10 May 2023
During an inspection looking at part of the service
Nesfield Lodge is a residential care home providing personal and nursing care for up to 44 people aged 65 and over. At the time of the inspection, 40 people were living in the service. The building is purpose built with accommodation over two floors.
People’s experience of using this service and what we found
People told us they felt safe and enjoyed living at Nesfield Lodge. One person told us, “I like it here, am happy here.” Relatives also spoke positively about the home and were satisfied with most aspects of the care and support given to their loved ones. One relative said, “It’s a happy atmosphere.”
There were systems in place to minimise the risk of infection. The home was clean and cleaning records evidenced this, and some areas of the home were being renovated. The necessary checks on the building and equipment had been done to ensure its safety. Systems were in place to protect people from the risk of abuse. Medicines were managed safely. There were enough staff working at the service to meet people's needs and there were adequate staff recruitment practices in place.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Governance systems were in place to ensure all aspects of the service were reviewed and checked regularly. The service worked well with other healthcare professionals to meet the needs of people. Staff enjoyed working for the provider and told us they felt well supported. The home had a quality action plan that identified areas for improvement and timescales. People, relatives and staff told us there was an open and honest culture at the home and the management team were always approachable.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 17 February 2021).
The provider completed an action plan after the last inspection to show what they would do and by when to improve.
At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
Why we inspected
The inspection was prompted in part due to concerns received about infection prevention control, nutrition and hydration and the management of the home. A decision was made for us to inspect and examine those risks.
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.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the Safe and Well-led sections of this full report.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.