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CQC report explained · a nursing home

What the CQC found at Werrington Lodge

Goodpublished 12 March 2022, 4 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found enough staff, safe recruitment, completed risk assessments and safe medicines practice. They also found systems for reporting accidents, incidents and safeguarding concerns.
Effective?
Good
Staff had suitable training and support. People received help with food, drink and healthcare, and staff followed people's choices and best-interest decisions.
Caring?
Good
Staff were observed treating people with kindness, compassion, dignity and respect. People were offered choices and supported to remain as independent as possible.
Responsive?
Good
Care plans included people's individual needs and preferences. People had activities, family contact and support with complaints and end-of-life care.
Well-led?
Good
The home was described as well managed. Audits, feedback, complaints and incident reviews were used to identify and make improvements.
The latest report, explained

What inspectors found, March 2022

Rated Good; inspectors found safe, kind and personalised care, with improvements made since the previous inspection.

This was an unannounced follow-up inspection over three visits in January and February 2022. Inspectors spoke with people living at the home, relatives, staff and managers. They also observed care and checked records, medicines, staffing, infection control and how the home was managed.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines practice, suitable training and support, kind interactions, personalised care plans and activities to help people stay connected.

The previous inspection, published in September 2019, rated the home Requires Improvement. The provider had been asked to improve. Inspectors found that the required improvements had been made and that the home was no longer breaching regulations.

What inspectors praised
  • Enough staff

    Inspectors found staffing levels were based on people's assessed needs and that care was provided in a timely way.

    “There were sufficient staff to ensure that people were safe.” from the report
  • Medicines managed safely

    Records and stock checks matched, and staff who gave medicines had completed training and competency checks.

    “The records and levels of stock tallied to show that people received their medication as prescribed.” from the report
  • Kind and respectful care

    Staff knew people well and supported their dignity, privacy, choices and independence.

    “Staff were calm, kind and gentle in their interactions with people and supported them to remain independent” from the report
  • Personalised support

    Care plans gave staff information about people's health, personal care, eating and drinking, medicines and daily activities.

    “People received personalised care responsive to their needs by staff who knew them well.” from the report
  • Improvements since the last inspection

    The provider had acted on the previous action plan. The home was no longer in breach of the regulations identified at the earlier inspection.

    “At this inspection we found improvements had been made and the provider was no longer in breach of regulations.” from the report
What inspectors were concerned about
  • Monitoring records

    needs fixing

    Inspectors said the manager was putting a system in place so monitoring charts were completed consistently. This suggests there was still a small area needing attention, although the overall Safe rating was Good.

    “The registered manager was putting a system in place to ensure monitoring charts were always completed as expected so that any necessary action could be taken quickly.” from the report
Questions to ask them, based on this report
  1. 01Which monitoring charts are being improved, and how do you check that they are completed every time?
  2. 02How will you assess whether staffing levels are enough for my relative's particular needs, including nursing or dementia care?
  3. 03How will my relative and our family be involved in reviewing and agreeing the care plan?
  4. 04What activities and family contact will be available for my relative?
  5. 05How do you record and act on changes in weight, health, falls or other risks?

This was an unannounced follow-up inspection covering all five key questions and infection prevention and control, following the previous Requires Improvement inspection. This explanation was written from the published report of 12 March 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.

An earlier report, explained

What inspectors found, January 2021

Inspected but not rated; inspectors were assured about the home's infection prevention and control measures.

This was an unannounced, targeted inspection on 21 December 2020. It was carried out because the CQC was reviewing infection prevention and control in care homes during the coronavirus pandemic.

Inspectors found that visitors were screened and tested, staff used protective equipment, and people and staff received regular testing. The home had also changed staffing, cleaning and layout arrangements to reduce the spread of infection.

The home was inspected but not rated overall, and the Safe question was also not rated. This report therefore gives information about infection prevention and control, not a full judgement on the quality of care.

What inspectors praised
  • Visitor safety checks

    Visitors were restricted to essential visits and had a rapid test, temperature check, health questionnaire and protective equipment before entering.

    “Visitors also had their temperature taken, completed a health questionnaire and wore full personal protective equipment (PPE).” from the report
  • Staff protective equipment

    Staff were trained to use protective equipment safely. People who had tested positive for COVID-19 were supported using barrier nursing.

    “All staff had received training in the correct use of PPE, and how to take it off and put it on safely.” from the report
  • Reduced mixing

    The home separated units, entrances and staff rotas to reduce contact between groups of staff and residents.

    “Staff did not mix between units, and the units used different entrances and operated separate rotas.” from the report
  • Regular testing and cleaning

    People and staff were tested regularly, and cleaning of frequently touched surfaces had increased.

    “Whole home testing was carried out on both people and staff.” 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. 01Are visitors still limited to essential visits, and what checks and protective equipment are required before entry?
  2. 02How often are staff and residents tested now?
  3. 03Do staff still work within separate units and use separate entrances and rotas?
  4. 04How are people with an infection supported, and what protective equipment do staff use?
  5. 05How often are frequently touched surfaces and other areas cleaned?

This was an unannounced targeted inspection of infection prevention and control practices only; the home was inspected but not rated overall or for the Safe question. This explanation was written from the published report of 23 January 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.

The story over the years

Every inspection of Werrington Lodge

7 rated inspections over 7 years: the service has held its Good rating throughout.

  1. March 2022Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Werrington Lodge →

  2. January 2021Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Werrington Lodge →

  3. September 2019Requires improvementdown from Good
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. February 2019Goodup from Requires improvement
    Safe: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. June 2018Requires improvementdown from Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. October 2017Goodstayed Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  7. October 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  8. May 2015Inspected but not rated
    Effective: Good

    Read this report on cqc.org.uk

  9. January 2015Good
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  10. January 2015

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  11. September 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  12. September 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  13. August 2014Inspected but not rated

    Read this report on cqc.org.uk

  14. July 2014Inspected but not rated

    Read this report on cqc.org.uk

  15. March 2014Inspected but not rated

    Read this report on cqc.org.uk

  16. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  17. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  18. October 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  19. February 2011

    Registered with the Care Quality Commission on 15 February 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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