing and manage infection outbreaks?
  4. 04How are visits arranged now, and what support is available for people who need information in an accessible format?
  5. 05Can you provide the home's current ratings and information about care areas not covered by this inspection?

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 27 July 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, January 2019

Rated Good; inspectors found kind, personalised care, but some medicine records lacked enough detail and there was no registered manager in post.

This was an unannounced inspection on 18 December 2018. One inspector spoke with people, a relative, staff and a healthcare professional. They also observed care and checked care plans, risk assessments, medicines records, staff records and quality checks.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People were supported by enough staff who knew them well. Inspectors found detailed care plans, respectful relationships, support with health and nutrition, and activities based on people's interests.

Some medicine records did not contain enough detail. The home also did not have a registered manager at the time, although inspectors found suitable temporary arrangements and said steps had been taken to appoint a manager. The home had previously breached a regulation about staff supervision and appraisals, but this had been put right.

What inspectors praised
  • Enough staff

    Inspectors found enough staff to meet people's needs and provide calm, flexible support. Recruitment checks were also completed.

    “There were sufficient staffing levels to meet people's needs and provide a flexible service.” from the report
  • Kind relationships

    People and relatives described staff as kind and helpful. Inspectors saw relaxed, cheerful interactions and staff promoting dignity and independence.

    “People received their care from a regular staff team who demonstrated genuine care and affection for people.” from the report
  • Personalised activities

    People were supported to make choices and follow their interests, including going out, holidays, caring for pets and keeping in touch with family.

    “People could make choices about their lives including the activities they wanted to do.” from the report
  • Improved staff support

    The previous inspection found a problem with staff supervision and appraisals. Inspectors found this had improved by this inspection.

    “At this inspection we found improvements had been made in these areas and the provider was no longer in breach.” from the report
What inspectors were concerned about
  • Medicine records

    needs fixing

    Some medicine information was incomplete. One person's as-required medicine did not have written guidance, and records did not show clearly that time-sensitive medicine had been given as prescribed.

    “We recommend the service always makes sure that records evidence the care provided.” from the report
  • Registered manager

    needs fixing

    There was no registered manager in post at the inspection. Inspectors found appropriate temporary arrangements and were told that a manager had been appointed and would apply for registration.

    “It is a legal requirement that the service has a registered manager in post.” from the report
  • Decoration and condition

    minor

    The home was clean and free from clutter, but inspectors recorded comments that the building was run down and needed decoration.

    “The home's environment was clean and clutter free however improvements could be made in the home's decoration.” from the report
Questions to ask them, based on this report
  1. 01Has the appointed manager now applied to become the registered manager, and what is the current management arrangement?
  2. 02How do you check that as-required and time-sensitive medicines have clear written guidance and complete records?
  3. 03What improvements, if any, have been made to the home's decoration and general condition since this inspection?
  4. 04How will you make sure staff continue to receive regular supervision and annual appraisals?
  5. 05How are people involved in choosing activities, meals and changes to their care plans?

This was an unannounced inspection of the overall service, covering all five CQC questions as well as the premises and care provided. This explanation was written from the published report of 24 January 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 The Lodge

3 rated inspections over 2 years: the service has improved, from Requires improvement to Good.

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

    Read what inspectors found at The Lodge →

  2. January 2019Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at The Lodge →

  3. December 2017Requires improvementstayed Requires improvement
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. September 2016Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. January 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. February 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. September 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. December 2010

    Registered with the Care Quality Commission on 24 December 2010.

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

Weigh the report against the rest

Care at home

At least 100 live-in carers within about an hour of Kirklees

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. 86 can care for a couple. 11 years' experience on average.

“Carla has been a god send with the implementation of bringing mum back home from respite care.”
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“Primrose is a very kind and compassionate healthcare professional”
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See live-in carers near KirkleesProfiles, rates and reviews are free to look at.

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