Beyer Lodge Nursing Home

Updated 30 July 2022

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.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by one inspector and a specialist nurse advisor. The specialist advisor was a nurse with experience of working with people with mental health needs.

Service and service type

Beyer Lodge Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Beyer Lodge Nursing Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection, there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

Before the inspection we asked the local authority for their views about the service. We also looked at the information we had about the registered provider, including people's feedback and notifications of significant events affecting the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with five people who used the service and two relatives about their experience of the care provided. We observed how staff interacted with people. We considered all this information to help us to make a judgement about the home. We looked at a range of records relating to the management of the home, quality assurance, staff recruitment, medicines records and health and safety checks.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at further care plans and training records.

Updated 30 July 2022

Beyer Lodge Nursing Home is registered to provide accommodation with nursing care for a maximum of 16 older people aged 65 years and above assessed as requiring nursing care for mental health needs. At the time of the inspection, 13 people were living at the home.

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

Potential risks to environment had been assessed, but we identified potential health and safety hazards during our tour of the home. On the corridors, we identified pest control traps, but the risk assessment was limited, and we found an outdoor shed was unlocked, this stored cleaning products and potentially compromised people's safety. The registered manager resolved these potential hazards immediately when we brought this to their attention.

There was a relaxed atmosphere at the service. Staff spoke positively about working at the home and the people they cared for. Staff said the registered manager was very approachable and they were supported in their role.

People were supported by staff who received training and who had a good understanding of the different types of abuse and who to report any concerns to. The provider monitored safeguarding concerns and incidents and accidents, including any outcomes or actions required.

People received a variety of food and drink to meet their needs and any specialist diets were catered for. Staff were recruited safely and there were enough staff to provide safe and effective care.

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. The service recently made improvements to their approach to the Mental Capacity Act, with mental capacity assessments introduced for specific decisions following feedback from the local commissioning team.

A newly introduced electronic medicines systems was introduced. Medicines were stored and administered safely in line with people's prescriptions.

The quality and assurance systems in place were used to monitor the safety and care provided to people. The management team used auditing to identify further areas and opportunities to continuously improve the service.

Rating at last inspection

The last rating for this service was good (published 4 August 2017).

Why we inspected

The inspection was prompted in part due to concerns received about the service approach to the mental capacity act.

We undertook this focused inspection. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service remains Good. This is based on the findings at this inspection.

Follow up

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