• Care Home
  • Care home

Archived: Lamel Beeches

Overall: Requires improvement read more about inspection ratings

105 Heslington Road, York, North Yorkshire, YO10 5BH (01904) 416904

Provided and run by:
Joseph Rowntree Housing Trust

Important: The provider of this service changed. See new profile

Latest inspection summary

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Background to this inspection

Updated 25 September 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was conducted by two adult social care inspectors and an expert by experience on the first day of 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. Day two of the inspection was carried out by one adult social care inspector.

Service and service type:

Lamel Beeches is a nursing home. It provides a service for up to 41 older people.

The service is required to have a manager registered with CQC. 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, the previous registered manager was no longer employed and was in the process of de-registering with CQC. A new manager was in post and had commenced their application with CQC to become the registered manager.

Notice of inspection:

The inspection was unannounced.

What we did:

Before our inspection, we looked at information we held about the service. We did not request an updated Provider Information Return, but reviewed the most recent one sent by the provider. 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 reviewed the information we held about the service, such as notifications we had received from the provider. A notification is information about important events which the service is required to send us by law. We sought feedback from the local authority contract monitoring team prior to our visit. We used this information to plan the inspection.

During the inspection we spoke with nine people who used the service and four relatives. We spoke with the manager, deputy manager, quality and compliance manager, a nurse, three care staff, an activities coordinator and two relief chefs. We spoke with one visiting healthcare professional. We looked at a range of documents and records related to people’s care and the management of the service. We viewed four people's care records, medication records, three staff recruitment and induction files, training and supervision information and a selection of records used to monitor the quality and safety of the service.

Overall inspection

Requires improvement

Updated 25 September 2019

About the service: Lamel Beeches is a nursing home that was providing personal and nursing care to 31 people at the time of the inspection.

People’s experience of using this service: People's records were not always adequately maintained and improvements were required to meet legal requirements in relation to governing the service. Quality assurance systems had not been effective in driving improvements across the service. In addition, notifications that the provider is legally required to send to us had not been done so consistently.

People were supported by staff who were caring and knowledgeable about their needs. Staff understood how to care for people safely, but risk assessments were not always regularly reviewed. Some staff were overdue their regular refresher training and supervision. Opportunities to learn from accident and incidents that occurred were not always maximised, to reduce the risk of recurrence. Staff knew how to identify and report any safeguarding concerns. People received their medicines as prescribed.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Staff respected people’s wishes and promoted their privacy and dignity. People told us staff were kind and friendly. There was an extensive range of interesting activities available to people and the provider worked well with other organisations to meet people’s needs.

Further information is in the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection: Good (report published 12 April 2017).

Why we inspected: This was a scheduled inspection based on the service’s previous rating. There had been a serious incident in the year prior to our inspection, which had raised concerns regarding record keeping, falls management and candour with relatives. We therefore brought the scheduled inspection forward to look at these issues.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.