CQC report explained · a residential care home
What the CQC found at The Lodge Residential Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, March 2022
Inspected but not rated; inspectors were assured that infection prevention and COVID-19 arrangements were safe.
This was an unannounced, targeted inspection on 3 February 2022. Inspectors checked infection prevention and control because of COVID-19 outbreaks, and asked about staffing pressures.
The inspectors were assured that the home was using protective equipment safely, arranging testing, managing visitors and admissions, and following shielding and social distancing rules. They were also assured that outbreaks could be prevented or managed and that the infection control policy was up to date.
The home had individual COVID-19 care plans and risk assessments. People who were isolated because they had COVID-19 had a separate staff team and activities co-ordinator.
The home was inspected but not rated. This means the inspection did not give an overall quality rating or a rated score for Safe.
Individual COVID-19 planning
People had care plans and risk assessments that considered their individual needs during the pandemic. Staff used strategies to support people living with dementia to keep their distance.
“People had individual care plans and risk assessments to ensure their individual needs were met in relation to the COVID-19 pandemic.” from the report
Support during isolation
People who were isolated because they had COVID-19 had a dedicated staff team and activities co-ordinator who worked only with them.
“When people were isolated due to being COVID-19 positive they had a designated staff team and activities co-ordinator who worked exclusively with them.” from the report
Infection control arrangements
Inspectors were assured that the home was using protective equipment, testing people and staff, managing visits and admissions safely, and keeping its infection control policy up to date.
“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Person-centred approach
The local authority praised the home's work during the pandemic, including its flexible approach and focus on residents.
“a person-centred approach that was flexible and put residents at the heart of home” from the report
Inspectors raised no specific concerns in this report.
- 01How do you manage staffing pressures when staff are absent because of COVID-19?
- 02What happens to residents' activities and social contact if they need to isolate?
- 03How do you keep families informed about visiting arrangements during an outbreak?
- 04How often are staff and residents tested, and what happens when someone tests positive?
- 05How do you support people living with dementia to follow social distancing arrangements?
This was a targeted inspection of infection prevention and control and COVID-19-related staffing pressures; it was not a full inspection and the service was not rated. This explanation was written from the published report of 3 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, July 2019
The Lodge Residential Home was rated Good; inspectors found safe, kind and well-managed care, and it was taken out of special measures.
Inspectors visited on 4 and 5 March 2019. One visit was unannounced. They observed care, spoke with people, relatives, managers and care workers, and checked care records and other documents.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. People and relatives said the home had improved significantly since the new manager started in January 2019.
Inspectors found enough suitably trained staff, safer medicines and risk systems, clean premises, personalised care, activities and strong leadership. However, some daily records had been incomplete, and it was too early to know whether the new recording system would last.
The previous inspection had rated the home Inadequate and placed it in special measures. The provider had fixed the breaches found previously, so the home was no longer in special measures. The local authority had also lifted its suspension on new admissions.
Improved leadership
The new manager and management team were visible, approachable and focused on improving the home. Staff and relatives said the atmosphere and morale had improved.
“Everyone we spoke with told us how visible and approachable the manager was.” from the report
Enough skilled staff
Staffing levels and rotas had improved. Inspectors saw enough suitably trained, skilled and experienced staff to meet people's needs without rushing.
“At this inspection we found that the management team planned staff rotas carefully to ensure that enough suitably trained, skilled and experienced staff were deployed.” from the report
Kind and respectful care
Staff knew people well and supported their choices, dignity and independence. People and relatives gave consistently positive feedback about the care.
“Staff were kind, thoughtful and patient.” from the report
Activities and personal interests
The home provided group and individual activities, outings and entertainment. Staff also supported people's faith, cultural needs and personal interests.
“An activities coordinator worked with people and relatives to arrange a wide range of activities, entertainments and outings.” from the report
Safer medicines and risk management
Risk assessments had been reviewed and medicines were given by trained senior care workers. Weekly medicines audits were being completed.
“A member of the management team carried out weekly audits of medicines to ensure people had the right medicines at the right times.” from the report
Daily records were incomplete
needs fixingThe computerised daily records had not always been completed on time. Some did not show when people had been repositioned or when night-time safety checks took place.
“Computerised daily records were not punctually completed which meant that those records did not include sufficient information about how people had been supported.” from the report
Care plan reviews were still unfinished
needs fixingThe manager had started improving care plans, but only four of 16 had been fully reviewed and redesigned at the inspection. Inspectors could not yet tell whether the new recording arrangements would continue.
“At the time of our inspection four out of 16 care plans had a complete review and redesign.” from the report
No registered manager
minorThe home did not have a manager registered with CQC during the inspection. A manager had been appointed and was expected to apply.
“The service did not have a manager who was registered with the CQC.” from the report
- 01Have all daily care records been completed reliably since the inspection, including repositioning and night-time checks?
- 02Have all residents' care plans now been fully reviewed and made person-centred?
- 03Is there now a manager registered with CQC, or has an application been submitted?
- 04How have you checked that the improvements made after the previous Inadequate rating have been sustained?
- 05What staffing levels and staff skills are in place for residents with higher care needs?
This was a planned inspection covering all five key questions and following up concerns from the previous inspection, including the earlier special measures. This explanation was written from the published report of 16 July 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 Residential Home
6 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- March 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- July 2019Goodup from InadequateSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2018Inadequatedown from Requires improvementSafe: InadequateWell-led: Inadequate
- September 2018Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- November 2017Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- July 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- April 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 17 November 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.
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