CQC report explained · a nursing home
What the CQC found at Beaumanor Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that people were protected from infection. This included safe admissions, testing, PPE use, cleaning, hygiene and outbreak management.
- Effective?
- Good
- This question was not assessed in this targeted inspection.
- Caring?
- Good
- This question was not assessed in this targeted inspection.
- Responsive?
- Good
- This question was not assessed in this targeted inspection.
- Well-led?
- Good
- This question was not assessed in this targeted inspection.
What inspectors found, March 2021
Inspected but not rated; inspectors found good infection prevention and control arrangements during the COVID-19 pandemic.
The inspection was an unannounced, targeted visit on 16 February 2021. It looked at infection prevention and control, including how people living with dementia were supported through the pandemic.
Inspectors found that people were safe. They were assured that the home used PPE safely, arranged testing, followed shielding and social distancing rules, and had suitable cleaning and outbreak arrangements.
The home had built a visitors pod so relatives could visit safely. Staff had training on using PPE, and there were enough PPE supplies for staff and visitors. The inspection was not rated.
Safe visits
A visitors pod gave people and relatives a safer place to meet in line with government guidance.
“A visitors pod had been built to provide a safe space for people and their relatives to have visits in line with government guidance.” from the report
Regular testing
Staff and residents were tested regularly, and all residents had received the COVID-19 vaccination at the time of inspection.
“Staff and residents were being regularly tested for COVID-19.” from the report
PPE arrangements
Staff used PPE in line with guidance, had training on using it, and the home had enough supplies for staff and visitors.
“Staff were wearing personal protective equipment (PPE) in accordance with government guidance.” from the report
Cleaning
The home had regular cleaning schedules and used chlorinated products throughout the building.
“Cleaning schedules were in place to ensure the service was cleaned regularly and chlorinated products were used throughout the service.” from the report
Inspectors raised no specific concerns in this report.
- 01How are residents and staff tested for infections now?
- 02How are visits arranged, and is the visitors pod still available?
- 03How do you check that staff use PPE safely and correctly?
- 04How often are communal areas and residents' rooms cleaned?
- 05What arrangements are in place if there is an infection outbreak?
This was a targeted inspection of infection prevention and control during the COVID-19 pandemic; it was not a full inspection and the service was not rated. This explanation was written from the published report of 11 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.
What inspectors found, October 2019
Beaumanor Nursing Home was rated Good; inspectors found safe, kind and personalised care, with one person’s door preference not always followed.
This was an unannounced inspection on 25 September 2019. Inspectors spoke with people living in the home, visitors, managers and staff. They observed care and checked care plans, medicines records, training, recruitment and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People told inspectors they felt safe and were treated kindly. Staff supported people with food, drink, healthcare, activities and personal choices.
The inspection was prompted partly by concerns about someone falling from moving and handling equipment. The provider investigated, checked the equipment and gave staff updated training. Inspectors found no evidence that people were still at risk from this concern.
Inspectors noted a small shortfall: a person's request for their bedroom door to stay shut had not been followed. The manager said this would be addressed. The overall Good rating means the home was meeting the required standards at the time of this inspection.
Safe handling response
The home investigated a moving and handling incident, checked equipment and updated staff training. Inspectors found no evidence of further risk from this concern.
“We found no evidence during this inspection that people were at further risk of harm from this concern.” from the report
Kind and respectful staff
People described staff as kind and caring. Inspectors observed staff reassuring people and speaking with them in a considerate way.
“We observed caring interactions throughout our visit. People were reassured when feeling anxious and were spoken to in a kind and considerate way.” from the report
Personalised care
Care plans included people's routines, interests, spiritual needs and preferences. Staff knew people well and supported their choices.
“The plans of care were comprehensive and covered areas such as mobility, the person's nutritional needs and the personal care they required.” from the report
Activities and garden
The home had increased activity hours and offered group and one-to-one activities. Its garden included areas for walking, sitting, growing food and sensory experiences.
“Activity hours had recently been increased from 25 to 35 hours a week.” from the report
Learning and oversight
The management team used audits and reviews to identify problems and take action. The report says records improved after staff were reminded about accurate documentation.
“Completion of documentation has since improved accurately reflecting the support each person received.” from the report
Bedroom door preference
minorInspectors found that a person's stated wish for their door to remain shut had not been followed. The manager said this would be addressed with staff.
“However, these wishes had not always been adhered to.” from the report
- 01How do you check that each person's bedroom door and privacy preferences are followed?
- 02What changes were made after the moving and handling incident?
- 03How do you make sure all staff remain up to date with moving and handling training?
- 04How are care plans reviewed when a person's health, wishes or preferences change?
- 05What was learned from the 2019 surveys, and what action followed?
This inspection was prompted partly by concerns about moving and handling equipment, but inspectors also reviewed the overall service and gave ratings for all five key questions. This explanation was written from the published report of 23 October 2019 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.
Every inspection of Beaumanor Nursing Home
4 rated inspections over 5 years: the service has improved, from Requires improvement to Good.
- March 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- October 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2016Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Good
- April 2015Requires improvementSafe: Requires improvementEffective: GoodCaring: Requires improvementResponsive: GoodWell-led: Good
- June 2014
Report published without a new overall rating.
- December 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- November 2011
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 15 November 2010.
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.
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