CQC report explained · a residential care home
What the CQC found at Woburn Sands Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention and control, including visitors, PPE, testing, hygiene, isolation and infection control policies. They also found that staffing pressures linked to COVID-19 were being managed.
- Effective?
- Good
- This inspection did not assess or rate whether care was effective.
- Caring?
- Good
- This inspection did not assess or rate whether staff were caring.
- Responsive?
- Good
- This inspection did not assess or rate whether care was responsive to people's needs.
- Well-led?
- Good
- This inspection did not assess or rate how well the home was led.
What inspectors found, March 2022
Inspected but not rated; inspectors found good infection control and staffing arrangements during the COVID-19 pandemic.
This was an announced, targeted inspection on 9 February 2022. Inspectors looked at infection prevention and control, visiting arrangements and staffing pressures linked to COVID-19.
The home had seven residents, with space for up to 10 people. Inspectors found sufficient staffing arrangements and said staff worked flexibly to maintain safe care.
Inspectors were assured about visitors, personal protective equipment, testing, hygiene, isolation and the home's infection control policies. The service was inspected but not rated, so this report does not give an overall quality rating.
Staffing
The provider had measures to manage COVID-19 staffing pressures. Staff worked flexibly, including extra shifts and new responsibilities, to maintain safe care.
“The provider had taken steps to ensure staffing was sufficient to fully meet people's needs.” from the report
Infection control
The home had PPE available, staff had infection control training, and COVID-19 testing was in place for residents and staff.
“We were assured that the provider was using PPE effectively and safely.” from the report
Visitor safety
Visitors had to provide vaccination evidence and a negative lateral flow test, sanitise their hands and wear a mask.
“Safe arrangements were in place for visitors to the service.” from the report
Managing infection risks
The home used isolation when needed and had up-to-date COVID-19 policies, procedures and risk assessments.
“Isolation was used to manage the spread of infection.” from the report
Inspectors raised no specific concerns in this report.
- 01How are staffing levels and staff absences managed now, particularly during illness or outbreaks?
- 02What testing arrangements are currently used for residents, staff and visitors?
- 03How does the home decide when a resident needs to isolate, and how is their wellbeing supported during isolation?
- 04How are visitors currently checked and what infection control measures must they follow?
- 05How do you check that staff continue to use PPE and follow handwashing guidance correctly?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; it did not rate the other key questions or the service overall. This explanation was written from the published report of 16 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.
What inspectors found, January 2018
Woburn Sands Lodge was rated Good; inspectors found safe, kind and personalised care across all five areas.
The unannounced inspection took place on 28 November 2017. One inspector spoke with two people and three support workers. They reviewed six care records, four staff files and other management documents.
The home was supporting eight people, although it could support up to 10. Inspectors found suitable risk assessments, safe medicines practice, enough staff and appropriate training. People were treated with kindness, dignity and respect.
Care was planned around people's likes, dislikes, goals and support needs. People and families were involved in care reviews. The home had systems for complaints, audits and learning from incidents.
The overall rating was Good, and each of the five areas was also rated Good. This was unchanged from the previous inspection in December 2015.
Personalised risk support
Risk assessments were tailored to people's needs and aimed to keep people safe while supporting their independence.
“Assessments were proactive in their nature, and enabled people to remain as independent as they could be.” from the report
Safe staffing and medicines
Inspectors found staffing matched people's needs, with a nurse on duty at all times. Medicines records were clear and medicines were securely stored.
“The service had a nurse on duty at all times due to the complex needs of some individuals.” from the report
Kind and respectful care
People said staff treated them well. Inspectors saw staff speaking positively and respectfully with people.
“People told us that staff treated them with respect, and were kind and caring.” from the report
People involved in care
People helped shape their care plans and decisions, including when to get up and which activities to do.
“People chose when they wanted to get up in the morning, and what activities they wanted to do.” from the report
Good oversight
The home used audits, meetings and feedback to identify issues, share learning and make improvements.
“Quality assurance systems were in place to help drive improvements.” from the report
Inspectors raised no specific concerns in this report.
- 01How are risk assessments currently reviewed, especially where someone may self-harm or become aggressive?
- 02How often are agency staff used now, and how do you make sure they know each person's needs?
- 03Is a nurse still on duty at all times, and how is this covered when staff are absent?
- 04What progress has been made with the planned refurbishment and extension, and how might the work affect residents?
- 05How are people currently supported with their goals of becoming more independent and moving on to their own accommodation?
This was an unannounced inspection of the overall service and all five CQC questions; the ratings remained Good from the December 2015 inspection. This explanation was written from the published report of 4 January 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.
Every inspection of Woburn Sands Lodge
2 rated inspections over 2 years: the service has held its Good rating throughout.
- March 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- January 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- December 2012
Registered with the Care Quality Commission on 3 December 2012.
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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