Atholl House Nursing Home
Wolverhampton, WV3 · 0.0 km
Nursing
Rated 18 months agocare home
CQC report explained · a residential care home, run by Caram
Arbour Lodge
92 Richmond Road, Compton, Wolverhampton, WV3 9JJ
Goodpublished 16 December 2023, 2 years ago
Rated Good: inspectors found the service performing well and meeting their expectations.
The five questions inspectors ask
- Safe?
- Good
- People said they felt safe. Inspectors found that risks, safeguarding, medicines, infection control, staffing checks and learning from incidents were managed appropriately.
- Effective?
- Good
- This area was not inspected during this focused inspection. Its previous rating was carried forward.
- Caring?
- Good
- This area was not inspected during this focused inspection. Its previous rating was carried forward.
- Responsive?
- Good
- This area was not inspected during this focused inspection. Its previous rating was carried forward.
- Well-led?
- Good
- Inspectors found stronger governance, regular audits and an open management approach. People, relatives and staff gave positive feedback about the management.
The latest report, explained
What inspectors found, December 2023
Rated Good; inspectors found safe care and stronger management, but this was a focused inspection and did not assess all five areas.
The inspection was unannounced and took place on 30 November 2023. Two inspectors and an Expert by Experience spoke with people, relatives and staff. They reviewed care records, medicines records, quality checks and staff recruitment files.
The inspection followed concerns about how people's health needs were managed. Inspectors found no evidence that people were at risk of harm from this concern. They rated Safe and Well-led as Good.
The home had improved since its previous inspection, when it was rated Requires Improvement and was in breach of Regulation 17. The provider was no longer in breach. The overall rating changed to Good, partly because the other areas kept their previous ratings.
What inspectors praised
People felt safe
People and relatives told inspectors they felt safe. Staff understood safeguarding and knew what action to take if someone was at risk.
“People told us they felt safe living at Arbour Lodge.” from the report
Risks were managed
Care plans and risk assessments were detailed and reviewed at least monthly. Staff followed guidance for falls, skin care, moving people and dietary needs.
“Risks to people's safety and health were assessed and managed.” from the report
Medicines were handled safely
Inspectors found effective medicine procedures. Staff gave medicines at people's own pace and explained what they were giving.
“We observed staff supporting people with their medicines and saw this was done at the person's own pace, unhurried with an explanation of which medicines the person was receiving.” from the report
Management had improved
The home had regular audits and an improvement plan. The provider had addressed the earlier governance problems and was no longer in breach.
“At this inspection improvements had been made and the provider was no longer in breach of this regulation.” from the report
Open communication
The manager encouraged people, relatives and staff to raise questions or concerns. Relatives said management listened and acted on feedback.
“The registered manager encouraged an open-door policy which gave people, relatives, and staff the freedom to ask questions and discuss any concerns.” from the report
What inspectors were concerned about
Some staff wanted more cover
minorPeople and relatives said staffing was sufficient and inspectors saw enough staff during the visit. However, some staff said there were times when they would benefit from more staff.
“Staff told us they felt there were times when they would benefit from more staff members.” from the report
Questions to ask them, based on this report
- 01How do you currently identify and manage changes in a person's health needs?
- 02What cover is available when staff feel more staff members are needed?
- 03What were the main actions in the service improvement plan, and have they all been completed?
- 04How will you keep families informed if something goes wrong with a person's care or treatment?
- 05What current information can you provide about the home's care, activities and response to individual needs, since these areas were not assessed in this inspection?
This was a focused inspection of Safe and Well-led only; the other ratings were carried forward from the previous inspection. This explanation was written from the published report of 16 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.
The story over the years
Every inspection of Arbour Lodge
5 rated inspections over 9 years: the service has improved, from Requires improvement to Good.
- December 2023Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2020Requires improvementdown from GoodSafe: Requires improvementWell-led: Requires improvement
- November 2017Goodup from Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- September 2016Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- January 2015Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- August 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- December 2011
Report published without a new overall rating.
- March 2011
Registered with the Care Quality Commission on 16 March 2011.
Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.
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