CQC report explained · a nursing home
What the CQC found at Tudor Lodge Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention and control, visiting arrangements, personal protective equipment, testing, isolation and vaccination requirements. The provider also said it had measures to manage COVID-19-related staffing pressures.
- Effective?
- Good
- This area was not assessed in this targeted inspection.
- Caring?
- Good
- This area was not assessed in this targeted inspection.
- Responsive?
- Good
- This area was not assessed in this targeted inspection.
- Well-led?
- Good
- This area was not assessed in this targeted inspection.
What inspectors found, January 2022
Tudor Lodge Nursing Home was inspected but not rated; inspectors found good infection control and safe visiting arrangements.
This was an announced, targeted inspection on 13 January 2022. The inspection focused on infection prevention and control, visiting arrangements and the effect of COVID-19 staffing pressures.
Inspectors found up-to-date infection control policies, suitable personal protective equipment practices and arrangements for testing, isolation, zoning and cohorting. They were assured that people and staff were protected from infection and that visits were being facilitated safely.
The home was inspected but not rated. Only the Safe question was examined, and it was also recorded as inspected but not rated. The report does not give an overall quality rating.
Infection control policies
Inspectors found the home's infection control policies were thorough and up to date.
“Polices and procedures in relation to infection control were thorough and up to date.” from the report
Safe visits
There were arrangements to allow relatives and outside professionals to visit safely.
“There were arrangements in place to allow relatives and external professionals to safely visit the home.” from the report
Protective equipment
Staff had relevant infection prevention training and inspectors found good practice in the use of protective equipment.
“Staff received relevant infection prevention and control training and adhered to good practice around using personal protective equipment.” from the report
Planning for outbreaks
The home had plans for isolation, zoning and cohorting if these were needed.
“Measures were in place to allow isolation, zoning and cohorting should it be required.” from the report
Inspectors raised no specific concerns in this report.
- 01What measures are currently in place to manage staffing pressures caused by COVID-19 or other infections?
- 02How are visits currently arranged, and what happens if there is an infection outbreak?
- 03How would the home isolate people and organise zoning or cohorting during an outbreak?
- 04How are infection prevention arrangements managed for people receiving end of life care?
- 05How does the home check that staff and visiting professionals meet current vaccination or exemption requirements?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it did not rate the other four questions or the service overall. This explanation was written from the published report of 27 January 2022 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, December 2018
Tudor Lodge Nursing Home was rated Good; inspectors found kind, safe and person-centred care, with some records and language needing improvement.
Inspectors visited on 14 and 20 November 2018. The first visit was unannounced. They spoke with people, relatives, staff and other professionals, observed care, and checked care records, medicines, staffing, recruitment and management records.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines management, suitable training, kind care, regular care plan reviews and effective quality checks.
There were some smaller concerns. Risk assessments for bed rails did not always explain whether bumpers were needed. Some staff used language about people that was not respectful, and some recruitment files lacked evidence about previous conduct. The manager said these points would be addressed.
Safe care
Staff understood how to recognise and report abuse, manage risks and respond when things went wrong. Medicines were administered by trained staff and errors were reviewed.
“People were protected from the risks of abuse by staff who understood the potential signs to be aware of and their responsibilities to report.” from the report
Kind and respectful care
People and relatives spoke positively about staff. Inspectors saw staff offering choices, protecting privacy and supporting people's independence.
“People were supported by staff who were kind and compassionate in their approach.” from the report
Person-centred plans
Care plans recorded people's likes, dislikes, communication needs and preferences. Staff were updated when people's needs changed.
“Care Plans were person centred and included details of peoples likes, dislikes and how they wished to be supported.” from the report
Strong management
The home had visible leadership, effective teamwork and quality checks that led to improvements. People, relatives and staff could give feedback in several ways.
“Quality monitoring systems and processes were in place and up to date.” from the report
Bed rail records
needs fixingSome bed rail assessments did not record whether bumpers were needed or explain how the decision had been made. Inspectors said this could leave people at risk of injury or becoming trapped.
“Bed rail risk assessments did not include details about whether people were at risk using bed rails without bumpers or how these decisions had been made.” from the report
Respectful language
minorInspectors heard staff use language about people that was not respectful. The manager said staff were receiving further guidance to make language consistently respectful.
“Staff did not always use language which was respectful when speaking about people living at Tudor Lodge.” from the report
Recruitment records
needs fixingSome staff files did not contain enough evidence about applicants' previous conduct. The manager introduced a risk assessment for cases where this evidence could not be obtained.
“Some staff files did not have sufficient evidence of applicants conduct in their previous employment.” from the report
- 01How do you now record decisions about bed rails and whether bumpers are needed?
- 02What checks do you make to ensure staff always use respectful language about residents?
- 03What dementia training has been added since this inspection?
- 04How do you check staffing levels at the busiest times and monitor call bell response times?
- 05Have weekend activities been introduced, and how do residents help choose activities?
This was a planned inspection of the overall service and covered all five CQC questions; each rating remained Good. This explanation was written from the published report of 22 December 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.
Every inspection of Tudor Lodge Nursing Home
3 rated inspections over 2 years: the service has held its Good rating throughout.
- January 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- December 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2017Goodstayed GoodWell-led: Good
- August 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- December 2015
Registered with the Care Quality Commission on 1 December 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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
26 live-in carers within about an hour of Hampshire
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. 23 can care for a couple. 14 years' experience on average.
“I cannot recommend Prisca highly enough, she is one in a million.”
“He stayed with her throughout the pandemic, refusing to visit his own family, who lived nearby, to reduce the risk of infection.”
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.