Berkeley Lodge

Updated 10 February 2022

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on 12 January 2022 and was announced. We gave the service 24 hours' notice of the inspection.

Updated 10 February 2022

About the service

Berkeley Lodge is a residential home providing personal and nursing care to 65 people with physical disabilities and long term conditions. They provide support to adults, older people and people living with dementia. The service can support up to 65 people.

Care was provided in one adapted building across three floors. People accessed different floors using lifts and there was one area of the home designed for people living with dementia.

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

Staff routinely found ways to improve people's health and wellbeing and there was an integrated approach to meeting people's healthcare needs. People spoke positively about the support they had to maintain their health and wellbeing and this matched our observations. Staff were knowledgeable in areas such as hydration and oral health care and there were robust systems to monitor and check these areas of care to ensure these needs were being met. Staff training was linked to checks of people’s needs and the outcomes of clinical governance audits regularly led to meaningful and targeted staff training.

People were supported to achieve personalised goals and we saw examples of people being supported to improve their mobility and overall wellbeing. The service worked very closely with local community health services and this had achieved positive outcomes for people, particularly for people living with dementia. People’s home environment had been tailored to their needs and designed in line with best practice for dementia care.

Care was delivered in a personalised way and there was a focus on encouraging people to maintain relationships and reduce isolation. We saw examples of people being made to feel good by staff with personalised activities and events. There was an ongoing schedule of activities and people benefited from ongoing activities and engagement with care staff. Care plans contained a high level of detail about people’s needs and backgrounds and care delivery was regularly reviewed. Care plans were in place to ensure people received personalised and dignified end of life care.

People told us staff were caring and we made observations that showed staff were committed to the people they supported. People were involved in their care and people were supported with dignity, ensuring their privacy was respected. People received their medicines from trained staff and medicines were managed safely.

People received assessments of their needs before receiving support. There were clear plans to manage risks whilst enabling them to be independent. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

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

Rating at last inspection

The last rating for this service was Good (published 27 April 2017)

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.