Updated 14 June 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, 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 team consisted of one inspector, a specialist nurse advisor and an expert by experience. An expert by experience is a person who has experience of using or caring for someone who uses this type of service. Their area of expertise was in older people's care.
Service and service type: Bartholamew Lodge is a care home. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided and both were looked at during this inspection. People using the service are older people, some with dementia, sensory impairment or a physical disability.
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. We visited the location on the 20 May 2019.
What we did: We reviewed the records held about the service. This included notifications received from the provider. Notifications are specific events that the provider is required to tell us about by law. We sought feedback from the local authority and other professionals who work with the service. We reviewed the Provider Information Return (PIR) submitted by the registered manager. This told us what the service had achieved and what they intend to develop in the future, we require the provider to submit this information annually. We used all this information to plan our inspection.
During the inspection we reviewed two recruitment and supervision files, four care records and records relating to health and safety, quality assurance, safeguarding, accidents and incidents and other aspects of the service.
We spoke with seven people living at the service and four relatives. As some people were unable to share their views with us, we used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care for people who are unable to speak with us.
We spoke with two nurses, three care staff, one senior care staff, kitchen staff member, one activity coordinator, registered manager, area manager and operations manager. We also received feedback from three health and social care professionals about their experience of the service.