CQC report explained · a nursing home
What the CQC found at The Old Lodge Nursing Home
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- People felt safe, there were enough staff, and risks, falls, medicines, infection control and safeguarding were managed. Inspectors found suitable recruitment checks and arrangements to learn from incidents.
- Effective?
- Good
- People's needs were assessed before they moved in, and staff were trained and supported. People had choices about food and received support from health and social care professionals.
- Caring?
- Outstanding
- Inspectors found exceptionally kind, respectful and person-centred care. Staff supported people's choices, dignity, independence, relationships, beliefs and communication.
- Responsive?
- Outstanding
- Care was tailored to each person and included personalised activities, community trips, family involvement, communication support and sensitive end-of-life care.
- Well-led?
- Outstanding
- The home had strong leadership, an open and person-centred culture, and systems to check quality and act on learning. Leaders worked closely with health professionals and shared ideas with other services.
What inspectors found, November 2019
Rated Outstanding; inspectors found exceptionally caring, responsive and well-led support, with safe and effective care rated Good.
This was an unannounced inspection on 14 October 2019. An inspector and an Expert by Experience spoke with people living in the home, relatives, staff and health professionals. They reviewed care plans, medicines records, staff recruitment files and management records.
The home was rated Good for Safe and Effective. Inspectors found enough staff, suitable risk assessments, well-managed medicines, good training and support for staff, and effective help with food, health care and communication.
Caring, Responsive and Well-led were rated Outstanding. Inspectors saw warm and respectful relationships, personalised care, a wide range of activities, strong support at the end of life, and leaders who listened, checked quality and shared learning.
The overall rating improved from Good at the previous inspection. Caring stayed Outstanding, while Responsive and Well-led improved from Good to Outstanding.
Kind and respectful care
People, relatives and professionals consistently described staff as caring and attentive. Inspectors observed warm relationships and dignified support.
“Without exception, people, their relatives and care professionals told us the staff were extremely caring, kind, attentive and dedicated in their approach.” from the report
Meaningful activities
Activities reflected people's interests and included trips, animals, creative sessions, exercise, religious support and contact with family and friends.
“People were offered a stimulating range of activities, which had a positive impact on their physical and mental wellbeing.” from the report
End-of-life support
Staff had specialist end-of-life roles and involved people and families in planning. Care was adapted to personal, cultural and religious wishes.
“Care for people at the end of their life was extremely responsive.” from the report
Strong leadership
Leaders listened to people and staff, used checks to improve care, and worked with other professionals. Staff felt supported and motivated.
“There was a positive culture within the home which promoted honesty and respect for each other.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you assess and review my relative's care needs before they move in?
- 02How would you support my relative's particular communication, cultural, religious or dietary needs?
- 03What activities and trips could my relative take part in, including if they were cared for in bed?
- 04How would my relative and our family be involved in care planning and reviews?
- 05How would you support my relative and our family with advance care planning and end-of-life wishes?
This was an unannounced inspection covering all five key questions; Safe and Effective stayed Good, Caring stayed Outstanding, and Responsive and Well-led improved from Good to Outstanding. This explanation was written from the published report of 23 November 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.
What inspectors found, April 2017
Rated Good overall, with Outstanding caring; inspectors found safe, respectful and personalised care.
This was an unannounced, comprehensive inspection on 14 March 2017. The inspector observed care, spoke with people, relatives, staff and health professionals, and checked care and management records.
The home was rated Good for Safe, Effective, Responsive and Well-led. It was rated Outstanding for Caring. Inspectors found enough staff, safe medicines support, effective health care, respectful treatment and care that reflected people's individual needs.
The home kept the same overall rating as at the previous inspection in July 2014. Caring also remained Outstanding. The report says there were systems to monitor quality and that people and families were involved in the service.
Kind and respectful care
Inspectors found that staff treated people with kindness, knew their histories and interests, and respected their dignity and privacy.
“The level of care, compassion, and understanding is above and beyond that offered in other care homes.” from the report
Safe staffing and medicines
People said they received the help they needed. Inspectors found enough staff, suitable recruitment checks and safe medicines procedures.
“People received their medicines when they needed them and staff spoke with them and explained what the medicines were for.” from the report
Personalised support
Care plans reflected people's preferences, histories and health needs. Staff supported people to make choices about daily life and care.
“People received care that met their individual needs.” from the report
Family involvement
Families were involved in care planning and could give views through meetings and surveys. People were encouraged to raise concerns.
“People and their family were regularly involved with the service in a meaningful way.” from the report
Some capacity assessments needed clearer identification
minorThe report says the manager understood that improvements could be made to identify individual capacity assessments. This was a noted improvement point, not a breach.
“The registered manager understood where improvements could be made to identify individual assessments.” from the report
- 01How are individual mental capacity assessments identified and kept up to date?
- 02How will you support my relative to make choices about their daily routine and care?
- 03How will you involve our family in care planning and reviews?
- 04How do you monitor medicines, including medicines used for pain or anxiety?
- 05What activities and support are available if my relative spends time in their room?
This was an unannounced comprehensive inspection covering all five questions and the overall rating. This explanation was written from the published report of 20 April 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 Old Lodge Nursing Home
3 rated inspections over 5 years: the service has improved, from Good to Outstanding.
- November 2019Outstandingcurrent ratingup from GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- April 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
- February 2015GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
- November 2013
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 7 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.
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62 live-in carers within about an hour of Derbyshire
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 £1,260 a week. 51 can care for a couple. 12 years' experience on average.
“Ernest is an amazing professional carer who delivers care from the heart.”
“We particularly appreciate the companionship Dawn gives in the evenings when she plays cards and Scrabble with my mother.”
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.