CQC report explained · a nursing home
What the CQC found at The New Lodge Nursing Care Ltd
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough staff, robust recruitment, regular risk checks and safe medicines management. The home also had systems for safeguarding, equipment safety and infection control.
- Effective?
- Good
- People's health, nutrition and care needs were assessed and reviewed. Staff received training and worked with doctors and other health professionals to respond to changes in people's health.
- Caring?
- Good
- People and relatives described staff as friendly, caring and helpful. Inspectors saw staff seeking consent and protecting people's privacy, dignity and independence.
- Responsive?
- Good
- Care plans reflected people's needs and relatives were involved where appropriate. However, activities were not always linked to people's interests, and communication needs were not always fully recorded.
- Well-led?
- Good
- People, relatives and staff found the management approachable and supportive. Audits and improvement plans were in place, although not everyone knew about meetings and questionnaire results had not yet been analysed and shared.
What inspectors found, April 2019
Rated Good; inspectors found safe, kind and well-organised care, with some improvements still needed in activities, communication and staff familiarity.
This was a planned, comprehensive inspection. One inspector, a nursing specialist and an expert by experience visited on 3 April without notice and returned on 4 April. They spoke with people living there, relatives, staff and health professionals, and checked care plans, medicines, staff records and quality checks.
The home was caring, clean and well maintained. Inspectors found enough staff, safe medicines systems, suitable training and good support for people's health, eating, drinking and end of life care. People and relatives generally spoke positively about staff and felt able to raise concerns.
The overall rating was Good, and all five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This was the first inspection since the service re-registered in April 2018, so there was no earlier rating from this service to compare with.
Enough staff
Inspectors found staffing levels were linked to people's needs. People and relatives said staff responded quickly when help was needed.
“There are plenty of staff. It's never short and we don't have to wait long.” from the report
Safe medicines
Medicines records contained instructions about doses, timing and administration. Nurses asked people about their needs and medicines were regularly reviewed by health professionals.
“People's medicine was managed safely and records we viewed confirmed this.” from the report
Kind and respectful care
People and relatives described staff positively. Inspectors saw staff knock before entering rooms, explain care and protect people's modesty.
“Our observations showed staff promoted people's privacy and dignity.” from the report
Good health and end of life support
People had access to doctors and other health professionals. End of life plans and symptom relief were in place, and the home had received an end of life care award.
“Care plans were in place for those people who were receiving end of life care and were reflective of the Gold Standards Framework.” from the report
New staff learning people's needs
needs fixingSome people and relatives said recently recruited staff did not always understand individual needs. New staff worked alongside experienced colleagues, but this was still an area to check.
“A lot of the new ones (staff) don't understand. The regular ones do know. The new ones are still learning.” from the report
Activities and time out of rooms
needs fixingSome people did not have an activity plan. Relatives described frustration about lost interests and limited opportunities to leave bedrooms or join activities.
“People we spoke with said they did not have an activity plan and family members spoke of their relative's frustration at not being able to do take part in things they used to enjoy.” from the report
Communication information
needs fixingThe home needed to improve how it identified, recorded and shared people's individual communication needs. Inspectors found some helpful examples, but the information was not complete throughout care records.
“The providers understanding of communication and its importance to those who used the service was an area for improvement to fully meet the requirements of the Accessible Information Standard” from the report
People's involvement in meetings
minorMeetings and questionnaires were used to seek views, but not everyone knew about the meetings. Questionnaire responses had not yet been brought together, analysed or shared.
“However, not everyone was aware of the group.” from the report
- 01What activity plan would you create for my relative, based on their hobbies, interests and communication needs?
- 02How do you make sure newly recruited staff understand each person's individual needs before working alone?
- 03How are my relative's communication needs recorded and explained to all staff?
- 04How often are residents' and relatives' meetings held, and how are people told about them?
- 05What changes have been made since the inspection to improve activities and opportunities to leave bedrooms?
This was a planned comprehensive inspection covering all five CQC areas, and the visit was unannounced on 3 April before a further announced visit on 4 April. 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 New Lodge Nursing Care Ltd
Each visit the CQC has published, newest first, back to the day the home was registered.
- April 2019Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at The New Lodge Nursing Care Ltd →
- April 2018
Registered with the Care Quality Commission on 4 April 2018.
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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78 live-in carers within about an hour of Derby
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 £1,020 to £1,260 a week. 62 can care for a couple. 12 years' experience on average.
“We particularly appreciate the companionship Dawn gives in the evenings when she plays cards and Scrabble with my mother.”
“Rachel is a quietly spoken, extremely caring person and looked after Val very well.”
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.