Updated 12 June 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
The inspection was prompted in part by notification of an incident following which a person using the service sustained a serious injury. This incident is subject to a current safeguarding investigation and as a result this inspection did not examine the circumstances of the incident.
However, the information shared with CQC about other incidents prior to the inspection indicated potential concerns about the management of personal finances of people using the service, not responding in a timely manner to people who are unwell, infection control concerns and medicines management. This inspection examined those risks.
Inspection team:
This inspection was carried out by three inspectors and an expert by experience on the first day. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. One inspector carried out the second (partial) day of the inspection in order to review documentation.
Service and service type:
Beeston Lodge Nursing Home is a care home with nursing. They provide a service for up to 28 people, some of whom may be living with dementia.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
This was an unannounced inspection. This meant the service were not aware we were coming.
What we did:
Before the inspection site visit:
We looked at all the information we had collected about the service since the last inspection report in October 2018. This included previous inspection reports, information received from the relevant Local Authority, Clinical Commissioning Group, The Infection Control Team and Nottinghamshire Fire & Rescue Service. We looked at notifications the service had sent us. A notification is information about important events which the service is required to tell us about by law.
During the inspection site visit we spoke with:
Eight people living at the service, two visiting relatives, the registered manager, the providers, a registered nurse, two care staff, the chef, a member of domestic staff, the administrator and two activity co-ordinators.
As part of the inspection we spent time observing what took place in the home during the day.
For example: we observed breakfast and lunch on the day; planned activities and interactions between staff and people living at the service and we carried out a full tour of the premises.
As part of the inspection we looked at a number of documents relating to the running of the service. For example: six people's care plans, daily notes, monitoring records and medication sheets, four staff recruitment files, safeguarding records, the staff training matrix and record of supervisions. We looked at management audits and quality assurance reports, records of accidents and incidents, staff meeting minutes, residents and relatives meeting minutes and records of compliments and concerns.