Updated 27 February 2021
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
This inspection was carried out on day one by two inspectors. On day two a pharmacist inspector supported the inspection remotely looking at evidence on how the service managed medication. We also used an Expert by Experience to make telephone calls to people and their relatives. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. A governance specialist adviser supported the inspection remotely to gather evidence around how the home was led.
Service and service type
Middleton Park 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.
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
We gave a short period of notice regarding the inspection. This was because we needed to discuss the safety of people, staff and inspectors with reference to COVID-19.
Inspection activity was carried out between 28 January and 01 February 2020. We visited the home on 28 January 2020. Further inspection activity was completed via telephone and by email, including speaking with people living at the home, relatives and reviewing additional evidence and information sent to us by the service.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from professionals who worked with the service, including Leeds local authority. The provider had completed 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 two people who used the service about their experience of the care provided. We spoke with six members of staff including the registered manager, deputy and operations director. We reviewed a range of records. This included four elements of care plans and 11 medication administration records (MARs). We looked at two staff files to check staff were recruited safely. A variety of other records relating to the management of the service were considered as part of the inspection.
After the inspection
We continued to seek clarification from the manager to validate evidence found, including quality assurance documentation and medication. We spoke with three people who used the service and their relatives about their experience of the care provided.