CQC report explained · a residential care home
What the CQC found at The Old Red Lion
Rated Outstanding: inspectors found the home performing exceptionally well.
What inspectors found, June 2018
The Old Red Lion is rated Good; inspectors found safe, kind and personalised care, with two minor safety issues fixed during the inspection.
This was a comprehensive, announced inspection on 21 March 2018. One inspector spoke with staff, observed care, contacted two relatives and reviewed care plans, medicines records, staff files and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people were protected from harm, received their medicines safely, had access to healthcare and were supported by trained staff.
People were treated as individuals. Staff understood their communication needs, supported independence and provided activities suited to their interests and abilities. Relatives spoke positively about the care and staff attitude.
Inspectors found two issues during the visit. Part of the kitchen needed attention to reduce infection risk, and some cleaning products were in an unlocked cupboard. Both were dealt with immediately or shortly afterwards.
Kind and individual care
Staff were described as kind and compassionate and understood people's individual needs. Privacy, dignity and personal space were respected.
“People were cared for by kind, caring and compassionate staff and staff had a good understanding of individual needs.” from the report
Safe medicines management
Inspectors checked medicines records for five people and found medicines were given consistently, with no gaps in the records.
“Robust systems were in place for the safe ordering, storage, administration and disposal of medicines.” from the report
Personalised communication
Staff used different communication methods to help people express themselves, including adapting picture-based communication for one person's first language.
“Staff used different verbal and non-verbal communication methods with each person to enable them to express themselves.” from the report
Activities and independence
People had planned activities, education and community opportunities. Staff also supported people to build everyday living skills such as cooking and laundry.
“People had a structured programme of internal and external activities tailored to individual needs and skills.” from the report
Quality monitoring
The provider used regular audits, quality checks and action plans. Staff reflected on incidents and used what they learned to improve support.
“The provider had a robust approach to monitoring the quality of the care people receive.” from the report
Kitchen infection risk
minorSome parts of the kitchen needed attention, including the seal between the work surface and backing tiles. The area manager supplied evidence the next day that this had been put right.
“Some areas of the kitchen required attention to prevent the risk of infection, such as the seal between the work surface and backing tiles.” from the report
Cleaning products
minorSome household detergents were initially kept in an unlocked kitchen cupboard. The provider acted immediately and later confirmed they were stored in line with the relevant guidance.
“Some household detergents were stored in an unlocked cupboard in the kitchen.” from the report
Recent staff turnover
needs fixingThere had been high staff turnover towards the end of 2017. The provider introduced a senior team leader role, and staff said staffing had improved by the inspection.
“There had been a high staff turnover towards the end of 2017.” from the report
- 01How do you decide the staffing level needed for my relative's individual activities and risks?
- 02What communication methods would you use if my relative finds verbal communication difficult?
- 03How will you support my relative to build independence in cooking, laundry or other daily living skills?
- 04How do you check that medicines records remain complete and accurate?
- 05What changes have been made since the high staff turnover towards the end of 2017?
This was a comprehensive inspection covering all five CQC questions, and the report says the Good rating remained unchanged from the previous inspection. This explanation was written from the published report of 22 June 2018 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, January 2017
Rated Good; inspectors found safe, kind and personalised care, with care plans being updated and a new manager applying for registration.
This was an unannounced inspection on 24 November 2016. One inspector observed care, spoke with people, relatives, staff, the manager and a healthcare professional, and checked care records, medicines records, staff files and quality audits.
The inspectors rated all five areas Good: safe, effective, caring, responsive and well-led. They found enough trained staff, safe medicines management, respectful care, support for choices and access to activities and healthcare.
The home had a calm and positive atmosphere. People were supported to live active lives, use community facilities and take part in hobbies. Complaints were recorded, investigated and resolved appropriately.
The report says care plans had not always been up to date in the past. They were being rewritten to provide more detail. A new manager had also recently started and was applying to become registered with CQC.
Safe staffing
Inspectors found enough staff to meet people's needs and support them to go out into the community. Staff said arrangements had improved and reduced the need for agency staff.
“There were enough staff to ensure that people received the support they needed.” from the report
Kind and respectful care
Staff knew people well and responded quickly when they became anxious or distressed. Inspectors saw people being treated respectfully and supported with privacy.
“People were treated in a dignified and respectful manner by staff.” from the report
Choice and independence
People were supported to choose their food, activities and daily routines. The home provided different spaces and equipment for hobbies and interests.
“There was an emphasis on supporting people to become as independent as possible.” from the report
Effective medicines systems
Medicines were stored securely, given as prescribed and recorded correctly. There were also clear arrangements for medicines given only when needed.
“People received their medicines as prescribed and in a timely fashion.” from the report
Open leadership and improvement
Staff said they could raise concerns and felt listened to. Audits were used to identify actions and monitor improvements.
“There was a process in place to monitor and improve the quality of the service.” from the report
Care plans being rewritten
needs fixingCare plans had not always been up to date in the past. At the inspection, they were being rewritten to include more detailed information.
“People's care plans had not always been kept up to date in the past.” from the report
New manager registration
minorA new manager had recently started and had applied to become registered with CQC. The application was not complete at the time of the inspection.
“At the time of our inspection, a new manager had recently started.” from the report
Earlier staffing concerns
minorOne relative reported concerns about staffing in the past. The report says relatives and staff felt staffing was now sufficient after changes to the rota.
“I have had concerns about staffing in the past, and they have never been overstaffed.” from the report
- 01Have all care plans now been rewritten, and how often are they reviewed with families?
- 02What is the current status of the manager's application to become registered with CQC?
- 03How do you make sure there are enough staff for planned outings, activities and unplanned absences?
- 04How are changes in a person's anxiety, distress or communication recorded and shared with staff?
- 05How can my relative and our family be involved in reviewing care, food choices and activities?
This was an unannounced inspection covering all five CQC questions, including observations, discussions with people and others, and checks of care, medicines, staffing and quality records. This explanation was written from the published report of 26 January 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 Red Lion
2 rated inspections over a year: the service has held its Good rating throughout.
- June 2018Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2017GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2015
Registered with the Care Quality Commission on 10 April 2015.
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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