19 May 2021
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.
This inspection was carried out by two inspectors.
Service and service type
The Epsom Beaumont 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 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 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. 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 six people who lived at the service and four visitors about their experience of the care provided. We spoke with four members of staff including the registered manager, nurses, care workers and activity co-ordinator. We reviewed four care files, the staffing rotas, records to determine staffing levels, accident and incident records, quality assurance records and medicine records. 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 continued to seek clarification from the provider to validate evidence found.
19 May 2021
About the service
The Epsom Beaumont is a care home providing nursing and personal care for up to 55 people in one adapted building. At the time of the inspection there were 45 people living in the home with a variety of care needs and some people who were also living with dementia.
People’s experience of using this service and what we found
People felt safe living at the home. Staff knew how to safely support people and understood what they needed to do if they thought someone was at risk of harm. Risks to people were appropriately assessed and managed to reduce the risk of harm to people.
Care was provided by a sufficient number of staff who understood people's needs and wishes. Staff received training to help them carry out their roles and were supported by an experienced and skilled management team.
People were supported with their medicines and these were appropriately monitored. The home was kept clean and tidy. People were protected from infections and staff were observed carrying out effective infection control procedures. The service continually looked for opportunities to learn and improve to provide care of a high standard.
The registered manager had good oversight of the service and people spoke positively about how the home was run. People felt able to raise concerns and were confident that action would be taken. The service had good working relationships with other healthcare professionals to ensure the best outcomes were achieved for people.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection -
The last rating for this service was Good (published 1 August 2017). The service remains Good.
Why we inspected
The inspection was prompted in part due to concerns received about staffing levels. A decision was made for us to inspect and examine those risks.
We received concerns in relation to staffing levels. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
The overall rating for the service has remained Good. This is based on the findings at this inspection.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the Safe and Well-Led sections of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Epsom Beaumont on our website at www.cqc.org.uk.
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.