Buxton Lodge Care Home

Updated 12 September 2020

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.

This was a targeted inspection looking at the infection control and prevention measures the provider has in place. As part of CQC’s response to the coronavirus pandemic we are conducting a thematic review of infection control and prevention measures in care homes.

This inspection took place on 28 August 2020 and was announced. The service was selected to take part in this thematic review which is seeking to identify examples of good practice in infection prevention and control.

Updated 12 September 2020

This inspection took place on 4 December 2018 and was unannounced. Buxton Lodge Care Home 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. At the time of our inspection there were 32 people living at the home.

Buxton Lodge Care Home is registered to provide accommodation, care support and nursing care for up to 44 older people some of whom may have specific needs and/ or are living with dementia. At the time of our inspection there was an experienced registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At our last inspection of the service on 28 June 2016 we rated the service overall as ‘Good’ and 'Requires Improvement' in Responsive. This was because guidance from healthcare professionals was not always being followed, daily notes and charts were not always being completed accurately and people's care records did not contain information of their medical conditions. Records were stored in multiple places and some staff did not have access to them. Following the inspection, the provider submitted a plan in which they told us that they would audit all files and change the way files are stored making them accessible to all staff. At this inspection we found improvements had been made and the service was meeting the regulations.

Risks to people were assessed and managed safely by staff. Medicines were managed, administered and stored safely. People were protected from the risk of abuse and staff knew what action to take to ensure people’s safety and well-being. There were systems in place to ensure people were protected from the risk of infection and the home environment was clean and well maintained. The home environment was suitably adapted to meet people’s needs. Accidents and incidents were recorded, monitored and acted on appropriately. There were safe staff recruitment practices in place and appropriate numbers of staff to meet people’s needs in a timely manner.

There were systems in place to ensure staff were inducted into the service appropriately. Staff received training, supervision and appraisals. There were systems in place which ensured the service complied with the Mental Capacity Act 2005 (MCA 2005). This provides protection for people who do not have capacity to make decisions for themselves. 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’s nutritional needs and preferences were met. People had access to health and social care professionals when required and staff worked well with health and social care professionals to meet their needs.

People were treated with kindness and staff respected their privacy and dignity. People’s diverse needs were met and staff were committed to supporting people to meet their needs with regards to their disability, race, religion, sexual orientation and gender. People were involved in making decisions about their care. There was a range of activities available to meet people’s interests and needs. The service provided care and support to people at the end of their lives. People’s needs were reviewed and monitored on a regular basis.

There were systems in place to monitor the quality of the service provided. People’s views about the service were sought and considered. The provider worked in partnership with other professionals and agencies and in line with best practice to ensure people received appropriate levels of care and support to meet their needs.