Background to this inspection
Updated
18 January 2024
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.
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
This inspection was carried out by one inspector.
Service and service type
Berrystead Nursing and Residential Home Limited 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.
Notice of inspection
The inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with three people who used the service about their experience of the care provided. We spoke with five members of staff including the provider, registered manager, care workers, and a housekeeper.
After the inspection
We continued to seek clarification from the provider to validate evidence found.
Updated
18 January 2024
About the service
Berrystead Nursing and Residential home is a residential care home providing personal and nursing care to 34 people at the time of the inspection. The service can support up to 46 people.
People’s experience of using this service and what we found
People were not always safe because risk in the environment was not identified or managed effectively. People were not protected from the risk of infection. The environment was poorly maintained and not fit for purpose in multiple areas. There was only one working shower in the building and this shower was not clean or fit for purpose. This meant people did not have access to suitable and accessible baths or showers.
Staffing numbers were not sufficient to meet people’s needs or keep them safe.
Quality monitoring and governance was not effective. There were limited opportunities for people to be involved with or feedback about their care and support. There was no consideration of people’s needs with regards to premises and equipment. Many areas of the home were poorly maintained, unsightly and not fit for purpose.
There was a lack of oversight and support at director level.
People told us they felt safe and could speak with staff. People and staff found the manager approachable and accessible. Staff were recruited in a safe away. People’s medicines were managed in a safe way so that people received their prescribed medicine at the right time and in the right way. People said they liked the staff and said they knew how to meet their needs and preferences.
Rating at last inspection
The last rating for this service was Good (report published 19 October 2017)
Why we inspected
We received concerns in relation to the premises and the environment. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
The overall rating for the service has changed from good to inadequate. This is based on the findings at this inspection.
Enforcement
We have identified breaches in relation to safety, staffing and governance.
We imposed conditions on the provider's registration to restrict admissions and to be sent regular service improvement updates.
We have taken enforcement action and the service is now closed.
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.
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
This inspection was carried out by one inspector.
Service and service type
Berrystead Nursing and Residential home 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.
Notice of inspection
The inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with three people who used the service about their experience of the care provided. We spoke with five members of staff including the provider, registered manager, care workers, and a housekeeper.
After the inspection
We continued to seek clarification from the provider to validate evidence found.