CQC report explained · a residential care home
What the CQC found at The Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about the home's infection prevention and control arrangements, including PPE, testing, hygiene, visitors and managing outbreaks.
- Effective?
- Good
- This area was not assessed or rated in this targeted inspection.
- Caring?
- Outstanding
- This area was not assessed or rated in this targeted inspection, although inspectors noted support for residents' social and emotional wellbeing.
- Responsive?
- Good
- This area was not assessed or rated in this targeted inspection.
- Well-led?
- Good
- This area was not assessed or rated in this targeted inspection, although audits and monitoring were in place for infection control.
What inspectors found, November 2021
Inspected but not rated; inspectors were assured about infection prevention and control.
This was an announced, targeted inspection on 2 November 2021. It focused on infection prevention and control during the COVID-19 pandemic, rather than reviewing every part of the home.
Inspectors were assured that the home used personal protective equipment safely, followed guidance on visitors and social distancing, and had enough protective equipment. Staff and some residents were tested, and processes were in place for symptoms or outbreaks.
The home supported visits and residents' social and emotional wellbeing. Staff had infection control training, and audits were used to check that safe care and guidance were being followed.
The home was inspected but not rated. This means the report does not give a full overall quality rating or ratings for all five areas of care.
Infection control
The home had supplies of PPE, monitored stock levels and followed infection prevention guidance. Staff had training in PPE, hand hygiene and COVID-19.
“All staff had undertaken training in IPC. This included putting on and taking off PPE, hand hygiene and COVID-19.” from the report
Testing and outbreak planning
Staff and some residents were tested. The home had processes for responding if someone developed COVID-19 symptoms, including capacity and best-interest decisions where needed.
“Staff monitored people for signs and symptoms of COVID-19, and appropriate processes were in place and followed should anyone display any symptoms.” from the report
Family visits
Relatives could visit and take residents out for social activities, subject to a negative rapid COVID-19 test.
“Visitors were able to see their relatives in the service and take them out of the service for social activities, after producing a negative rapid COVID-19 test.” from the report
Checks and monitoring
Audits were being used to check that safe care was provided and appropriate guidance was followed.
“Audits were in place and used to ensure the service was providing safe care and staff were following appropriate guidance.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection prevention and control arrangements are in place now, and how are PPE supplies monitored?
- 02How are residents and staff tested if there is a suspected infection or outbreak?
- 03How can relatives visit and take residents out for activities under the current arrangements?
- 04How does the home make decisions about testing when a resident cannot consent?
- 05What other information can you provide about care quality in areas not covered by this inspection?
This was a targeted inspection of infection prevention and control only; the home was inspected but not rated and the other care areas were not assessed. This explanation was written from the published report of 12 November 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.
What inspectors found, October 2017
Rated Good overall, with Outstanding caring; inspectors found attentive, personalised support and strong management.
This was an unannounced inspection on 11 August 2017. The inspector reviewed care files, medicines records, staff records, rotas, audits, complaints and other management records. They spoke with people living there, staff, relatives and healthcare professionals, and observed how care was given.
The home was rated Good overall. Safe, Effective, Responsive and Well-led were all rated Good. Caring was rated Outstanding. Inspectors found that staff understood people's complex needs, supported choice and independence, and treated people with dignity and respect.
People received their medicines as prescribed. Staff had suitable training and support, care plans were regularly reviewed, and people were helped to follow their interests, take holidays and stay connected with their families. The provider had systems to check quality and act on suggestions or shortfalls.
All five ratings remained the same as at the previous inspection. The report does not identify any breaches of regulations or enforcement action.
Kind and respectful care
Staff understood people's complex needs and built trusting relationships. People were treated with dignity and supported to make choices in daily life.
“People were treated with dignity and respect at all times by staff who understood the need to treat private and sensitive information confidentially.” from the report
Skilled staff
Staff received training and support to understand autism, learning disabilities, sensory needs and other complex needs.
“The staff team had an excellent understanding of people's complex needs.” from the report
Personalised support
Care plans described what people could do independently, what support they needed and their longer-term goals. People were encouraged to take part in activities and develop skills.
“Care plans had been written in a person centred way and included information about what people can do independently, what they need support with and what staff needed to do for them.” from the report
Good communication
The provider developed inclusive ways for people to communicate and funded British Sign Language training for staff.
“The provider had funded the member of staff to complete a train the trainer BSL course and the member of staff had begun to share their skills with the rest of the staff team” from the report
Strong oversight
Quality checks covered medicines, incidents, care plans, complaints and other areas. Suggestions from people and families were recorded and acted on where possible.
“The provider had developed effective quality assurance systems that covered all aspects of the service.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you support my relative's particular communication needs, including any use of pictures, storyboards or British Sign Language?
- 02How often would my relative's care plans and risk assessments be reviewed, and how would our family be involved?
- 03What training would the staff supporting my relative have in autism, sensory needs and physical interventions?
- 04How would you make sure any physical intervention was used only as a last resort and reviewed afterwards?
- 05How would you support my relative to take part in activities, work opportunities, holidays and maintaining family contact?
This was an unannounced inspection covering all five CQC questions and the overall quality of the service; all five ratings carried over as unchanged from the previous inspection. This explanation was written from the published report of 6 October 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.
Every inspection of The Lodge
2 rated inspections over 2 years: the service has held its Good rating throughout.
- November 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- October 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
- August 2015GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
- September 2013
Registered with the Care Quality Commission on 18 September 2013.
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.
Weigh the report against the rest
Fees, photos and reviews from families
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28 live-in carers within about an hour of North Yorkshire
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 £1,010 to £1,290 a week. 27 can care for a couple. 12 years' experience on average.
“Carla has been a god send with the implementation of bringing mum back home from respite care.”
“She was always 'just present enough': attentive, available, kind and engaging, but without ever over-stepping any boundary”
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.