24 January 2017
During a routine inspection
Beverley Lodge Nursing Home provides accommodation and nursing care to up to 16 older people, most of whom are living with dementia. At the time of our inspection 16 people were using the service. This included two people who were receiving respite care.
The service had received a change in manager since our focused inspection in September 2016. The new manager was aware of their responsibility to register with the Care Quality Commission and had started the application process. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
The provider had sustained the improvements made since our previous inspection to ensure safe medicines management. People received their medicines as prescribed and robust processes were in place to check stocks of medicines. Staff continued to safeguard people from abuse and the management team liaised with the local authority safeguarding team about any concerns raised. Risks to people’s safety were regularly reviewed and management plans were followed to minimise the risk from occurring. There were sufficient staff to meet people’s needs and staff responded promptly to people’s requests for assistance.
Staff continued to stay up to date with their mandatory training to ensure they had the knowledge and skills to undertake their roles. They were supported to undertake qualifications relevant to their role and received regular supervisions and appraisal. Staff adhered to the Mental Capacity Act 2005 code of practice and adhered to the conditions of people’s deprivation of liberty safeguards authorisations. People received the support they required with their health and nutritional needs. Staff liaised with relevant healthcare professionals if they had concerns a person’s health was deteriorating.
Care and support was provided in line with people’s wishes and preferences. Staff were aware of how people communicated and involved them in day to day decisions. People’s care records detailed people’s decisions in regards to end of life care and this was shared with other healthcare professionals involved in their care. Staff respected people’s privacy and maintained their dignity.
The provider had sustained improvements made since our previous inspection to ensure detailed, complete and accurate care records were maintained. People’s care records provided clear instruction to staff about how to support people and the level of support they required. Staff used the ‘red bag’ initiative from the London Borough of Sutton’s Vanguard project to enable consistent and coordinated transitions when people move between services. A complaints process remained in place to investigate and learn from concerns raised.
Robust processes had been maintained to monitor and improve the quality of service delivery, including a programme of audits and review of key performance data. Staff, people and their relatives were encouraged to feedback about the service through regular meetings and completion of satisfaction surveys. The provider liaised with the local authority and Clinical Commissioning group (CCG) to learn about new models of care and implement good practice initiatives. The provider adhered to the requirements of their Care Quality Commission (CQC) registration and submitted statutory notifications as required by law.