CQC report explained · a nursing home
What the CQC found at Boscombe Lodge Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that people were protected from avoidable harm. Risk assessments, medicines systems, infection controls, staff recruitment checks and learning from accidents were in place.
- Effective?
- Good
- This key question was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Caring?
- Good
- This key question was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Responsive?
- Good
- This key question was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Well-led?
- Good
- Inspectors found person-centred leadership, regular staff support and meetings, feedback from people and relatives, and effective quality monitoring.
What inspectors found, July 2023
Boscombe Lodge Nursing Home was rated Good; inspectors found safe care, enough staff and strong management, with no evidence that the safeguarding concern had put people at risk.
This was an unannounced inspection on 6 June 2023 after a safeguarding concern. One inspector spoke with 9 people, 1 relative and 5 staff. They also checked care records, medicines records, recruitment files and management records.
The home was rated Good for Safe and Well-led. Inspectors found suitable risk assessments, safe medicines systems, infection controls, staff checks and enough staff to meet people's needs. They found no evidence that people were at risk of harm from the safeguarding concern.
The overall rating was Good, the same as at the previous inspection published in May 2019. This visit only assessed Safe and Well-led. The other ratings used in the overall rating were carried forward from the previous inspection.
Risk planning
Care plans and risk assessments gave staff clear guidance about people's needs, including specific health needs such as catheter care and diabetes support.
“Risk assessments and care plans were person centred and provided guidance to staff on how best to support people.” from the report
Staffing and recruitment
Inspectors found enough staff to meet people's needs. Recruitment checks included work histories, references and DBS checks.
“There are enough staff, they are always coming around.” from the report
Medicines safety
Medicines records contained the information staff needed. Stock checks and regular audits were completed, and issues were acted on promptly.
“Regular audits were completed to ensure medicines were being managed safely. Any issues highlighted were acted on promptly.” from the report
Supportive management
Staff said managers were available and supportive. The home used meetings, supervision and quality checks to review care and improve practice.
“The manager and provider are always here. The manager listens to you and is very supportive.” from the report
Inspectors raised no specific concerns in this report.
- 01What was the safeguarding concern that led to this inspection, and what changes have been made since then?
- 02How do you check that each person's risk assessments and care plans remain accurate and up to date?
- 03How do you make sure there are enough staff when someone is off sick or agency staff are used?
- 04How are medicines audits completed, and how quickly are any problems corrected?
- 05When was the last review of my relative's care plan, and how can our family give feedback?
This was an unannounced focused inspection of Safe and Well-led following a safeguarding concern; Effective, Caring and Responsive were not inspected and their previous ratings carried over. This explanation was written from the published report of 1 July 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, February 2021
Inspected but not rated; inspectors were assured that infection prevention and control arrangements were safe.
This was an announced, targeted inspection on 9 February 2021. It focused on infection prevention and control during the coronavirus outbreak response.
The home was closed to visitors and new admissions at the time. Visitors were screened, new residents were isolated for 14 days, and people and staff had regular testing.
Inspectors found that staff used personal protective equipment correctly. They also found good infection control, effective zoning during a recent outbreak, regular cleaning and regular infection control audits.
The home was inspected but not rated. This means the visit did not give the home an overall CQC rating or a separate rated score for Safe.
Safe use of protective equipment
Staff had infection control training and demonstrated that they knew how to use protective equipment correctly.
“Staff demonstrated an excellent knowledge of how to use PPE correctly and good infection control practice.” from the report
Testing and monitoring
People and staff had access to regular testing, with results recorded and monitored.
“All test results were recorded on a COVID-19 tracker that was regularly monitored.” from the report
Outbreak management
The home used zoning and cohorting effectively during a recent infection outbreak.
“Staff had a good understanding of zoning and cohorting which had been used effectively during a recent infection outbreak.” from the report
Clean environment
The home was clean and had schedules for regular cleaning, including high-touch areas.
“The service was very clean. There were cleaning schedules in place for staff to follow including regular cleaning of high touch point areas.” from the report
Inspectors raised no specific concerns in this report.
- 01Are visitors still screened for COVID-19 symptoms, and what safety measures are currently in place?
- 02How are new admissions isolated and monitored now?
- 03How often do people living at the home and staff receive infection testing?
- 04How would the home manage another infection outbreak, including zoning and cohorting?
- 05How often are high-touch areas cleaned and infection control audits completed?
This was a targeted inspection of infection prevention and control practices only; the service was inspected but not rated. This explanation was written from the published report of 24 February 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.
Every inspection of Boscombe Lodge Nursing Home
3 rated inspections over 7 years: the service has held its Good rating throughout.
- July 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2021Inspected but not ratedSafe: Inspected but not rated
- May 2019Goodstayed GoodSafe: GoodWell-led: Good
- October 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2014
Report published without a new overall rating.
- May 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 26 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.
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