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What the CQC found at Villette Lodge Assessment and Re-enablement Service

Goodpublished 16 March 2019, 7 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured that the home was following safe infection prevention and control procedures. They found arrangements for cleaning, protective equipment, isolation, social distancing and testing.
Effective?
Good
This area was not rated in this targeted inspection.
Caring?
Good
This area was not rated in this targeted inspection.
Responsive?
Good
This area was not rated in this targeted inspection.
Well-led?
Good
This area was not rated in this targeted inspection.
The latest report, explained

What inspectors found, September 2020

Villette Lodge Assessment and Re-enablement Service was inspected but not rated; inspectors were assured that infection control arrangements were safe.

The inspectors visited on 19 August 2020. This was an announced, targeted inspection during the coronavirus pandemic. It looked at infection prevention and control in the home.

They found clear guidance for people about coronavirus, hygiene and personal protective equipment. The home had cleaning arrangements, social distancing signs, supplies of protective equipment and plans for isolation.

Visitors had safety checks before entering. Relatives had started having visits in the garden, with social distancing in place.

The home was marked inspected but not rated. This means the visit did not give an overall quality rating or a rated judgement for the wider areas of care.

What inspectors praised
  • Clear infection guidance

    People were given information in an accessible format about coronavirus, infection control and protective equipment. They were also involved in keeping the home clean and tidy.

    “People were provided with easy read guidance around the coronavirus, infection control and how to wear PPE appropriately.” from the report
  • Good infection control arrangements

    The home had designated areas for protective equipment, clinical waste processes and separate arrangements for people needing isolation. Inspectors were assured that risks were reviewed and managed.

    “We were assured that the provider had taken appropriate action during the pandemic by implementing and regularly reviewing risks to people and staff and taking action to mitigate these.” from the report
  • Protective equipment and staff training

    The home had enough protective equipment, and staff were using it appropriately. Staff had extra infection prevention training and were regularly tested.

    “We were assured that the provider had adequate supplies of PPE and staff were using this appropriately.” from the report
  • Safer visiting arrangements

    Relatives had begun regular garden visits with social distancing. Visitors had temperature checks, hygiene information, protective equipment where needed and a coronavirus assessment.

    “Visitors to the service had their temperature checked, provided with information around safe hygiene techniques, provided with PPE if it was required” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01Have your infection prevention and control arrangements changed since the inspection on 19 August 2020?
  2. 02How do you explain coronavirus, hygiene and protective equipment rules to people who use the home?
  3. 03How would you support my relative if they needed to isolate, including access to a dedicated bathroom or area?
  4. 04How are visits arranged now, and what checks or protective equipment are required for relatives?
  5. 05What are the home's current ratings or recent inspection findings for caring, responsiveness and leadership, which this visit did not assess?

This was a targeted inspection of infection prevention and control during the coronavirus pandemic; the service was inspected but not rated overall and the other key questions were not rated. This explanation was written from the published report of 16 September 2020 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.

An earlier report, explained

What inspectors found, March 2019

Villette Lodge Assessment and Re-enablement Service was rated Good; inspectors found safe, kind and personalised support, with one new care plan missing some detail.

The inspection took place on 17 and 20 December 2018. It was announced, and one inspector visited. They spoke with the registered manager, staff, relatives and one person living at the home. They also checked care records, staff files, safety records and quality checks.

The home supports up to six people with learning disabilities or autistic spectrum disorders. All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people felt safe, medicines were managed properly, staff were trained, and people had access to healthcare, activities and support to build daily living skills.

Care plans were detailed and involved people and their families. Staff were seen treating people warmly and respectfully. The home used regular audits and feedback to monitor its service. One new care plan in a replacement system did not yet contain all the detail needed, and the manager agreed to address this before wider use.

The previous inspection also rated the home Good. This inspection found the evidence still supported that rating, with no serious risks or concerns identified.

What inspectors praised
  • Safe medicines and staffing

    Inspectors found medicines were handled safely, staff were trained and checked, and staffing levels were adjusted when people's needs changed.

    “Peoples' medicines were managed safely including the receipt, storage administration and disposal of medicines.” from the report
  • Kind, respectful care

    People and relatives spoke positively about the care. Inspectors saw staff offering reassurance, encouragement and respectful support.

    “During the inspection we saw lots of relaxed, caring and positive interactions between people and staff, with lots of laughter and joking.” from the report
  • Support for independence

    People took part in cooking, cleaning, shopping, laundry and community activities. The home also used a tablet to help people remember tasks and appointments.

    “People enjoyed a range of activities on a daily basis.” from the report
  • Good oversight

    The manager carried out regular audits and gathered feedback from people, relatives and staff. The home also worked with social workers and health professionals.

    “The registered manager had a range of quality monitoring processes in place which included a review of daily handover sheets as well as carrying out monthly audits.” from the report
What inspectors were concerned about
  • Some care plan detail was missing

    needs fixing

    The provider was moving care plans to a new system. One new plan did not contain all the detail needed, although the manager agreed to resolve the issue before introducing the new plans more widely.

    “A review of one new care plan showed certain elements had not been included to allow detailed information to be included.” from the report
Questions to ask them, based on this report
  1. 01What changes were made to the new care plan system after inspectors found that one plan lacked some detail?
  2. 02How will you record and review my relative's personal goals, communication needs and support for independence?
  3. 03How will you support my relative with dental care, oral hygiene and access to dentists?
  4. 04How are staffing levels changed when a person's needs or support arrangements change?
  5. 05Which daily activities and community opportunities would be available to my relative?

This was an announced inspection covering all five CQC questions, with additional detailed work on oral health care as part of a national review; the overall rating and all question ratings remained Good from the previous inspection. This explanation was written from the published report of 16 March 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.

The story over the years

Every inspection of Villette Lodge Assessment and Re-enablement Service

2 rated inspections over 3 years: the service has held its Good rating throughout.

  1. September 2020Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Villette Lodge Assessment and Re-enablement Service →

  2. March 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Villette Lodge Assessment and Re-enablement Service →

  3. June 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. February 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. January 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. March 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. January 2011

    Registered with the Care Quality Commission on 24 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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