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Courtfield Lodge Requires improvement

We are carrying out a review of quality at Courtfield Lodge. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 11 September 2020

About the service

Courtfield Lodge is a residential care home providing personal and nursing care to 30 people aged 65 and over at the time of the inspection. The service can support up to 70 people on the ground and first floor. One of the floors specialises in providing care to people living with dementia.

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

We spoke with 11 relatives and one friend of someone living at the home. The feedback was mostly positive on the changes that had occurred since our last inspection. One relative was unhappy with the care their family member received. One relative had concerns related to the leadership of the service but praised the care their family member received. This is reflected in the report.

Staff were recruited safely. People told us enough staff were available to meet people's needs. Medicines were managed and administered safely. Infection control systems and audits continued to ensure a clean environment to keep people safe. Safeguarding procedures were in place to protect people from the risk of abuse, and to educate staff on how to recognise and respond to concerns.

People told us how staff were kind, caring and treated them well. Our observations showed people were happy in the company of staff. We observed people were treated with respect and they were involved with family members in their care planning. One relative commented, "They [staff] are very attentive to [family member], nothing is too much trouble."

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.

The management team were clear about their roles and provided care which resulted in good

outcomes for people. They worked in partnership with a variety of agencies to ensure people's health and social needs were met. They had worked to address areas of concern previously identified and foster and promote a positive environment through improved communication and effective teamwork. The manager used a variety of methods to assess and monitor the quality of the service. This ensured the service continued to be improve.

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

Rating at last inspection and update: The last rating for this service was inadequate (published 18 May 2020) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this focused inspection we found improvements had been made and the provider was no longer in breach of the regulations we reviewed.

This service has been in Special Measures since 06 August 2019. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 29 January 2020 and 05 February 2020. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve; Person centred care, Dignity and respect, Safe care and treatment, Safeguarding service users from abuse and improper treatment, Fit and proper persons employed and Good governance.

We carried out this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Caring and Well-led. The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from inadequate to requires im

Inspection areas

Safe

Requires improvement

Updated 11 September 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 11 September 2020

Caring

Good

Updated 11 September 2020

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 11 September 2020

Well-led

Requires improvement

Updated 11 September 2020

The service was not always well-led.

Details are in our well-Led findings below.