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CQC report explained · a nursing home

What the CQC found at Amberley Lodge - Purley

Outstandingpublished 10 May 2024, 2 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The latest report, explained

What inspectors found, March 2021

Amberley Lodge - Purley was inspected but not rated; inspectors were assured about infection control during the COVID-19 pandemic.

The CQC carried out an announced, targeted inspection on 17 March 2021. It looked at infection prevention and control measures in response to the coronavirus pandemic.

Inspectors were assured that the home managed visitors, admissions, testing, PPE, shielding, social distancing and possible outbreaks safely. They also observed staff following PPE and social distancing guidance.

The home supported contact with families through phone calls, emails, video calls and a visiting pod. It also provided activities and wellbeing support for residents during restrictions.

This was not a full inspection of the home. The service was inspected but not rated, so the report does not give an overall quality rating or ratings for most areas of care.

What inspectors praised
  • Infection control

    Inspectors were assured that the home had arrangements to prevent and manage infections, including an up-to-date infection prevention and control policy.

    “We were assured that the provider's infection prevention and control policy was up to date.” from the report
  • Safe visiting

    The home used a visiting pod, screening forms, temperature checks and lateral flow testing to reduce infection risks during visits.

    “All visitors were asked to complete a COVID-19 screening form on arrival, and had their temperature checked.” from the report
  • Staff followed guidance

    Inspectors saw staff using PPE and following social distancing guidance during the visit.

    “Our observations during the inspection confirmed staff were adhering to PPE and social distancing guidance.” from the report
  • Family contact and wellbeing

    The home kept families in touch with residents through different forms of communication and provided individual and group activities.

    “The provider kept in touch with family members and people's friends through regular phone calls, emails and video conferencing.” from the report
What inspectors were concerned about
  • Further development suggested

    minor

    The CQC signposted the provider to resources to develop its infection prevention and control approach. The report does not say exactly what needed developing.

    “We have also signposted the provider to resources to develop their approach.” from the report
Questions to ask them, based on this report
  1. 01What infection prevention and control arrangements are in place now?
  2. 02How are visitors currently screened and supported to visit residents?
  3. 03How are new residents tested and supported during any isolation period?
  4. 04How does the home keep families in contact with residents if visits are restricted?
  5. 05What resources did the CQC suggest the home use to develop its approach?

This was a targeted inspection of infection prevention and control during the coronavirus pandemic; the service was inspected but not rated and other areas of care were not assessed in this report. This explanation was written from the published report of 30 March 2021 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

An earlier report, explained

What inspectors found, December 2018

Rated Outstanding; inspectors found exceptionally caring, responsive and well-led care, with safe and effective care rated Good.

Inspectors visited on 11 and 12 October 2018. The first day was unannounced. They spoke with people, relatives, staff and health professionals. They observed care, checked five care records, medicines, staff recruitment and training, the building and management records.

The home provides nursing, residential, dementia and end of life care for up to 59 older people. There were 49 people living there during the inspection. Inspectors found people were safe, received suitable food, drink and health support, and were cared for by trained staff.

Care was rated Outstanding because staff were especially kind, understood people with dementia and supported their personal histories, relationships and dignity. End of life care was also highly responsive, with staff helping people and relatives plan and receive personalised care.

The home was rated Outstanding overall, and also Outstanding for Caring, Responsive and Well-led. Safe and Effective were rated Good. Compared with the previous inspection in February 2016, the overall rating improved from Good to Outstanding, while Well-led remained Outstanding.

What inspectors praised
  • Kind dementia care

    Staff understood people with dementia and treated them as individuals. They used personal histories, memory boxes and creative activities to reduce anxiety and support meaningful care.

    “Staff were exceptionally kind and caring and demonstrated a real empathy and understanding of people with dementia.” from the report
  • End of life care

    The home helped people and relatives discuss wishes, plan ahead and receive personalised support at the end of life. Staff worked with health professionals and responded to changing needs.

    “The service responded rapidly to people's changing care needs so people experienced a comfortable, dignified and pain-free death.” from the report
  • Safe staffing and care

    Inspectors found enough staff to support people promptly. Individual risks were assessed and reviewed, and staff used equipment safely.

    “There were enough staff to care for people safely.” from the report
  • Strong leadership

    Managers supported staff development and used audits, feedback and action plans to improve the home. Staff were motivated and proud of their work.

    “Governance was well-embedded in the service with a strong framework of performance monitoring.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How would you meet my relative's specific dementia needs, including their personal history, routines and ways of communicating?
  2. 02How would you involve my relative and our family in planning and reviewing end of life care?
  3. 03How do you make sure staffing levels remain sufficient when staff are absent?
  4. 04How are medicines checked, recorded and monitored using the electronic medicines system?
  5. 05What activities and social opportunities would suit my relative's interests and abilities?

This was an inspection of the overall service, including care, nursing, medicines, staffing, premises and management, and all five key questions were rated. This explanation was written from the published report of 13 December 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Amberley Lodge - Purley

2 rated inspections over 3 years: the service has improved, from Good to Outstanding.

  1. March 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Amberley Lodge - Purley →

  2. December 2018Outstandingup from Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding

    Read what inspectors found at Amberley Lodge - Purley →

  3. April 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Outstanding

    Read this report on cqc.org.uk

  4. October 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. March 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. January 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. October 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. April 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. January 2011

    Registered with the Care Quality Commission on 11 January 2011.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

Weigh the report against the rest

Care at home

At least 100 live-in carers within about an hour of Croydon

These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.

Most charge £980 to £1,230 a week. 77 can care for a couple. 11 years' experience on average.

“She cared for my mum with Alzheimer's with endless patience and kindness, always arriving with a smile and a positive attitude”
Marie-anne B., about Carla A.
“Terry has been of invaluable help to our family while working as a part-time live-in carer for our mother for approximately 6 months”
Bianca V., about Terry S.
See live-in carers near CroydonProfiles, rates and reviews are free to look at.

Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.