Cumberworth Lodge Care Home

Updated 29 April 2021

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 two inspectors.

Service and service type

Cumberworth Lodge is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. 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 took this into account when we inspected the service and made the judgements in this report.

During the inspection

We spoke with five people who used the service and four relatives about their experience of the care provided. We spoke with five members of staff including the registered manager, senior care workers, care workers and the chef. We also spoke with two professionals visiting the service.

We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Updated 29 April 2021

About the service

Cumberworth Lodge Care Home is a residential care home providing personal care to 14 people aged 65 and over at the time of the inspection. The service can support up to 30 people.

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

People felt safe and well looked after. All areas were clean, tidy and there was enough cleaning taking place to keep people safe from the risk of infection. Relatives said they were confident that staff provided good care in a safe way.

Care plans and risk assessments were personalised and in place for people's support needs. These were reviewed regularly and covered people's health conditions. People and their relatives confirmed that they were able to contribute their views on their care and support needs.

The assessment, monitoring and mitigation of risk towards people who used the service was good. The registered manager carried out regular checks and analysis of incidents to ensure learning from events was undertaken.

People received their medicines on time and when they needed them. Staff had positive links with healthcare professionals which promoted people's wellbeing.

Staff were safely recruited, staffing levels were consistent, and staff were confident they could meet people's needs.

Peoples nutritional needs were met. The chef had a good knowledge of people’s individual nutritional needs and people confirmed the food was very good and they were able to make choices.

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.

We observed staff being patient, kind and respectful towards people.

People were supported by staff to maintain relationships with relatives through window visits and telephone calls. Staff had also supported people with activities during COVID 19. The service was currently recruiting a new activities coordinator to prevent social isolation.

Complaints were managed in line with the provider's policies and procedures. People's end of life wishes was considered and recorded in their care plans.

There was a registered manager in the service with evidence of good leadership, oversight and management within the service.

The provider and registered manager promoted a very person-centred culture which respected people's diversity. Meetings were held with people, relatives and staff to exchange information and gather feedback.

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

Rating at last inspection

This service was registered with us on 5 April 2019 and this is the first inspection. The last rating for the service under the previous provider was Good, published on 17 December 2016.

Why we inspected

This was a planned inspection as the service had not been inspected since registering with CQC

For all types of inspections in care homes, we will always look at and report on S5 using the IPC assurance tool, even when the inspection has not been triggered by concerns in Safe.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

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.