CQC report explained · a residential care home
What the CQC found at Beulah Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that the home was not always safe because visitor checks did not follow government guidance and were not always recorded. They were assured about most other infection control arrangements.
- Effective?
- Good
- This question was not assessed in this targeted inspection.
- Caring?
- Good
- This question was not assessed in this targeted inspection.
- Responsive?
- Requires improvement
- This question was not assessed in this targeted inspection.
- Well-led?
- Good
- This question was not assessed in this targeted inspection.
What inspectors found, April 2022
Inspected but not rated; inspectors found good COVID-19 controls but visitor checks and the infection control policy needed improvement.
This was an unannounced, targeted inspection on 23 February 2022. Inspectors looked mainly at infection prevention and control, visiting arrangements and staffing pressures linked to COVID-19.
The home had trained staff, COVID-19 testing and vaccination arrangements. Inspectors were assured about personal protective equipment, testing, hygiene, social distancing, safe admissions and managing outbreaks.
However, visitor checks were not carried out or recorded in line with government guidance. The infection prevention and control policy also needed updating. The provider said it improved the visitor checks immediately after the inspection and sent evidence of this.
Staff training
Staff had training in infection prevention and control, and received support through training and regular supervision.
“All staff had been trained in infection prevention and control in relation to COVID-19 infections.” from the report
COVID-19 testing and vaccination
The provider tested staff and residents in line with government guidance, and the report says everyone using the service and all staff had been vaccinated.
“The provider tested all staff and residents for COVID-19 infections in accordance with government guidance and all staff and people using the service had been vaccinated against this infection.” from the report
Other infection controls
Inspectors were assured about social distancing, safe admissions, use of protective equipment, hygiene, testing and managing outbreaks.
“We were assured that the provider was using PPE effectively and safely.” from the report
Visitor checks
needs fixingThe home did not follow government guidance when checking visitors, and checks were not always recorded. This created a risk around preventing infection from entering or spreading in the home.
“We were not assured that the provider was preventing visitors from catching and spreading infections.” from the report
Policy was not up to date
needs fixingThe infection prevention and control policy did not fully reflect the required visitor arrangements.
“We were not always assured that the provider's infection prevention and control policy was up to date and comprehensive because arrangements for visitors were not in line with government guidance.” from the report
- 01How are visitor safety checks carried out and recorded now?
- 02Has the infection prevention and control policy been updated to cover visitor arrangements?
- 03Can you show us the evidence sent to CQC after the inspection about the improvements to visitor checks?
- 04How do you manage COVID-19-related staffing pressures if they arise?
- 05What were the home's ratings for caring, effective, responsive and well-led care at its previous full inspection?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it was not a full assessment of all five quality areas. This explanation was written from the published report of 5 April 2022 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, January 2019
Rated Good overall; inspectors found safe, kind and well-managed care, but care records needed improvement.
This was an unannounced first inspection since the home was registered under this provider. The inspector visited on 13 November 2018, spoke with people, the registered manager and a staff member, and checked care records, medicines records, staff records and management records.
People were described as safe, well cared for and treated with respect. Staff knew people well, supported their independence, managed medicines safely and helped people access health care, activities and their relatives.
The main weakness was that some care plans were not personal or accurate. The overall rating was Good. Safe, Effective, Caring and Well-led were rated Good, while Responsive was rated Requires Improvement.
Kind and respectful staff
Inspectors observed caring interactions. People were treated with dignity, including during personal care, and were encouraged to make choices.
“Staff treated people with compassion and respect. People's dignity was respected and promoted.” from the report
Safe medicines and staffing
Medicines were stored, given, recorded and disposed of safely. There were enough staff to meet people's needs, with extra support when appointments required it.
“People's medicines were stored, administered, recorded and disposed of safely.” from the report
Activities and relationships
People took part in activities at home and in the community. The home supported contact with relatives and friends and helped prevent social isolation.
“People had the opportunity to participate in a range of activities at the home and in the community.” from the report
Care plans were not always accurate
needs fixingSome records did not match people's actual needs or preferences. Inspectors were concerned this could affect safe or effective support if a new or temporary staff member joined the home.
“People's care plans did not always reflect their assessed needs.” from the report
- 01Have every person's care plan and health action plan been reviewed and corrected since the inspection?
- 02How do you check that care records reflect each person's actual routines, preferences and health needs?
- 03What information would a new or temporary staff member use to provide safe and personalised care?
- 04How are staff supervision meetings recorded and followed up?
- 05How do you involve people and their relatives in reviewing care and improving the home?
This was an unannounced first inspection covering all five CQC questions and the overall quality of the home. This explanation was written from the published report of 12 January 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 Beulah Lodge
Each visit the CQC has published, newest first, back to the day the home was registered.
- April 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- January 2019GoodSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
- November 2017
Registered with the Care Quality Commission on 10 November 2017.
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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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.
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