CQC report explained · a nursing home
What the CQC found at The Epsom Beaumont
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People felt safe, risks were assessed and reviewed, and inspectors found enough staff to meet people's assessed needs. Medicines were safely managed, although some staff did not wear face masks correctly.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Good
- Are people treated with kindness and dignity?
- Responsive?
- Good
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Inspectors found clear management arrangements, regular audits and meetings, and an open culture. People and relatives could raise concerns, and feedback was used to make changes.
What inspectors found, May 2021
The Epsom Beaumont was rated Good; inspectors found safe, well-managed care, with a shortfall in how some staff wore face masks.
This was an unannounced, focused inspection on 19 April 2021. It followed concerns about staffing levels. Inspectors spoke with people living in the home, visitors and staff, and reviewed care files, staffing records, accident records, medicines records and quality checks.
The home was rated Good for Safe and Well-led. Inspectors found enough staff to meet people's assessed needs, suitable medicines arrangements, appropriate risk assessments and good infection control arrangements overall. People said they felt safe and staff responded to them in good time.
The overall rating stayed Good, as it had been at the previous inspection published in August 2017. The other three areas were not inspected at this visit, so their previous ratings were used. Inspectors found no evidence that people were at risk of harm from the staffing concern.
Staffing matched assessed needs
The home assessed people's needs regularly and adjusted staffing levels when needed. People and relatives said staff responded promptly.
“Staffing levels were determined by assessing peoples needs and adapting the number of staff on duty.” from the report
Personalised risk management
Care plans and risk assessments were detailed and personalised. They were reviewed monthly or when people's circumstances changed.
“People had detailed and personalised care plans and risk assessments that were reviewed monthly or if something changed.” from the report
Medicines were well controlled
Inspectors found medicines stored securely, clear records and daily checks of administration.
“Medicines were stored safely in locked cabinets and Medication Administration Records (MAR) were clear with no gaps in recording.” from the report
Open management
The management team carried out regular checks, held meetings about people's health and shared actions from residents' and relatives' meetings.
“There were regular resident and relatives' meetings.” from the report
Face masks were not always worn correctly
needs fixingInspectors were only somewhat assured that personal protective equipment was being used safely because staff did not always wear face masks correctly. The home said it provided refresher training and increased monitoring after the inspection.
“Staff did not always wear their face masks correctly.” from the report
- 01How do you now check that all staff wear face masks correctly?
- 02What refresher training and monitoring were introduced after the inspection, and when were they last reviewed?
- 03How do you check staffing levels when a person's care needs change?
- 04How are medicines checked each day, and what happens if a dose is missed or recorded incorrectly?
This was a focused inspection of Safe and Well-led only; the ratings for Caring, Effective and Responsive were carried over from the previous comprehensive inspection. This explanation was written from the published report of 19 May 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.
What inspectors found, August 2017
The Epsom Beaumont was rated Good; inspectors found safe, kind and personalised care with strong management.
This was an unannounced comprehensive inspection. Inspectors spoke with seven people, six relatives, eight staff, a GP and the registered manager. They also reviewed care plans, staff files, training records, medicines records and quality checks.
The home was rated Good in all five areas: safe, effective, caring, responsive and well-led. Inspectors found that people felt safe, staff were trained and caring, medicines were managed safely, and people's health, food and drink needs were monitored.
Care plans included people's routines, backgrounds and preferences. People could choose activities and were encouraged to stay independent. Complaints had been responded to, and people and relatives could give their views about the home.
The home had also been rated Good at the previous inspection, so this inspection found that the overall rating remained Good.
People felt safe
People and relatives told inspectors they felt safe. Risk assessments covered areas such as falls, mobility, nutrition, choking and skin care.
“Care records contained up to date risk assessments to keep people safe and to retain their independence.” from the report
Safe medicines
Medicines were stored securely and given safely and on time. Staff who administered them had training and competency checks.
“Medicines were administered safely and on time.” from the report
Kind and personal care
Staff knew people's backgrounds and used this knowledge to support conversations and care. Inspectors saw staff respond kindly when people were anxious or unhappy.
“Staff were caring and knew people well.” from the report
Choice and independence
People were supported to make choices about care, clothing, food and activities. Staff gave people time to do things for themselves where possible.
“People were encouraged to be independent.” from the report
Good oversight
The home carried out frequent audits and used meetings and feedback to identify improvements. Inspectors found that actions from a recent external audit had been completed.
“Audits were completed frequently, were thorough, and their use made improvements to the service people received.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you assess and review my relative's individual risks, including falls, nutrition, choking, continence and skin care?
- 02How will you support my relative to remain independent and choose their daily activities?
- 03How will you involve our family in decisions if my relative cannot make a particular decision themselves?
- 04What activities are currently available, including activities for people who want outings or have particular interests?
- 05How are staffing levels and call bell response times monitored on the unit where my relative would live?
This was an unannounced comprehensive inspection covering all five rating areas, and the report says the previous overall rating was also Good. This explanation was written from the published report of 1 August 2017 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 The Epsom Beaumont
3 rated inspections over 6 years: the service has held its Good rating throughout.
- May 2021Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2017Goodstayed GoodSafe: GoodWell-led: Good
- October 2015
Report published without a new overall rating.
- July 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2013
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- February 2011
Registered with the Care Quality Commission on 15 February 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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
77 live-in carers within about an hour of Surrey
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 £1,250 a week. 66 can care for a couple. 11 years' experience on average.
“Without his support we wouldn't have been able to navigate bringing and keeping Dad at home.”
“Not only has she looked after him beautifully, she has also been great company for him with lively conversation, kindness and humour.”
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.