CQC report explained · a residential care home
What the CQC found at Winfield Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People said they felt safe and staff understood how to recognise and report abuse. Medicines, infection control and risk assessments were managed safely, but inspectors found unclear action had been taken after some bedroom water temperatures exceeded recommended safe levels.
- Effective?
- Good
- Care plans contained detailed information about people's needs, preferences and health conditions. Staff had relevant training, but the home had identified that regular one-to-one supervision and equality training needed improvement.
- Caring?
- Good
- Inspectors observed kind and caring interactions. People said staff listened to them, explained what was happening and respected their privacy, dignity, beliefs and independence.
- Responsive?
- Good
- Care was personalised and included people's likes, dislikes, communication needs and preferences. Activities, day trips and complaint handling were in place, while the home was working to improve people's experience of food.
- Well-led?
- Good
- Audits and checks were used to identify problems and drive improvement. Staff gave mixed feedback about the registered manager, but staff also described a positive team culture and said support networks had improved.
What inspectors found, July 2019
Rated Good; inspectors found safe, kind and personalised care, with some improvements still needed.
Inspectors visited on 11 and 12 June 2019. The first day was unannounced and the second was announced. They spoke with 16 people, one relative and 12 staff, and reviewed care, medicine, recruitment and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe, staff were caring, medicines were managed safely and care was personalised.
Inspectors also found areas still being improved. These included staff supervision, equality training, the dining experience, the home's décor and action to manage hot water temperatures. One of the two lifts was not working during the inspection.
Safe medicines
Medicines were stored, administered and checked safely. Staff used guidance for medicines given when needed and body maps for creams.
“Medicines were managed and stored safely, including daily checks of fridge and room temperatures to ensure medicines were being stored at the correct temperature.” from the report
Kind and respectful care
People said staff were kind and listened to them. Inspectors saw staff speaking to people at eye level and treating them with dignity.
“We observed kind and caring interactions between people and staff during our inspection, these included staff bending down to speak with people at eye level and laughing and joking with people.” from the report
Personalised care
Care plans included people's histories, preferences and detailed guidance for staff. People were supported to make choices and retain control of their lives.
“People's assessments were detailed and included information about their likes, dislikes and preferences.” from the report
Learning and oversight
The home used audits and reviews to identify errors, risks and recurring themes. It also updated its emergency plan after an incident at another home.
“There were checks and audits in place to ensure that errors, omissions and themes and trends were identified, and actions taken to prevent a recurrence.” from the report
Hot water safety
seriousWater in some bedrooms exceeded recommended safe levels. Inspectors said it was unclear what action had been taken to manage the risk, although a plumber visited after the inspection to reduce temperatures.
“The service had recently identified that water in some peoples' bedrooms had exceeded recommended safe levels and it was unclear what action had been taken to manage the risk to people.” from the report
Staff supervision
needs fixingThe home had identified that staff were not receiving regular one-to-one supervision and was working to improve this.
“The service had identified that staff were not receiving regular one to one supervision sessions and were working to improve this.” from the report
Food experience
minorPeople gave mixed views about the food. The home was introducing a new menu and planned to introduce a buffet to improve the dining experience.
“Meat tends to be tough. Yes, enough to drink. If you're hungry and want something they'll give it to you.” from the report
Equality training
minorThe home had identified that staff did not have appropriate equality training and was working to address this.
“The service had identified that staff did not receive appropriate training about equality and were working to improve this.” from the report
- 01What action has been completed to make sure bedroom water temperatures are safe?
- 02How often do staff now receive one-to-one supervision, and how is this recorded?
- 03What equality training have staff completed since the inspection?
- 04What changes were made to the menu and dining experience, and what do residents now say about the food?
- 05Is the second lift working, and what arrangements are made when it is unavailable?
This inspection looked at the overall quality of the care home, including care and the premises, and rated all five CQC questions. This explanation was written from the published report of 2 July 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.
Every inspection of Winfield Lodge
Each visit the CQC has published, newest first, back to the day the home was registered.
- July 2019Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2018
Registered with the Care Quality Commission on 27 June 2018.
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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25 live-in carers within about an hour of Bath and North East Somerset
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,030 to £1,320 a week. 20 can care for a couple. 12 years' experience on average.
“She enabled mum to lead a high quality life in her own home until the very end and Lena and her family became close personal friends to me and my family.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.