Boroughbridge Manor and Lodge Care Home

Medicines were generally recorded, stored and given safely. Staff were trained and their competence was checked.

“Medicines were managed in a safe and appropriate way.” from the report

Staff had safeguarding training, and the home had followed appropriate procedures when concerns were identified.

“We saw evidence of appropriate action taken to identify and report safeguarding incidents including referring to the local authority and CQC.” from the report

The home and equipment were clean and hygienic, and staff followed infection prevention procedures.

“We observed the home and equipment to be kept in a clean and hygienic state.” from the report

The home was following the legal framework for capacity and deprivation of liberty decisions, with appropriate applications and oversight.

“People's capacity was assessed, and the principals of the MCA followed in supporting them to make decisions relating to their care and support.” from the report

Care plans did not always reflect people's latest needs, risks or changes after falls, skin damage or emotional reactions. Reviews did not consistently show whether care was working.

“Care plans were not always updated with risk prevention measures following incidents including emotional reactions, falls and skin damage.” from the report

Some people living with dementia did not receive support that reflected their individual history, preferences and emotional needs. Staff sometimes responded to distress with instructions rather than trying to understand the cause.

“People's needs were not always fully assessed or met, and care was not always person-centred.” from the report

Care records, recruitment records, daily care entries and records of concerns were not always complete or accurate. Inspectors said the systems for checking and improving quality were not robust enough.

“Records were not always present or complete and systems to assess, monitor and improve the service were not sufficiently robust.” from the report

There were enough staff for basic care, but staff were busy and interactions were often task-based. This meant there was less time for comfort and person-centred support.

“There were enough staff to ensure people's basic care needs were met, but staff did not have the time to spend quality time with people.” from the report

The home's nutritional screening tool was not always used correctly. Referrals were rejected in some cases, and care plans were not always updated after weight loss.

“We saw instances where referrals had been made to health professionals and rejected because the MUST tool had not been followed.” from the report

Some staff did not feel able to raise issues with the registered manager, or felt that concerns were not always acted on. The provider was asked to explore these barriers.

“However, some staff told us they didn't always feel able to raise issues with the registered manager or felt issues they raised were not always acted on.” from the report