• Care Home
  • Care home

Mildenhall Lodge

Overall: Good read more about inspection ratings

St Johns Close, Mildenhall, Suffolk, IP28 7NX (01638) 582510

Provided and run by:
Care UK Community Partnerships Ltd

Latest inspection summary

On this page

Background to this inspection

Updated 17 November 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection site visit was completed by 2 inspectors, a specialist advisor who was a nurse and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Mildenhall Lodge is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Mildenhall Lodge is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 7 people who lived at Mildenhall Lodge to seek their reviews of their care and support. Not everyone who used the service were able to tell us about their experience of receiving the service, so observations of care and support were also made. We spoke with 7 people’s relatives, received written feedback from a further 3 relatives and spoke with 10 staff members. These included the deputy manager, registered manager, the clinical lead, the regional manager, trained nurses, care and maintenance staff. Following our site visit, we received feedback via email from a further 15 staff.

A selection of records was also viewed, and these included the care plans and associated records for 9 people who used the service. The medicines records for 10 people were also assessed. The governance records viewed included policies and procedures, staff recruitment records, training information, quality monitoring audits and maintenance records.

Overall inspection


Updated 17 November 2022

About the service

Mildenhall Lodge provides accommodation, nursing and personal care for up to 60 older people across four suites. There were 57 people living in the home on the day of our inspection. This inspection took place on 5 October 2022 and was unannounced.

People’s experience of using this service and what we found

We received some mixed feedback about staffing levels with some concerns about availability of staff to support people, however we also received positive comments that staff had sufficient time to spend with people. We have made a recommendation that the provider monitors staffing levels closely.

There were systems in place to help keep people safe and risks were assessed appropriately. Risk assessments and care plans were up to date and contained personalised information. Staff were aware of people's risks and how to keep them safe.

The environment was clean and there were systems to help prevent and control infection.

People were supported to have maximum choice and control of their lives and staff supported did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

There were systems for managing the service including dealing with incidents, accidents, complaints, safeguarding alerts and other adverse events.

The provider had systems in place to have oversight of the care people received and they carried out regular checks of the quality of the service. People were engaged and involved in the service and their views were sought regularly. Relatives and staff also had opportunities to share their views.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was outstanding

Why we inspected

We undertook this inspection as part of a random selection of services rated Good and Outstanding.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Mildenhall Lodge on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.