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CQC report explained · a nursing home

What the CQC found at Westleigh Lodge

Goodpublished 18 September 2018, 8 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 infection prevention and control measures were effective. This included visitor checks, testing, PPE, cleaning, distancing and outbreak management.
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.
The latest report, explained

What inspectors found, February 2021

Westleigh Lodge was inspected but not rated; inspectors found strong infection prevention and control arrangements during the pandemic.

This was an announced, targeted inspection on 29 January 2021. It looked at how the home was preventing and controlling infection during the coronavirus pandemic.

Inspectors found that the home had effective arrangements for visitors, testing, personal protective equipment, distancing, cleaning and managing possible outbreaks. They were assured that people were being protected from infection.

The home was inspected but not rated. This means the inspection did not give an overall quality rating or a full rating for all five areas of care.

What inspectors praised
  • Visitor safety checks

    Professional visitors had to complete a lateral flow test, confirm they had no symptoms or relevant contact, have their temperature checked and wear PPE.

    “Each visitor was required to complete a lateral low test (LFT), sign a declaration confirming they were well, had no symptoms or been in contact with others who did, have their temperature checked and put on PPE.” from the report
  • Safe visiting arrangements

    The home allowed visits for people receiving end of life care and had created an external visiting pod for other relatives.

    “A visiting pod had been created on an external wall, which allowed relatives to access this without entering the home, whilst people could access the room internally.” from the report
  • Staff separation

    Staff were allocated to particular floors, with breaks taken on those floors, to support distancing and reduce the spread of infection.

    “The home had implemented cohorting effectively, with staff allocated to specific floors within the home.” from the report
  • Cleaning and hygiene

    Inspectors found effective cleaning arrangements, including frequent cleaning of touch points and the use of chloride tablets to sanitise surfaces.

    “The home had effective cleaning procedures in place.” 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. 01What infection prevention and control arrangements are currently in place for visitors?
  2. 02How are people and staff tested for infections now?
  3. 03How are visits arranged, including visits for people receiving end of life care?
  4. 04How are staff allocated and breaks managed to reduce the spread of infection?
  5. 05How often are frequently touched surfaces cleaned, and what products are used?

This was a targeted inspection of infection prevention and control measures during the coronavirus pandemic; it did not rate the other four key questions or provide an overall service rating. This explanation was written from the published report of 12 February 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, September 2018

Rated Good; inspectors found safe, kind and personalised care, with activities still developing.

Inspectors visited on 25 and 26 July 2018. The first day was unannounced. They spoke with people living at the home, relatives, staff and the manager. They also looked around the home and checked care files, staff files, medicine records, policies and audits.

The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found improvements since the previous inspection in medicines, recruitment and odours. Medicines were recorded and given safely, staffing levels matched people's needs, and the home was clean.

People were treated with kindness, dignity and respect. Care plans were detailed and personalised, and relatives were involved in reviews. Food, healthcare, activities, complaints and quality checks were also considered satisfactory. The report says there was no evidence of serious risks or concerns.

What inspectors praised
  • Safe medicines

    Medicine records were completed consistently. Staff who gave medicines had training and regular competency checks.

    “medicines were now being managed safely and effectively.” from the report
  • Personalised care

    Care files contained detailed information about people's lives, preferences and support needs. People and relatives were involved in reviews where possible.

    “Each care file we viewed contained a 'resident profile' which provided key personalised information” from the report
  • Good oversight

    The home used regular audits and monitoring checks covering areas such as accidents, falls, medicines and care records. Action plans were made when issues were found.

    “We saw there were a range of audits and monitoring systems in place to assess the quality and effectiveness of the service.” from the report
What inspectors were concerned about
  • Activities still developing

    minor

    The home had introduced a varied activity programme, but the manager said social activities were still a developing area. Ask how the programme is being maintained and improved.

    “the registered manager agreed this was a developing area, which had improved with the support of the new activities coordinator.” from the report
  • Low meeting attendance

    minor

    Attendance at monthly meetings for residents and relatives had been poor. The manager was seeking views about the meetings and how often they should take place.

    “The home also held monthly resident and relative meetings, however attendance had been poor.” from the report
Questions to ask them, based on this report
  1. 01What activities are currently available, and how do you make sure they match each person's interests and abilities?
  2. 02How do you collect the views of residents and relatives who do not attend meetings?
  3. 03How are medicines checked now, including creams, lotions and medicines given when needed?
  4. 04How often will we be involved in reviewing our relative's care plan?
  5. 05What changes have been made since this July 2018 inspection?

This was a planned inspection covering all five CQC questions; the report used a shorter format because the overall Good rating had not changed. This explanation was written from the published report of 18 September 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 Westleigh Lodge

3 rated inspections over 3 years: the service has improved, from Requires improvement to Good.

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

    Read what inspectors found at Westleigh Lodge →

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

    Read what inspectors found at Westleigh Lodge →

  3. February 2016Goodup from Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. May 2015Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. October 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. October 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. January 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. October 2011

    Registered with the Care Quality Commission on 31 October 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.

Next steps

Weigh the report against the rest

Care at home

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See live-in carers near WiganProfiles, rates and reviews are free to look at.

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