• Care Home
  • Care home

Archived: Acacia Lodge - Staines

Overall: Good read more about inspection ratings

Rookery Road, Staines, Middlesex, TW18 1BT (01784) 452855

Provided and run by:
Metro Care Homes Limited

Latest inspection summary

On this page

Background to this inspection

Updated 4 July 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection team consisted of one adult social care inspector, and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service, in this case, care services for older people.

Service and service type: Acacia Lodge -Staines is a care home with nursing. People in care homes receive accommodation and personal care. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager, registered with CQC. This means that they and the provider will be legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

This inspection was unannounced and started at 07:20am. This was because we wanted to meet the night staff and observe the morning handover between staff shifts to see how duties were allocated for the day.

What we did:

Prior to the inspection we reviewed the information we held about the service and the notifications we had received. A notification is information about important events, which the service is required by law to send us.

During the inspection we spoke with 5 people living at the service, the registered manager, clinical lead nurse, five relatives, a member of the housekeeping team, the chef, two registered nurses and five care staff. We also received positive information from a GP who visited the service.

We looked at the care records for three people in detail and sampled other records, such as those for medicines administration, audits and the management of risks. We looked at two staff recruitment files, sampled policies and procedures in use, and reviewed complaints, concerns and notifications sent to us about the service.

Overall inspection

Good

Updated 4 July 2019

About the service:

Acacia Lodge – Staines is a care home with nursing and is registered to provide accommodation and support for a maximum of 36 people. At the time of the inspection there were 10 people living at the service. People living at Acacia Lodge -Staines were older people, the majority living with frailty or dementia.

The service is a large building set over three floors with a lift to access rooms above the ground floor.

People’s experience of using this service:

People told us Acacia Lodge - Staines was a good place to live. We saw good practice during the inspection, when people were supported well by staff. Visitors were full of praise for the service.

There was established leadership at the service. Quality assurance systems and regular audits were in place to assess, monitor and improve the quality and safety of the service provided. Some areas of the service would benefit from redecoration or refurbishment.

Risks to people from living with long term health conditions were assessed, along with other risks such as from falls, choking, poor nutrition or pressure ulcers, and actions taken to mitigate risks where possible. The service learned from incidents to prevent a re-occurrence.

Systems were in place to safeguard people from abuse, and the service responded to any concerns or complaints about people’s wellbeing. People’s rights were being respected. Where people were not able to make choices themselves, we saw decisions had been made and recorded in people’s best interests. The service respected and supported individual people’s equality and diversity.

There was a recruitment process in place that checked potential staff were safe to work with people who may be vulnerable. Enough staff were in place to meet people’s needs, and staff received the training and support they needed to carry out their role.

Care plans were based on up to date assessments of people’s needs. They contained details about people’s wishes and guided staff on how the person’s care should be delivered. We saw people’s care plans were being followed in practice. Staff knew people well.

People received their medicines as prescribed, and there were safe systems in place to manage the storage, administration and disposal of medicines.

People told us they ate well, and enjoyed the meals served. We saw people had a daily choice, tailored to meet wishes, religious or dietary needs and preferences, such as Asian food and Halal meats.

Staff told us this was a happy place to work, and we saw staff working well as a team to support people. The building was older and in need of some cosmetic work. People told us “I am always concerned that because the place needs a lick of paint, on first impressions visitors would think that it reflects on the care given here, but it definitely does not ……the care is excellent.”

More information is in the full report

Rating at last inspection: This service was last inspected on 20 July 2016, when it was rated as good in all areas and as an overall rating.

Why we inspected: This inspection was scheduled for follow up based on the last report rating.