CQC report explained · a nursing home
What the CQC found at Buxton Lodge Care Home
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, September 2020
Inspected but not rated; inspectors were assured that infection control arrangements were being followed.
This was an announced, targeted inspection on 28 August 2020. It looked only at infection prevention and control during the coronavirus pandemic.
Inspectors found good practice in how the home supported contact between residents and families. This included a separate visiting area, virtual calls and monthly relatives' meetings on Zoom.
The home used easy-read information about protective equipment and testing. Staff who were shielding or isolating were also given support to return to work safely.
The home was inspected but not rated. Inspectors said they were assured about infection control, including visitors, shielding, admissions, protective equipment, testing, cleaning and the infection control policy.
Family contact
The home created a separate visiting area and used a large tablet for virtual calls. Relatives' meetings were held monthly online.
“They had created an attractive visiting area with gazebo and weatherproof PPE station and side access to prevent visitors from having to go through the home.” from the report
Clear information
The home made colourful, easy-to-read information about protective equipment and testing. This helped reduce people's worries.
“This had reduced people's anxieties around PPE and testing.” from the report
Support for vulnerable staff
Staff who were shielding or isolating were given options for meetings and changes to their roles where possible, to support their return to work.
“Their roles had been adapted where possible so that they felt reassured of their own personal safety due to being vulnerable.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visits arranged now, and is there still a separate visiting area with side access?
- 02How do you explain current protective equipment and testing arrangements to residents and relatives?
- 03How do you make sure people are admitted safely and protected from infection?
- 04How do you test people living here and staff, and what happens if there is an infection outbreak?
- 05When was the infection prevention and control policy last updated?
This was a targeted inspection of infection prevention and control only; the service was inspected but not rated and the report does not provide ratings for the other areas of care. This explanation was written from the published report of 12 September 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.
What inspectors found, February 2019
Buxton Lodge Care Home was rated Good; inspectors found safe, kind and personalised care, with some staff supervision and recruitment gaps to monitor.
This was an unannounced inspection on 4 December 2018. Inspectors spoke with people living at the home, relatives and staff. They reviewed care records, staff files, medicines and quality checks, and observed care and activities.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that risks and medicines were managed safely, people were treated kindly, and care was based on people's needs, choices and preferences.
There were some areas to keep under review. Records did not always show that staff had received supervision as often as the provider's policy said. The home also had staff vacancies and was using more agency staff than it wanted. Inspectors suggested keeping a formal record of occasions when call bells went into emergency mode.
Kind relationships
Inspectors observed compassionate care and respectful relationships. People and relatives described staff as kind, thoughtful and familiar with their needs.
“Throughout our inspection we observed people were supported with kindness and compassion.” from the report
Improved care records
Care plans had been updated since the previous inspection. They gave staff detailed guidance about people's health, communication, routines, preferences and risks.
“Personalised care plans were in place and developed based on assessments of people's needs and risks.” from the report
Safe medicines
Medicines were stored securely and given by trained staff. Records included important information such as photographs and allergies, and audits were used to identify problems.
“There were processes in place to ensure people's medicines were recorded, stored and administered safely.” from the report
Meaningful activities
People had access to activities and outings that supported social contact and stimulation. Inspectors saw people taking part and appearing happy and engaged.
“People were supported to take part in a range of activities that were meaningful to them and that met their need for social interaction and stimulation.” from the report
Supervision records
needs fixingRecords did not consistently show that staff received supervision as often as the provider's policy required. The manager said some group supervision had not been recorded in staff files or on the supervision matrix.
“Staff records we looked at showed that staff had received supervision at various frequencies.” from the report
Staff vacancies and agency use
needs fixingThe home had six care assistant vacancies and two nursing vacancies. Agency staff were being used to cover these posts while recruitment was under way.
“They said they were currently using more agency staff than they would want to and this was because the number of residents had recently increased.” from the report
Call bell monitoring
minorCall bells were observed to be answered quickly, but the home did not formally record when the system went into emergency mode. Inspectors asked for this to be recorded so response times could be assessed.
“We suggested to the registered manager that they formally record the occasions that the call bell system automatically went into emergency mode” from the report
- 01How many of the six care assistant and two nursing vacancies have now been filled?
- 02How do you check the training, competence and continuity of agency staff?
- 03How are staff supervision sessions and annual appraisals recorded now?
- 04Do you record every occasion when the call bell system goes into emergency mode, and what have the records shown?
- 05Have picture menus been introduced for people who may find written menus difficult to use?
This was an unannounced inspection of the overall service, including the premises and care, and it considered all five CQC questions. This explanation was written from the published report of 7 February 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 Buxton Lodge Care Home
3 rated inspections over 3 years: the service has improved, from Requires improvement to Good.
- September 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- February 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
- September 2015Requires improvementSafe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- May 2014
Report published without a new overall rating.
- July 2013
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- October 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 18 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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