CQC report explained · a nursing home
What the CQC found at Beyer Lodge Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Requires improvement
- Inspectors found environmental safety risks, including limited assessment of pest control traps and an unlocked shed containing cleaning products. These hazards were dealt with immediately during the inspection.
- Effective?
- Good
- People received suitable training and support, their care plans reflected their needs and choices, and their nutritional and health needs were supported. The home had also improved its mental capacity assessment process.
- Caring?
- Good
- This area was not inspected during this visit. The report says its previous rating was used to calculate the overall rating.
- Responsive?
- Good
- This area was not inspected during this visit. The report says its previous rating was used to calculate the overall rating.
- Well-led?
- Good
- The home was described as welcoming and well run, with approachable management, regular audits and systems for involving residents, relatives and staff.
What inspectors found, July 2022
Rated Good overall, but inspectors found that safety checks and environmental risks needed improvement.
This was an unannounced focused inspection on 7 July 2022. One inspector and a specialist nurse advisor visited the home. They spoke with five residents and two relatives, observed care, and checked records including medicines, recruitment, training, care plans and safety checks.
The home was rated Good overall. Inspectors rated Effective and Well-led as Good. They found enough trained staff, safe medicines management, suitable food and drink, positive relationships and improvements in mental capacity assessments.
Safe was rated Requires Improvement. Inspectors found pest control traps on corridors with limited risk assessment and an unlocked shed containing cleaning products. The registered manager dealt with these issues immediately when they were raised.
The overall rating remained Good because this was a focused inspection. Caring and Responsive were not inspected, so their previous ratings were used when calculating the overall rating.
Safeguarding
Staff understood different types of abuse and how to report concerns. Safeguarding alerts were raised when required and tracked by the manager.
“People were supported by staff who received training and who had a good understanding of the different types of abuse and who to report any concerns to.” from the report
Staffing
Inspectors found enough staff to meet people's needs, including support in the community. Recruitment checks were completed before new staff started.
“There were enough staff employed to meet people's needs included supporting people when out in the community.” from the report
Medicines
Medicines were stored, administered and recorded safely. A new electronic medicines system was being introduced and monthly audits were completed.
“People's prescribed medicines had been administered and managed safely, including the ordering, storage and disposal of medicines.” from the report
Mental capacity work
The home had improved its approach to mental capacity assessments after feedback from the local commissioning team. Inspectors were assured that the revised systems followed the Mental Capacity Act.
“At this inspection we were assured the provider had improved their systems and these were in line with the MCA.” from the report
Positive relationships
Inspectors found a relaxed and welcoming atmosphere. Residents, relatives and staff spoke positively about the home and its management.
“There was a positive and welcoming atmosphere throughout the service and people and staff had developed good relationships.” from the report
Environmental hazards
seriousInspectors found pest control traps on corridors with a limited risk assessment. An unlocked outdoor shed contained cleaning products, creating a potential safety risk. The manager dealt with these issues immediately.
“An outdoor shed was unlocked, this stored cleaning products.” from the report
Safety audits
needs fixingThe home's general checks and audits were being used, but inspectors said health and safety audits needed to capture environmental problems more effectively.
“There was further scope for the service to improve their health and safety audits, to ensure these captured the environmental issues we found.” from the report
- 01What has been done to make sure cleaning products are kept securely and the outdoor shed remains locked?
- 02How are pest control traps assessed and kept safe for residents?
- 03How have health and safety audits changed since the inspection?
- 04How is the new electronic medicines system being checked while staff become familiar with it?
- 05How are mental capacity assessments completed for each specific decision a resident may need help with?
This was a focused inspection of Safe, Effective and Well-led; Caring and Responsive were not inspected and their previous ratings were used for the overall rating. This explanation was written from the published report of 30 July 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, February 2022
Beyer Lodge Nursing Home was inspected but not rated; inspectors found strong COVID-19 infection control and visiting arrangements.
This was a targeted inspection on 25 January 2022. It was announced 24 hours in advance and focused on infection prevention, visiting arrangements and staffing pressures linked to COVID-19.
The inspectors found comprehensive COVID-19 policies. There was regular testing for people living in the home, staff, essential carers and visitors. Visitors were screened and the home had enough personal protective equipment and hand sanitiser.
Staff were observed using personal protective equipment correctly. The home was also following requirements about vaccinations for non-exempt staff and visiting professionals, and was facilitating visits in line with guidance.
The service was inspected but not rated. This means the inspection did not give a Good, Requires improvement or Inadequate rating.
COVID-19 policies
The home had detailed policies for managing COVID-19 risks, including positive diagnoses.
“The home had comprehensive policies and procedures to manage any risks associated with the COVID-19 pandemic.” from the report
Testing and screening
Regular testing was in place for people living in the home, staff, essential carers and visitors. Visitors were screened before entering.
“A programme of regular COVID-19 testing for both people in the home, staff, essential carers and visitors to the home was implemented.” from the report
PPE and hygiene
There was an ample supply of personal protective equipment and hand sanitiser. Inspectors saw staff using PPE correctly.
“There was an ample supply of PPE for staff and any visitors to use.” from the report
Visiting arrangements
A separate, well-ventilated summer house with a transparent screen was available for visits.
“The provider had installed a summer house in the rear garden to provide additional well ventilated space for residents and visitors to spend time.” from the report
Inspectors raised no specific concerns in this report.
- 01What COVID-19 testing is currently offered to residents, staff, essential carers and visitors?
- 02What screening, vaccination evidence and testing requirements apply to visitors now?
- 03How is personal protective equipment supplied and checked in the home?
- 04How would the home manage any future COVID-19 outbreak?
- 05How are current staffing levels affected by COVID-related staff pressures?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-related staffing pressures; the service was inspected but not rated. This explanation was written from the published report of 25 February 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.
Every inspection of Beyer Lodge Nursing Home
3 rated inspections over 8 years: the service has held its Good rating throughout.
- July 2022Goodcurrent ratingSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2022Inspected but not ratedSafe: Inspected but not rated
- August 2017Goodstayed GoodSafe: GoodEffective: GoodWell-led: Good
- January 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2014
Registered with the Care Quality Commission on 1 May 2014.
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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