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CQC report explained · a residential care home

What the CQC found at Wellington Lodge

Goodpublished 1 November 2018, 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 managed visitors, admissions, PPE, testing, hygiene and its infection control policy. They said the home needed to review staff training, visitor records and the bins used for sanitising wipes.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Good
Are people treated with kindness and dignity?
Responsive?
Good
Is care built around the person? Care plans, activities, complaints.
Well-led?
Good
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, May 2021

Inspected but not rated; inspectors found good COVID-19 infection control arrangements, with some records and training needing review.

This was an announced, targeted inspection on 31 March 2021. It looked only at infection prevention and control during the COVID-19 pandemic.

Inspectors were assured that the home used PPE safely, arranged testing, admitted people safely and kept the building clean. Staff were supervised to follow infection control guidance, and cleaning arrangements had been strengthened.

The home supported contact between residents and their families through phone calls, video calls and visits in line with guidance. Staff and residents were regularly tested, and the home supported access to vaccinations.

The inspection did not give an overall quality rating. It identified areas to review, including infection control refresher training, recording visitor checks and the bins used for sanitising wipes.

What inspectors praised
  • Staff supervision

    Staff were monitored to check that they followed infection control guidance.

    “Staff were supervised and monitored to ensure they followed IPC guidelines.” from the report
  • Testing and vaccination

    The home regularly tested residents and staff and supported access to COVID-19 vaccinations.

    “All staff and people were regularly tested in line with government current COVID-19 testing program” from the report
  • Family contact

    The home helped residents keep in touch with friends and families through calls and visits.

    “Action was taken to keep friends and families in touch and regular video and phone calls were facilitated” from the report
What inspectors were concerned about
  • Training needed review

    needs fixing

    Inspectors said infection control training should be repeated to check and strengthen staff knowledge.

    “staff should repeat infection control training to check and strengthen their knowledge.” from the report
  • Some records and waste arrangements

    needs fixing

    The home needed to review information recorded when visitors entered and the type of bins used for sanitising wipes.

    “The provider needed to review: infection prevention and control training for staff; information recorded when visitors entered the home and the type of waste bins used” from the report
Questions to ask them, based on this report
  1. 01Have staff completed the repeat infection control training, and how do you check their knowledge?
  2. 02Do you now record visitor temperature checks and COVID-19 test results?
  3. 03What type of bins are now used for sanitising wipes around the home?
  4. 04How are residents currently supported to keep in touch with family and friends?
  5. 05How are staff and residents currently tested and supported to access COVID-19 vaccinations?

This was a targeted inspection of infection prevention and control only; the service was inspected but not rated and other areas of care were not assessed. This explanation was written from the published report of 15 May 2021 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, November 2018

Wellington Lodge was rated Good; inspectors found safe, kind and personalised care, with some staff training and fire drill actions already addressed.

The inspection was unannounced and took place on 28 September 2018. One inspector spoke with people living in the home, staff and a visiting health professional. They observed care and activities, and checked care plans, medicines, staff records, rotas, safety checks and quality monitoring.

The home supported 32 people and was registered for up to 33. Inspectors found that people felt safe, staff were kind and respectful, medicines were managed safely, and care plans reflected people's choices. People had access to health professionals, suitable food, activities and support at the end of life.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This was the same overall picture as the previous inspection on 1 March 2016. Inspectors found no serious risks or concerns.

What inspectors praised
  • People felt safe

    People said they felt safe and did not have to wait long for help. Inspectors found staffing levels were sufficient and risk assessments were regularly reviewed.

    “People living at the home told us there was always staff around and they didn't have to wait long for staff if they had called them via the call bell system.” from the report
  • Kind and dignified care

    Inspectors saw calm, friendly interactions. Staff respected people's privacy and encouraged them to do what they could for themselves.

    “Interactions between staff and people living at the home were kind and dignified and we observed friendly joking with people throughout the visit.” from the report
  • Personalised care plans

    Care plans recorded people's choices, likes, dislikes, life histories and support needs. People were involved in decisions about their care.

    “Each care plan was fully completed and regularly reviewed with people's needs, choices and wishes captured throughout.” from the report
  • Activities and social life

    People had access to varied activities, trips, exercise, music, arts and crafts, and a cinema room. Inspectors saw people enjoying activities.

    “Our observations were people enjoyed the exercises and were engaged by enthusiastic staff regardless of their ability.” from the report
  • Strong management oversight

    Managers were visible and approachable, and the home used audits, feedback and action plans to monitor quality and make improvements.

    “This meant the provider and management of the home were consistently monitoring and reviewing the service provided for safety and to improve the care and support of people living at Wellington Lodge.” from the report
What inspectors were concerned about
  • Face-to-face safeguarding training

    needs fixing

    An audit found that only some staff had completed face-to-face safeguarding training, although all had completed eLearning training. The report says this was included in an action plan and completed in a timely manner.

    “Also, only 66% of staff members had received face to face safeguarding training, however they had attended the eLearning safeguarding training.” from the report
  • Fire drill records

    needs fixing

    The audit found that six staff members had not completed a fire drill in the previous six months. This was added to an action plan and the report says the action was completed in a timely manner.

    “We saw the audit had identified where six staff members had not completed a fire drill in the previous six months.” from the report
Questions to ask them, based on this report
  1. 01What is the current staffing level on each shift, including the additional afternoon staff member mentioned in the report?
  2. 02How often do staff now receive face-to-face safeguarding training, and how is completion checked?
  3. 03How often do all staff take part in fire drills, and how are missed drills followed up?
  4. 04How would you support my relative if their mobility, nutrition, skin condition or dementia-related needs changed?
  5. 05How would my relative and our family be involved in reviewing their care plan and recording their end-of-life wishes?

This was an unannounced inspection of the overall service, including the premises and care provided, and all five CQC questions were rated. This explanation was written from the published report of 1 November 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.

The story over the years

Every inspection of Wellington Lodge

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

  1. May 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Wellington Lodge →

  2. November 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Wellington Lodge →

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

    Read this report on cqc.org.uk

  4. August 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. November 2010

    Registered with the Care Quality Commission on 25 November 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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