CQC report explained · a residential care home
What the CQC found at Nutley 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, March 2018
Rated Good; inspectors found safe, kind and personalised care, and the previous well-led issue had been fixed.
The inspection was unannounced and took place on 18 December 2017. One inspector spent time with all 26 people living at the home, spoke with people, relatives and staff, and checked care records, medicines records, audits and other documents.
The home was rated Good overall, with Good ratings in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough skilled staff, well-managed medicines, clean surroundings and care plans that gave staff useful information about people's needs.
Inspectors saw staff treating people with kindness and respect. People could choose activities, meals and daily routines. Staff responded to changes in people's health, worked with health professionals and supported families during end of life care.
At the previous inspection in August 2015, Well-led had required improvement because a notification had been sent late to CQC. The report says this had been corrected, and the home was now meeting all regulatory requirements.
Personalised care
Staff knew people's likes, dislikes, routines and backgrounds. Care plans included detailed guidance on how each person wanted to be supported.
“Care plans were individualised and comprehensive ensuring staff had up to date information in order to meet people's individual needs effectively.” from the report
Kind and respectful staff
Inspectors saw staff spending time with people, explaining care and supporting privacy, dignity and independence.
“People were supported by kind and caring staff.” from the report
Safe medicines
Medicines were stored and recorded properly. Staff giving medicines had training and competency checks, and audits were carried out.
“All staff who gave medicines were trained by the local pharmacy and had their competency assessed before they were able to administer medication.” from the report
Activities and social contact
People could choose from activities, entertainment and trips out. Staff also spent one-to-one time with people who preferred to stay in their rooms.
“People were provided with good opportunities for activities, engagement and trips out.” from the report
Responsive health support
Staff noticed changes in people's health and made timely referrals. The home worked with district nurses, GPs, speech and language therapists and hospice staff.
“There were regular reviews of people's health, and staff responded promptly to changes in need.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you decide whether staffing levels need to increase when someone's needs change or they are approaching the end of their life?
- 02How often are medicines audits and staff competency checks carried out now, and what happens if a recording gap is found?
- 03How are care plans updated when a person with dementia develops new preferences, routines or support needs?
- 04What activities and trips are available for someone who prefers quieter or one-to-one activities?
- 05How would you involve our family in planning end of life care, including treatment wishes and resuscitation decisions?
This was an unannounced inspection of the whole service, including the premises and care, with time spent with all 26 people and checks of a sample of three people's care records. This explanation was written from the published report of 17 March 2018 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 Nutley Lodge Care Home
2 rated inspections over 3 years: the service has held its Good rating throughout.
- March 2018Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- October 2013
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- September 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 2 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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9 live-in carers within about an hour of Plymouth
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.
8 can care for a couple. 9 years' experience on average.
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.