CQC report explained · a residential care home
What the CQC found at Wortley Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People had risk assessments that were reviewed when their needs changed. Inspectors found enough staff, safe recruitment, safe medicine systems and appropriate health and safety checks.
- Effective?
- Good
- People's needs and choices were assessed before they moved in. Staff had relevant training and supervision, and people were supported with food, healthcare and decision-making.
- Caring?
- Good
- Staff were kind, patient and respectful. People were involved in decisions, and their privacy, dignity and independence were supported.
- Responsive?
- Good
- Care plans recorded people's likes, dislikes, communication needs and important relationships. People were supported with activities, community access, visits and complaints.
- Well-led?
- Good
- Inspectors found a warm atmosphere and supportive management. Audits, staff meetings and feedback from people, relatives and professionals were used to monitor and improve care.
What inspectors found, August 2023
Wortley Lodge was rated Good in all five areas; inspectors found safe, kind and personalised care with strong support for independence.
This was an unannounced inspection carried out by one inspector. The visit took place on 25 May 2023, with inspection activity continuing until 16 June 2023. Inspectors spoke with the three people living at the home, a relative, staff and a health professional. They also reviewed care, medicine, recruitment and management records.
The home supports up to three people with a learning disability or autistic people. Inspectors found enough staff, suitable risk assessments, safe medicine systems and good infection control. People were supported to make choices, use local services and access health appointments.
Inspectors saw kind and respectful support. People were involved in decisions about their care, and staff supported communication, privacy, dignity and independence. The home offered activities, community trips and support to maintain relationships.
All five CQC areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This was the same overall rating and the same rating in each area as at the previous inspection, published on 16 April 2018.
Safe staffing and risk support
Inspectors found enough staff to meet people's needs safely, including when people went into the community. Risks were assessed and reviewed when circumstances changed.
“There were enough staff to meet people's needs safely.” from the report
Kind and respectful care
Staff treated people with kindness, patience and respect. Inspectors saw reassurance being offered and found that people had trusting relationships with staff.
“Staff at the home were kind towards people they supported, showed compassion and patience.” from the report
Choice and independence
People were supported to make choices about their care, meals, activities and clothing. Staff used pictures and objects where needed and encouraged people to do things for themselves.
“Staff encouraged people to maintain their independence, records confirmed 1 person was able to make their own sandwiches without staff support.” from the report
Personalised activities and communication
Care plans included people's preferences, backgrounds and communication needs. People took part in activities such as community projects, visits, discos and short holidays.
“Records confirmed people were able to participate in a number of different activities of their choosing” from the report
Supportive management
The management team was described as open and supportive. Regular audits, meetings and checks were used to review care and staff support.
“The atmosphere at the home was warm and inviting and promoted people's well being.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you assess and review my relative's risks if their needs or behaviour changed?
- 02How would you support my relative to communicate choices if they do not use words?
- 03What activities and community opportunities would be available for my relative?
- 04How would you involve our family in care planning and tell us about changes in needs?
- 05How would you support my relative to attend health appointments, especially if these cause anxiety?
This was an unannounced inspection covering all five CQC areas, including the care provided and the home itself; the report says all five previous ratings remained Good. This explanation was written from the published report of 11 August 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, April 2018
Wortley Lodge was rated Good; inspectors found safe, caring and personalised support, with minor record-keeping points to watch.
This was an announced inspection on 8 March 2018. One inspector met all three people living at the home, observed care, and spoke with managers, care staff and healthcare professionals. Records about care plans, medicines, staffing, training, accidents, complaints and safeguarding were also checked.
The inspectors rated all five areas Good: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe, were treated kindly, had choices and received care that matched their needs. Staff supported people with food, healthcare, activities, independence and communication.
The previous inspection in July 2015 had found a breach linked to protecting people who could not make decisions for themselves. At this inspection, the report said sufficient improvements had been made and the home was no longer in breach of a legal requirement. Inspectors did note two incorrect cash balance entries and that emergency evacuation plans were still being reviewed.
Detailed risk planning
Risk assessments covered areas such as mobility, medicines, communication, behaviour and going out. They gave staff clear instructions about reducing risks.
“People's risk assessments were detailed and regularly reviewed.” from the report
Choice and consent
People were offered choices about daily life and staff asked permission before providing support. Records included mental capacity and lawful restriction assessments where needed.
“People told us staff asked their permission and gave them choices.” from the report
Personalised care
Care plans included people's backgrounds, preferences, health needs and communication methods. Staff supported a wide range of activities and interests.
“People's care plans were comprehensive and regularly reviewed.” from the report
Positive management checks
Managers used audits, meetings and feedback to monitor care and make changes. The report found effective systems for checking safety and quality.
“There were records of internal audits and monitoring checks that showed the provider had effective systems and processes in place to ensure people's safety and quality of care.” from the report
Cash records
minorTwo entries incorrectly recorded the cash balance carried forward. The care manager corrected them, and the report said the manager had not audited the records, so the errors had not been found sooner.
“On two occasions staff had incorrectly recorded the cash carried forward balance in the financial records.” from the report
Emergency evacuation plans
minorThe home was still reviewing people's personal emergency evacuation plans at the time of the inspection. Families should check that these plans are now complete and match each person's needs.
“The provider was in the process of reviewing people's personal emergency evacuation plans.” from the report
- 01Have the personal emergency evacuation plans now been fully reviewed for each person, and what do they say?
- 02How are people's cash records checked now, following the two incorrect balance entries?
- 03How often are care plans, risk assessments and health action plans reviewed and updated?
- 04How will you support my relative to make choices and give consent, including where they may lack capacity for a particular decision?
- 05Which activities and healthcare arrangements would be available for my relative, based on their individual needs and interests?
This was an announced inspection covering all five key questions, including the care provided and the premises. This explanation was written from the published report of 17 April 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 Wortley Lodge
3 rated inspections over 8 years: the service has held its Good rating throughout.
- August 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2015GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- March 2014
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 25 January 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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