CQC report explained · a residential care home
What the CQC found at Wilton Lodge Residential Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that people were kept safe, risks were assessed and managed, medicines were given as prescribed and there were enough staff. Infection control and accident monitoring arrangements were also found to be effective.
- Effective?
- Good
- This key question was not inspected during this focused visit. Its previous rating was used in calculating the overall rating.
- Caring?
- Good
- This key question was not inspected during this focused visit. Its previous rating was used in calculating the overall rating.
- Responsive?
- Good
- This key question was not inspected during this focused visit. Its previous rating was used in calculating the overall rating.
- Well-led?
- Good
- Inspectors found clear management responsibilities, good oversight and established quality assurance systems. Staff, people and relatives were involved with the service.
What inspectors found, December 2023
Wilton Lodge Residential Home was rated Good; inspectors found safe care and strong management, but this was a focused inspection.
Inspectors visited the home without advance notice on 24 and 30 November 2023. They spoke with five people, seven relatives and six staff. They reviewed care files, staff records, training, audits, complaints and other quality records.
The home was rated Good overall. Safe and well-led were both rated Good. Inspectors found that risks were assessed, medicines were given as prescribed, staffing levels were suitable and infection control arrangements were effective.
The management team had established quality checks and acted on accidents, incidents and feedback. Staff were described as respectful and caring, and people and relatives gave very positive feedback.
This was a focused inspection of Safe and Well-led only. The other key question ratings were carried forward from the previous inspection, so they were not freshly assessed in this visit.
Safety and risk management
People had individual risk assessments and care plans explained how staff should reduce identified risks. Accidents and incidents were reviewed so that learning could be shared.
“Any risks identified were recorded in people's care plan, with the measures in place to mitigate the risk of harm.” from the report
Medicines
People were supported to take medicines at the prescribed times. Staff had medicines training and regular checks of their competence.
“People were supported to take their medicines at the prescribed times.” from the report
Staffing and infection control
Inspectors found enough staff to support people at their preferred times. Staff had infection control training, and the home used protective equipment and hand hygiene measures.
“There were always enough staff available to help support people at their preferred times.” from the report
Respectful relationships
Inspectors saw staff approach people respectfully, use their preferred names and engage warmly with them. Feedback from people and relatives was extremely positive.
“During our inspection, we observed staff interacting with people in a respectful manner.” from the report
Management and improvement
The management team had established quality checks and understood its responsibilities. Inspectors found evidence of learning, improvements to the home and involvement of people and families.
“The provider and registered manager had established robust quality assurance systems.” from the report
Inspectors raised no specific concerns in this report.
- 01What were the previous ratings for Effective, Caring and Responsive, and what has changed in those areas since that inspection?
- 02How are my relative's individual risks assessed, reviewed and reflected in their care plan?
- 03How often are staff checked as competent to administer medicines, and how are any mistakes or missed doses handled?
- 04How would you respond to an infection outbreak, and when was the COVID-19 action plan last reviewed?
- 05What activities are available, including access to the memory café, and how are they matched to each person's interests?
This was a focused inspection of Safe and Well-led only; the other ratings were carried over from the previous inspection and were not reassessed. This explanation was written from the published report of 14 December 2023 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, March 2022
Wilton Lodge Residential Home was inspected but not rated; infection-control arrangements were mostly assured, with environmental and outbreak-planning gaps.
This was an announced, targeted inspection on 15 February 2022. Inspectors looked at infection prevention and control, visiting arrangements and the effect of COVID-19 staffing pressures.
Inspectors found safe visiting processes, effective use of protective equipment, testing and checks for COVID-19 symptoms. The home was clean overall, and staff supported people calmly and kindly.
Some infection-control risks remained. Damaged paintwork and furniture, and dusty or stained items, could make cleaning harder. The infection-control policy was not fully up to date, and there was no outbreak plan covering staff deployment. Some clinically vulnerable people did not have individual outbreak risk assessments.
The service was inspected but not rated. This means the inspection did not give an overall rating or a rated score for the five areas of care.
Safe visiting
Visitors were allowed without restrictions, with staff overseeing safe entry processes. Alternative arrangements were available for people who felt uneasy about face-to-face visits.
“There were safe visiting processes which were overseen by staff when visitors entered the home. There were no restrictions on visiting.” from the report
Protective equipment
Staff had access to protective equipment, used it correctly and had received refresher training on infection prevention and control.
“Staff wore personal protective equipment (PPE) correctly. The registered manager had ensured this was made available throughout the home.” from the report
COVID-19 monitoring
People's temperatures and oxygen levels were checked daily. Testing was offered in line with government guidance, where people consented.
“Staff were checking people's temperatures and oxygen levels daily to see if people had COVID-19 symptoms.” from the report
Kind support and cleanliness
Inspectors found the home clean overall, without unpleasant smells, and saw staff supporting people calmly and kindly.
“The home looked clean and there were no malodours. The staff supported people in a calm and kind way.” from the report
Damaged and dusty areas
needs fixingSome damaged paintwork and furniture could make cleaning more difficult. Some curtains and electric light cords were dusty and stained.
“There were some IPC risks associated with the environment. Paintwork and some furniture were dented and damaged which made it difficult to keep these areas clean and free from infection.” from the report
Outbreak planning
needs fixingThe provider did not have an outbreak policy and plan explaining how an outbreak would be managed, including where staff would be deployed.
“The provider had not ensured there was an outbreak policy and plan which referenced how this would be managed, including the deployment of staff about the home.” from the report
Individual risk assessments
needs fixingSome clinically vulnerable people did not have individual assessments explaining how they would be protected during an outbreak or after a positive COVID-19 test.
“People who were clinically vulnerable did not always have an individual risk assessment, outlining how they would be protected in the event of an outbreak or if they tested positive for COVID-19.” from the report
- 01What improvements have been made to the damaged paintwork and furniture, and how are dusty or stained curtains and electric light cords being dealt with?
- 02Has the home now produced an outbreak policy and plan covering how staff would be deployed?
- 03Do all clinically vulnerable residents now have individual risk assessments for an outbreak or a positive COVID-19 test?
- 04How often are temperatures, oxygen levels and COVID-19 testing reviewed, and what happens if there is a concern?
- 05What parts of the service have not been assessed because this was a targeted inspection?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; the service was inspected but not rated and the other care areas were not assessed. This explanation was written from the published report of 1 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.
Every inspection of Wilton Lodge Residential Home
4 rated inspections over 9 years: the service has held its Good rating throughout.
- December 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Wilton Lodge Residential Home →
- March 2022Inspected but not ratedSafe: Inspected but not rated
Read what inspectors found at Wilton Lodge Residential Home →
- May 2018Goodup from Requires improvementSafe: GoodWell-led: Good
- March 2017Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- May 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- July 2011
Report published without a new overall rating.
- February 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 17 December 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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