• Care Home
  • Care home

Brighton & Hove City Council - Ireland Lodge

Overall: Good read more about inspection ratings

Lockwood Crescent, Woodingdean, Brighton, East Sussex, BN2 6UH (01273) 296120

Provided and run by:
Brighton and Hove City Council

Latest inspection summary

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Background to this inspection

Updated 9 July 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 Health and Social Care Act 2008.

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

The inspection was carried out by 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

Brighton and Hove City Council – Ireland Lodge is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Brighton and Hove City Council – Ireland Lodge is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was a registered manager in post.

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 used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used information gathered as part of monitoring activity that took place on 17 March 2022 to help plan the inspection and inform our judgements. We used all this information to plan our inspection.

During the inspection

We spoke with 13 people who used the service and seven relatives about their experience of the care provided. We spoke with the registered manager and seven staff including the chef, care staff and a trainee social worker.

We reviewed a range of records. This included four people's care records and multiple medication records. We looked at four staff files in relation to recruitment and staff supervision. We also reviewed a variety of records relating to the management and running of the service, including incidents and accidents, audits, building maintenance and fire safety.

After the inspection

We continued to seek clarification from senior management to validate evidence found. We looked at training data, policies and procedures, an external medicine audit and the registered manager’s action plans. This information was emailed to the inspector during and after the inspection. We received feedback from two external health and social care professionals.

Overall inspection


Updated 9 July 2022

About the service

Brighton and Hove City Council – Ireland Lodge is a residential care home providing personal care to up to 34 people. The service provides short term and respite support, transitional care and longer term care for people who experience dementia and mental health needs. This includes to prevent hospital admission and to support people after hospital discharge before returning home. At the time of our inspection there were 19 people using the service.

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

We found some governance systems required a more robust approach to ensure training and policies were up to date.

People experienced safe care from kind and respectful staff who understood their needs and preferences. Staff felt valued in their role and valued the people they supported.

Assessments and care plans were created with people and their relatives to ensure support was individualised. People’s risks and needs were reviewed with them to promote improvements and monitor any concerns.

Staff showed genuine care and kindness to people. Relatives and professionals gave consistent feedback that the experience of care was positive and well regarded.

People’s care was coordinated with their relatives and other professionals to ensure their move in and out of the service was as smooth as possible.

There was a positive culture of respect, led by the registered manager, and staff worked together as a team.

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 and update

The last rating for this service was requires improvement (24 April 2020).

At the last inspection we recognised the provider had failed to provide CQC with statutory notifications. This was a breach of regulations and we issued fixed penalty notice. The provider accepted a fixed penalty and paid this in full. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

At the last inspection we also found improvements were required for how people’s food and fluid charts were managed. At this inspection we found improvements had been made in this area.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

We have found evidence that the provider needs to make improvements to governance systems. Please see the well led section of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Brighton and Hove City Council – Ireland Lodge on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.