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CQC report explained · a nursing home, run by Ruddington Homes

Balmore Country House

245-7 Loughborough Road, Ruddington, Nottingham, NG11 6NY

Goodpublished 22 August 2024, 2 years ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The latest report, explained

What inspectors found, January 2024

Balmore Country House rated Inadequate and placed in special measures; inspectors found serious risks involving medicines, infection control, premises, dignity and management.

This was an unannounced inspection by three inspectors. They visited on 8 and 9 November 2023, with inspection activity ending on 16 November. They spoke with people living at the home, relatives and staff, and checked care records, medicines records, staff files and management records.

Inspectors found serious problems with medicines, including unsafe storage and disposal. Some areas and equipment were dirty or unsafe. People were not always given dignified care, listened to, or supported to remain independent. Some people also experienced loneliness and inconsistent support.

There were enough staff according to the home's dependency assessment, and staff recruitment checks were completed. Some staff were kind and caring, food choices were available, and the Mental Capacity Act and liberty safeguards were applied appropriately. However, staff performance was inconsistent and management checks had failed to identify serious risks.

The overall rating fell from Good at the previous inspection, published in April 2020, to Inadequate. Safe, caring and well-led were rated Inadequate. Effective and responsive were rated Requires Improvement. The home was placed in special measures.

What inspectors praised
  • Recruitment checks

    The report says staff recruitment checks were completed, including identity, qualification and criminal record checks.

    Staff were recruited safely. Relevant checks were completed to ensure staff were suitable to work with people.from the report
  • Accident reporting

    Accidents and incidents were investigated and reported through the appropriate processes.

    The provider had the processes in place to enable the appropriate staff members / management to investigate accidents and incidents and to report them to the relevant authorities.from the report
  • Food choices

    People generally liked the food and could ask for alternatives. Care records included guidance for people with specific dietary needs.

    People told us the food, on the whole was good, and they had choices about what meals they would like.from the report
  • Consent and choice

    Inspectors found that the Mental Capacity Act and liberty safeguards were being applied appropriately.

    We found the MCA and DoLS were being applied appropriately.from the report
What inspectors were concerned about
  • Unsafe medicines

    serious

    Medicines and thickeners were stored insecurely, some without clear dates or labels. Controlled drugs were not disposed of safely, creating a significant risk of harm.

    People's medicines were not managed safely. There were concerns about the way medicines were stored, used, and disposed of.from the report
  • Poor infection control

    serious

    Inspectors found dirty equipment, stained bedding and carpets, clinical waste left on bathroom floors, and personal care products in the wrong bathrooms.

    Some areas of the home were in a state of disrepair meaning it could not be cleaned effectively.from the report
  • Unsafe premises and equipment

    serious

    Inspectors found unsafe flooring, hot exposed pipes, an unlocked unsafe room, and equipment stored in bedrooms or left insecurely.

    The provider's failure to ensure safe premises and equipment placed people at increased risk of harm.from the report
  • Dignity and independence

    serious

    People were not always kept clean, comfortable or respectfully dressed. Inspectors also saw staff stop people walking or otherwise discourage their independence.

    The provider failed to ensure people were always treated with dignity and respect.from the report
  • Weak management checks

    serious

    Audits and staff reviews did not identify serious risks. The provider had not given the registered manager enough support to manage the home effectively.

    Quality assurance procedures were in place; however, these were ineffective.from the report
  • Loneliness and slow responses

    needs fixing

    Some people said they felt lonely and wanted more company. Staff sometimes walked past people calling for help or did not respond quickly enough.

    Some people and a relative told us they or their family members experienced loneliness at the home.from the report
Questions to ask them, based on this report
  1. 01What immediate changes have been made to the storage, labelling, administration and disposal of medicines?
  2. 02How are dirty equipment, stained bedding, clinical waste and damaged surfaces now being dealt with and checked?
  3. 03What has changed to make sure people are treated with dignity and their choices about walking, dressing and personal care are respected?
  4. 04How are staff performance and day-to-day care now being monitored, including the response to call bells and people calling for help?
  5. 05What conditions has the CQC imposed, and what progress has been made with the required action plan?

This was an unannounced full inspection covering all five key questions, including the care provided and the premises. This explanation was written from the published report of 25 January 2024 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Balmore Country House

4 rated inspections over 8 years: the service has slipped, from Requires improvement to Inadequate.

  1. January 2024Inadequatecurrent ratingdown from Good
    Safe: InadequateEffective: Requires improvementCaring: InadequateResponsive: Requires improvementWell-led: Inadequate

    Read what inspectors found at Balmore Country House

  2. April 2020Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. September 2017Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. June 2016Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. May 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. March 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. March 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. April 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. January 2011

    Registered with the Care Quality Commission on 19 January 2011.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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