• Care Home
  • Care home

Nesfield Lodge

Overall: Good read more about inspection ratings

45 Nesfield Road, Leeds, West Yorkshire, LS10 3LG (0113) 277 6880

Provided and run by:
Indigo Care Services (2) Limited

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

Latest inspection summary

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Background to this inspection

Updated 1 June 2023

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 2 inspectors 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

Nesfield 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. Nesfield 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 provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

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

Notice of inspection

This inspection was unannounced.

Inspection activity started on 10 May 2023 and ended on 17 May 2023. We visited the location’s service on 10 May 2023.

What we did before the inspection

Before the inspection, we reviewed all the information we held about the service including information about important events which the service is required to tell us about by law. We requested feedback from other stakeholders. These included the local authority safeguarding team, commissioning teams, infection and prevention control team and Healthwatch Leeds. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with 5 people using the service and 7 relatives about their experience of the care provided. We observed care in the communal areas to help us understand the experience of people. 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. We gathered feedback from 3 healthcare professionals.

We gathered information from several members of staff including the registered manager, deputy manager, senior carers, care staff, activity coordinator and kitchen staff.

We reviewed a range of records. This included 3 people's care plans, risk assessments and associated information, and other records of care to follow up on specific issues. We also reviewed multiple medication records. We looked at 3 staff files in relation to recruitment, training, supervision and appraisals. A variety of records relating to the management of the service, including policies and procedures were also reviewed.

Overall inspection

Good

Updated 1 June 2023

About the service

Nesfield Lodge is a residential care home providing personal and nursing care for up to 44 people aged 65 and over. At the time of the inspection, 40 people were living in the service. The building is purpose built with accommodation over two floors.

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

People told us they felt safe and enjoyed living at Nesfield Lodge. One person told us, “I like it here, am happy here.” Relatives also spoke positively about the home and were satisfied with most aspects of the care and support given to their loved ones. One relative said, “It’s a happy atmosphere.”

There were systems in place to minimise the risk of infection. The home was clean and cleaning records evidenced this, and some areas of the home were being renovated. The necessary checks on the building and equipment had been done to ensure its safety. Systems were in place to protect people from the risk of abuse. Medicines were managed safely. There were enough staff working at the service to meet people's needs and there were adequate staff recruitment practices in place.

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.

Governance systems were in place to ensure all aspects of the service were reviewed and checked regularly. The service worked well with other healthcare professionals to meet the needs of people. Staff enjoyed working for the provider and told us they felt well supported. The home had a quality action plan that identified areas for improvement and timescales. People, relatives and staff told us there was an open and honest culture at the home and the management team were always approachable.

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 (published 17 February 2021).

The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

Why we inspected

The inspection was prompted in part due to concerns received about infection prevention control, nutrition and hydration and the management of the home. A decision was made for us to inspect and examine those risks.

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 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.

Follow up

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