Southgate Beaumont

Updated 28 December 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection team consisted of one inspector, a medicines inspector, a nursing specialist adviser and two experts by experiences. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Southgate Beaumont is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

The inspection was unannounced. The site visit activity started on 10 October 2019 and ended on 15 October 2019.

What we did before the inspection

We reviewed information we held about the service. This included details about incidents the provider must notify us about, such as allegations of abuse, and certain accident and incidents. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with fourteen people and six relatives to gain their views about the service. We spoke with fifteen staff members, two nurses, deputy manager, finance/HR manager, training manager, registered manager, divisional clinical lead and the regional director. We also spoke with four healthcare professionals.

We reviewed a range of records. This included fourteen people’s care plans, risk assessments and medicine records. We looked at five staff files in relation to recruitment, training and supervision. We also looked at records relating to the management of the service such as audits and a variety of policies and procedures developed and implemented by the provider.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at quality assurance records.

Updated 28 December 2019

About the service

Southgate Beaumont is a residential care home providing personal and nursing care to older people in one adapted building. At the time of our inspection there were 44 people using the service.

People’s experience of using this service and what we found

There was mixed feedback from people who told us some staff were not caring and did not engage in meaningful conversation with them,

There were systems in place to assess and monitor the quality of the service provided. However, improvements were needed to make sure people were always treated with respect and dignity. The provider’s governance arrangements around ensuring that people were always well treated, had not yet made been fully embedded.

People told us they felt safe using the service. Appropriate numbers of suitably skilled staff were deployed to meet people's needs in a timely manner. Medicines were managed safely. Staff followed appropriate infection control practices. Accident and incidents were recorded and acted upon. Any lessons learnt were used as opportunities to improve the quality of service.

Assessments were carried out prior to people joining the service to ensure their needs could be met. Where risks were identified, management plans were in place to manage these risks safely. Staff had the training, knowledge and experience to meet people's needs. People were supported to maintain good health and had access to a range of healthcare services when needed. People were encouraged to eat a healthy and well balanced diet for their wellbeing.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People were supported to receive personalised care based on their individual needs and preferences. There were procedures in place to respond to complaints. The provider had investigated and responded promptly to any concerns received.

The provider worked in partnership with healthcare services and professionals to plan and deliver an effective service.

Rating at last inspection and update

The last rating for this service was requires improvement (published 16 October 2018). There were seven breaches of regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made to meet the regulations, however we found there was a continued breach of regulation.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Why we inspected

This was a planned inspection based on previous rating.

Enforcement

We have identified a continued breach in relation to ensuring people were well treated at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk