CQC report explained · a nursing home
What the CQC found at Beaumont Lodge Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected by risk assessments, safeguarding systems and suitable staffing. Inspectors found minor problems with medicines storage and recording, and the home sent an action plan to address them.
- Effective?
- Good
- Staff had relevant training and people could access health professionals when needed. Inspectors noted that people needing pureed food did not always have a choice shown on the menu.
- Caring?
- Good
- Staff were kind, respectful and attentive. People were involved in decisions, their privacy was respected and they were supported to remain as independent as possible.
- Responsive?
- Good
- Care plans were detailed and personalised. The home provided activities, supported relationships and responded promptly to complaints and changing needs.
- Well-led?
- Good
- Management systems and audits were being used to monitor quality and make improvements. One concern had not been reported to CQC at the time, although the registered manager submitted the notification after the inspection.
What inspectors found, April 2023
Rated Good; inspectors found safe, kind and personalised care, with minor medicines recording issues to improve.
Inspectors made an unannounced visit on 21 February 2023. They spoke with 7 people, 3 relatives and 8 staff. They reviewed care plans, medicines records, recruitment checks, training records and management documents.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe and happy. Inspectors saw kind and respectful care, enough staff, personalised care plans, activities and good access to health professionals.
There were some minor issues. Medicines were not always stored in the most organised way and there were small recording discrepancies. The menu did not always show a choice for people who needed pureed food. The registered manager sent an action plan after the inspection.
The overall rating was unchanged at Good from the previous inspection in 2018. The Well-led rating improved from Requires Improvement to Good because management systems had become more effective.
People felt safe
People said staff came promptly when they needed help. Inspectors found that risks were assessed and staff followed safety guidance.
“They never rush me, they work hard but they always come when I press the buzzer.” from the report
Kind and respectful care
Inspectors saw a calm atmosphere and positive relationships between people and staff. Staff respected privacy, dignity and personal choices.
“People appeared relaxed and happy in the company of staff. The atmosphere was friendly and calm.” from the report
Personalised support
Care plans included people's health needs, life histories, preferences and communication needs. Staff knew what mattered to people and supported their choices.
“People's care plans were comprehensive and personalised to their needs.” from the report
Activities and relationships
People could take part in quizzes, crafts, exercises, entertainment and outings. Staff also spent time with people who mainly stayed in their rooms.
“An assortment of activities were available to people such as quizzes, exercises, crafts, relaxation, bingo and a range of visiting entertainers.” from the report
Medicines records and storage
needs fixingInspectors found medicines were not always stored in the most organised way and saw minor recording discrepancies. The home provided evidence of action taken and an action plan after the inspection.
“However, during our inspection we observed medicines were not always stored in the most organised way and found minor discrepancies in recording.” from the report
Pureed food choices
needs fixingThe menu did not always show a choice for people who needed pureed food. The registered manager said choices were available and promised to change the menu.
“We noted from the menu plan that people who required their food to be pureed did not always have a choice and had the same option for lunch and dinner.” from the report
One missed notification
needs fixingThe home had not reported one concern to CQC when it should have. The report says appropriate action had been taken to keep people safe, and the notification was submitted after the inspection.
“We found one instance where concerns had not been shared although appropriate action had been taken to ensure people's safety.” from the report
- 01What changes have been made to medicines storage and recording since the inspection, and how are these checked now?
- 02What pureed food choices are currently available, and can we see the latest menu?
- 03How will you make sure concerns that must be reported to CQC are notified promptly?
- 04How are staffing levels reviewed if a resident's needs increase?
- 05How will my relative's personal preferences, activities and communication needs be recorded and kept up to date?
This was an unannounced inspection covering all five key questions and infection prevention and control; the report says the other four key question ratings remained Good while Well-led improved from Requires Improvement to Good. This explanation was written from the published report of 12 April 2023 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, December 2020
Inspected but not rated; inspectors were assured that infection control arrangements were keeping people safe.
This was an announced inspection on 29 October 2020. It was part of a CQC thematic review of infection prevention and control in care homes during the coronavirus pandemic.
Inspectors were assured that the home was managing visitors, social distancing, admissions, personal protective equipment, testing, cleaning and hygiene, and infection outbreaks. They also found practical ways to support visits and reduce anxiety about protective equipment.
The home was inspected but not rated. This means the inspection looked at infection control arrangements rather than giving an overall quality rating or ratings for all five questions.
Safer family visits
The home had a separate visiting room with external access, so relatives could visit without entering the main home.
“The provider had a room specifically built for people to have visits from their relatives.” from the report
Social distancing
The home created another lounge by converting a large bedroom, giving people more space to use.
“The registered manager had considered how social distancing in the home could be improved and had converted a large bedroom into another lounge for people to use.” from the report
Support with protective equipment
Staff used clear face masks to help reassure people who were anxious about staff wearing protective equipment.
“Staff had thought of ways to communicate with and reassure people who were anxious about them wearing personal protective equipment (PPE).” from the report
Further development suggested
minorInspectors signposted the home to resources to develop its infection control approach further.
“We have also signposted the provider to resources to develop their approach.” from the report
- 01What infection control improvements have been made since the inspection on 29 October 2020?
- 02How are visits arranged now, and is a separate visiting room still available?
- 03How do you support people who find staff wearing protective equipment upsetting or confusing?
- 04How do you manage testing, admissions and possible infection outbreaks now?
- 05What are the home's current ratings for caring, effective care, responsiveness and leadership?
This was a thematic review focused on infection prevention and control; it was inspected but not rated and did not cover the other four key questions. This explanation was written from the published report of 3 December 2020 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 Beaumont Lodge Nursing Home
4 rated inspections over 6 years: the service has held its Good rating throughout.
- April 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2020Inspected but not ratedSafe: Inspected but not rated
- October 2018Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- February 2018Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- November 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 13 December 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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