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Berrywood Lodge Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 7 November 2018

This inspection took place on 8 October 2018 and was unannounced.

Berrywood 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. Berrywood Lodge is registered to accommodate 30 people with mental health conditions and learning disabilities. At the time of our inspection there were 24 people living in the home.

At the last inspection in June 2016 this service was rated good. At this inspection we found the service to require improvement.

The premises had not been adequately cleaned. One person’s bedroom had not been sufficiently cleaned by staff, and some furnishings within it were soiled and had been missed by the cleaning staff.

Cleaning records and audits to check that areas within the home had been cleaned appropriately, were not robust and did not contain enough detail to ensure that standards remained high for people.

There were areas throughout the service that had not been well maintained and required refurbishment. We were shown that work was due to start on the refurbishment of certain areas throughout the home, however, these improvements had not been carried out in a timely manner.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People felt safe. We saw that staff had been appropriately recruited in to the service and security checks had taken place. There were enough staff to provide care and support to people to meet their needs. People received their prescribed medicines safely.

The care that people received continued to be effective. Staff had access to the support, supervision, training and ongoing professional development that they required to work effectively in their roles. People were supported to maintain good health and nutrition.

People told us their relationships with staff were positive and caring. We saw that staff treated people with respect, kindness and courtesy. People had detailed personalised plans of care in place to enable staff to provide consistent care and support in line with people’s personal preferences.

People knew how to raise a concern or make a complaint and were confident that if they did, the management would respond to them appropriately. The provider had implemented effective systems to manage any complaints that they may receive.

The service had a positive ethos and an open and honest culture. The manager was present and visible within the home.

We found two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we have told the registered provider to take at the back of the full version of the report.

Further information is in the detailed findings below.

Inspection areas

Safe

Requires improvement

Updated 7 November 2018

The service was not safe.

The premises was not cleaned consistently.

Window restrictors were not in place on the first floor windows to make them safe for the people using the service.

Prompt and timely action was not taken to improve areas of the environment which required attention.

Staffing levels were suitable to meet people’s needs.

Medicines were safely stored and managed.

Incidents and accident were recorded properly to ensure lessons were learned from any mistakes made.

Effective

Good

Updated 7 November 2018

The service remained good.

Caring

Good

Updated 7 November 2018

The service remained good.

Responsive

Good

Updated 7 November 2018

The service remained good.

Well-led

Requires improvement

Updated 7 November 2018

The service was not well led.

The provider did not take timely action to implement improvements required to the environment.

Audits were not always detailed and robust, as mistakes were not always picked up on.

staff felt well supported by management.

Feedback was gathered and listened to.