Updated 12 January 2022
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
Two inspectors and an Expert by Experience undertook the inspection. 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
Courtfield 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 had a manager however they had not yet registered with the Care Quality Commission. They confirmed they have commenced the application to become registered with the Care Quality Commission. This would mean 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 inspection was unannounced.
What we did before the inspection
Prior to our inspection we looked at all of the information we held about the service. This included complaints or concerns, investigations or notifications which the provider is required to send to us by law. 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 and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with two people and undertook observations in communal areas in the service. We spoke with five staff this included, three care staff, the clinical lead and the newly recruited manager. With permission we also spoke with the relatives of five people over the telephone and two people in receipt of care. We sought feedback from three professionals. We looked at a range of records these included, risk assessments, investigations, staff recruitment and records relating to the operation and management of the service.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We emailed a number of staff to ask about their experiences of working at the home, three staff provided information