Black Bull Lane
Preston, PR2 · 0.0 km
Residential
Not yet ratedcare home
CQC report explained · a residential care home, run by Derby Lodge (Preston)
Derby Lodge
2a Black Bull Lane, Fulwood, Preston, PR2 3PU
Goodpublished 10 February 2024, 2 years ago
Rated Good: inspectors found the service performing well and meeting their expectations.
The five questions inspectors ask
- Safe?
- Good
- People told inspectors they felt safe. Medicines, staffing, infection control and safeguarding arrangements were found to be safe, although care planning and risk assessment records had gaps.
- Effective?
- Good
- This question was not rated in this inspection.
- Caring?
- Good
- This question was not rated in this inspection, although inspectors observed kind and respectful interactions.
- Responsive?
- Good
- This question was not rated in this inspection.
- Well-led?
- Good
- The home had effective leadership and quality checks. Its rating improved from Requires Improvement, and the previous breach about fire safety was no longer in place.
The latest report, explained
What inspectors found, February 2024
Rated Good; inspectors found safe, respectful care and stronger leadership, but care planning records were not always consistent.
Inspectors visited the home without notice on 23 and 24 January 2024. They spoke with people living there, relatives, staff and managers. They also checked the building, care and medicine records, staffing files and systems for checking quality.
The inspection was prompted by concerns about staff approach, medicines, risk management and staffing. The provider had taken effective action, and inspectors found no evidence that people were at risk of harm from these concerns. Medicines were managed safely, staffing levels were sufficient and people said they felt safe.
Care was described as kind and respectful. The main shortfall was that care planning and risk assessment records were not always consistent and had gaps. The overall rating was Good. Safe and Well-led were both rated Good. Well-led improved from Requires Improvement at the previous inspection, and the earlier breach about fire safety had been resolved.
What inspectors praised
Safe staffing
Inspectors found there were enough staff to meet people's needs promptly. Staff supported people patiently and gave them time when providing assistance.
“The provider consistently maintained sufficient staffing levels so that people's needs were met in a timely way.” from the report
Medicines managed safely
Staff gave medicines one person at a time, explained what they were doing and checked that medicines had been taken. Records, stock checks and audits supported this.
“Staff focused on 1 person at a time, explained what they were doing and checked they had taken their medication.” from the report
Kind and respectful care
Inspectors found consistently kind and respectful interactions with people and their relatives. People were supported to maintain their independence.
“Staff interactions with people and their relatives were consistently kind and respectful, with appropriate use of positive language.” from the report
Improved fire safety
The provider introduced a new fire risk assessment and updated staff training and guidance. The previous breach in this area had been resolved.
“Enough improvement had been made at this inspection and the provider was no longer in breach of regulation 17.” from the report
What inspectors were concerned about
Gaps in care planning records
needs fixingCare plans generally showed how staff should support people, but the records were not consistent and had gaps. Inspectors recommended that the provider review current guidance and good practice on care planning and risk assessment.
“Although documentation sufficiently indicated how staff should support each person, this was not consistent and there were gaps in records.” from the report
Questions to ask them, based on this report
- 01How are you updating the care plans and risk assessments that inspectors found had gaps?
- 02How do you check that care plans consistently reflect each person's needs, preferences and independence?
- 03What checks are now used to make sure medicines are given safely and on time?
- 04How do you maintain current fire safety training and check that staff understand what to do in an emergency?
- 05What changes were made in response to the earlier concerns about staff approach, risk management, medicines and staffing?
This inspection looked at Safe and Well-led only; Effective, Caring and Responsive were not rated in this report. This explanation was written from the published report of 10 February 2024 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 Derby Lodge
8 rated inspections over 8 years: the service has improved, from Requires improvement to Good.
- February 2024Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2022Goodup from Requires improvementSafe: GoodWell-led: Requires improvement
- September 2021Requires improvementSafe: Requires improvementWell-led: Inadequate
- March 2021Inspected but not ratedSafe: Inspected but not rated
- November 2020Requires improvementstayed Requires improvementSafe: Requires improvementWell-led: Requires improvement
- March 2020Requires improvementstayed Requires improvementSafe: InadequateEffective: GoodWell-led: Requires improvement
- October 2018Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- June 2017Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- June 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- July 2014
Report published without a new overall rating.
- January 2014
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- October 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 6 December 2010.
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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