CQC report explained · a residential care home
What the CQC found at Tudor Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough staff, safe recruitment, suitable risk assessments, safe medicines arrangements and a clean, well-maintained environment.
- Effective?
- Good
- People's needs were assessed and reviewed, and staff had training and support. People were helped to eat and drink well and to access healthcare. Some records were unclear about mental capacity decisions.
- Caring?
- Good
- Staff were kind, respectful and attentive. People were involved in their care and supported to make everyday choices.
- Responsive?
- Good
- Care plans were personalised and regularly reviewed. People had daily activities, support for their individual beliefs and relationships, and information about making complaints.
- Well-led?
- Good
- Inspectors found clear leadership, good communication and effective checks on quality and safety. People, relatives and staff said managers listened to feedback.
What inspectors found, April 2019
Rated Good; inspectors found safe, kind and personalised care, with some care records needing clearer mental capacity information.
This was an unannounced inspection on 26 February 2019. Inspectors spoke with people living at the home, relatives, staff and managers. They reviewed care records, medicines, staff recruitment and training, the building, and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines practice, clean and well-maintained surroundings, and care plans that reflected people's needs and preferences.
People were described as safe and happy. Staff were kind and respectful, supported people's independence, offered varied activities and helped people access healthcare. The home also had arrangements for personalised end of life care.
Inspectors found that four people's records were not clear about whether they could make some decisions themselves. The manager agreed to review this. The overall Good rating continued from the previous inspection in August 2016.
Kind and respectful care
People were treated with dignity and respect. Staff built positive relationships and involved people in decisions about their care.
“People were supported and treated with dignity and respect; and involved as partners in their care.” from the report
Safe staffing and medicines
Inspectors found enough staff and thorough recruitment checks. Medicines were administered safely, recorded electronically and stored correctly.
“All medicines were managed safely and in line with national guidance and the service had invested in an electronic medicine management system.” from the report
Personalised support
Care plans covered people's needs, preferences, backgrounds and communication. Plans were reviewed monthly or sooner when needed.
“People had individual care plans that provided staff with up to date information about their needs and abilities, associated risks, preferences for support and background history.” from the report
Activities and end of life care
People could take part in varied activities and receive support suited to their interests. Inspectors also found personalised end of life planning and training for staff.
“Activities were available every day. There was a full entertainment programme throughout the whole week in both the morning and evening.” from the report
Mental capacity records
needs fixingIn four cases, records did not clearly show whether the person could make decisions or needed a mental capacity assessment. The manager agreed to review all care plans.
“In four instances, records were not clear whether the person had capacity to make decisions and if a mental capacity assessment was needed.” from the report
- 01How have you reviewed the four care records where mental capacity information was unclear?
- 02How do you record and review decisions made on behalf of someone who may lack mental capacity?
- 03What improvements have you made to the environment for people living with dementia, including colours and signage?
- 04What activities are currently available each day, and how are they adapted for people with dementia?
- 05How do you check that care plans remain accurate when a person's needs change?
This was an unannounced inspection covering all five CQC areas and both the premises and care provided; the previous overall rating was Good in August 2016. This explanation was written from the published report of 13 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 Tudor Lodge
2 rated inspections over 3 years: the service has held its Good rating throughout.
- April 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- September 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 30 January 2011.
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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76 live-in carers within about two hours of Somerset
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 £1,370 a week. 62 can care for a couple. 12 years' experience on average.
“She looked after my mum, who can be incredibly challenging, so well and so gently, and we always felt confident that my mum was getting the best care available.”
“She was not phased by anything, she was adaptable, kind & gave us complete confidence to go away & not worry about a thing!”
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.