Background to this inspection
Updated
6 October 2021
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 Care Act 2014.
Inspection team
The inspection team consisted of three inspectors onsite over three separate days. Another inspector provided office support for enforcement procedures off site.
Service and service type
Beeston Lodge is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service did not have a manager registered with the Care Quality Commission. The provider is therefore legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced. We checked the COVID-19 status of people onsite when we were in the building.
What we did before the inspection
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service. We reviewed information we had received about the service and sought feedback from the local authority, healthcare commissioners and safeguarding team. We used all of this information to plan our inspection.
During the inspection-
We spoke to two people living at the service and four members of staff, including three agency nurses. We reviewed the care plans, risk assessments and daily records of four people. Multiple medicines records, maintenance records, personal evacuation plans and a variety of records relating to the management of the service, including audits, were also reviewed. During the inspection we spoke to a visiting GP and Advanced Nurse Practitioner. We spoke to members of the Continuing Health Care team, Care Consultancy staff, Local Authority representative, Safe-guarding lead, and a Tissue Viability Nurse.
After the inspection
We spoke to a member of staff and two relatives. We received feedback from relatives, social workers, and services people had been transferred to from Beeston Lodge, during the inspection.
Updated
6 October 2021
About the service:
Beeston Lodge is a residential care home with nursing and is registered for a maximum of 28 people. At the time of the inspection, there were 25 people living in the home. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The home is registered to provide nursing and personal care for older people, people living with dementia and people living with physical disabilities. The home is a three - storey property (adapted from former semi-detached residential accommodation with a two - storey extension and small garden at the rear).
It is located in a busy suburb of Nottinghamshire, on a through road on the outskirts of the town centre; with good access to local amenities, the local train station and wider transport links.
People’s experience of using this service:
People told us they felt happy and the service assessed risks to the health and wellbeing of people who use the service and staff.
People felt there were not enough staff to support them safely at night time.
The environment was not fully supportive for people living with dementia and reduced mobility.
Medicines were handled safely by staff who had been assessed as competent to do so, although the provider had not applied all recommendations from a recent medicine’s audit.
People felt the service they received helped them to maintain their independence where possible.
People and their relatives said staff were caring and respected their privacy and dignity.
People received care that was designed to meet their individual needs and preferences. Although we found evidence that the provider did not have a robust system of auditing and sharing learning across the staff team.
Rating at last inspection:
The home was previously rated as Good in all domains (Report published 24/10/2018.)
Why we inspected:
This was a comprehensive inspection, which was brought forward due to concerns raised in response to the closure of another home owned by the provider and information we received from the local authority.
Enforcement:
We found a breach of two regulations relating to the environment of the home and compliance with the fundamental standards; and in relation to good governance. We have made recommendations to the provider in relation to these.
Follow up:
We will continue to monitor intelligence we receive about the service until we return to visit
as per our re-inspection programme. If any concerning information is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk