Updated 25 September 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection was conducted by two adult social care inspectors and an expert by experience on the first day of inspection. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. Day two of the inspection was carried out by one adult social care inspector.
Service and service type:
Lamel Beeches is a nursing home. It provides a service for up to 41 older people.
The service is required to have a manager registered with CQC. 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, the previous registered manager was no longer employed and was in the process of de-registering with CQC. A new manager was in post and had commenced their application with CQC to become the registered manager.
Notice of inspection:
The inspection was unannounced.
What we did:
Before our inspection, we looked at information we held about the service. We did not request an updated Provider Information Return, but reviewed the most recent one sent by the provider. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the information we held about the service, such as notifications we had received from the provider. A notification is information about important events which the service is required to send us by law. We sought feedback from the local authority contract monitoring team prior to our visit. We used this information to plan the inspection.
During the inspection we spoke with nine people who used the service and four relatives. We spoke with the manager, deputy manager, quality and compliance manager, a nurse, three care staff, an activities coordinator and two relief chefs. We spoke with one visiting healthcare professional. We looked at a range of documents and records related to people’s care and the management of the service. We viewed four people's care records, medication records, three staff recruitment and induction files, training and supervision information and a selection of records used to monitor the quality and safety of the service.