Archived: Beresford lodge Residential Care Home

Updated 31 December 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.

Inspection team

The inspection team consisted of one inspector 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

The service is a ‘care home’. People in care homes receive accommodation and nursing or personal care. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

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

The inspection was unannounced.

What we did before the inspection

Prior to the inspection, we checked all the information we had received about the service. We assessed the information received in the Provider Information Return (PIR). This is information we require providers to send us at least annually 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.

We contacted the local authority commissioning and safeguarding teams and the local Healthwatch. Healthwatch are a consumer champion in health and care. They ensure the voice of the consumer is heard by those who commission, deliver and regulate health and care services.

During the inspection

We spoke with five people who used the service and six relatives.

Throughout the inspection we spent time in the communal areas of the home observing how staff interacted with people and supported them. We spoke with the registered manager and three members of the staff team.

We reviewed a range of care records for four people. We looked at a range of records in relation to the safety and management of the service. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

After the inspection

We received feedback from two visiting health and social care professionals to gain their views of the service. In addition, we continued to seek clarification from the provider to validate the evidence we found.

Updated 31 December 2019

Beresford Lodge is a care home which is registered to provide personal care and accommodation for older people or people with dementia. Accommodation is provided in one adapted building over two floors. The home is registered to provide care for up to 26 people. At the time of the inspection 15 people were living at the home.

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

People told us they felt safe and established systems were in place for responding to any safeguarding concerns. Staff were confident in the actions they would take to protect people from any type of abuse. Staff were recruited safely and there were enough staff deployed to meet people’s needs.

Person-centred risk assessments and care plans were in place which contained information relevant to the needs of people. Records were detailed and provided guidance to staff on how support should be delivered. In addition, environmental risk assessments were completed which considered any potential risks associated with the building.

The service was effective in meeting people’s needs. Staff received appropriate training and their competence and knowledge was checked by the registered manager. Systems were in place to monitor people’s nutritional intake and staff worked to ensure the meal time experience was socially enjoyable. Staff told us they felt supported in their work and received regular supervision.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Staff were caring and treated people in a dignified manner. People’s preferences for their care and support were recorded and staff respected the choices expressed by individuals. Support was provided by a consistent staff team who understood the needs of people well.

Effective quality monitoring systems were in place to ensure the home was well managed. The registered manager led by example and promoted a positive culture where staff were encouraged to reflect on their work to continually deliver improvements.

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

Rating at the last inspection

The last rating for this service was good (published 28 April 2017).

Why we inspected

This was a planned inspection based on our inspection programme.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our inspection programme. If any concerning information is received, we may inspect sooner.