You are here

Inspection Summary


Overall summary & rating

Good

Updated 17 February 2016

Laburnum Lodge is a purpose built two storey intermediate care facility in the Breightmet area of Bolton. There is car parking at the front of the service and public transport stops immediately outside. The service is owned by Bolton Council and is registered with the Care Quality Commission (CQC).

The service can accommodate 32 people with one community bed reserved. Laburnum Lodge provides a step down provision, which enables people to make an easier transition from hospital back to home, as a well as a step up provision, to help fragile people avoid admission to hospital. The length of stay at the service depends on the individuals needs and on average it will be six weeks or less. There is no charge for this service. On leaving the service an ongoing support or a care package to assist you at home is discussed and planned as required. The service provides residential rehabilitation seven days a week and day time nursing and therapy support Monday to Friday.

There is a ‘sister’ intermediate unit in Bolton based at Darley Court in the Halliwell area. Darley Court provides 24 hour nursing support as well as therapy based rehabilitation. People who require intermediate care would be assessed and admitted to the unit most appropriate to meet their needs.

This unannounced inspection of Laburnum Lodge was carried out on 17 November 2015. Since our last inspection in August 2013 of Laburnum Lodge the service has changed the criteria for admission. There are no long stay beds providing care for the elderly.

The service had a registered manager in post who was registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.

Care is provided during the day by an onsite team of nurses, physiotherapists, occupational therapists, pharmacists, social workers, carers and specialist support staff. There are no nurses on duty during the night or at weekends. The night shift is covered by a senor carer and care staff.

People spoken with were extremely complimentary about the service they were receiving.

Staff had received safeguarding vulnerable adults training and knew what action to take of they suspected or witnessed abuse or poor practice. The service had a robust recruitment and selection process to protect vulnerable people from staff who were unsuitable.

There were sufficient staff available to support people safely and effectively during their stay at Laburnum Lodge. We saw that staff received the essential training to enable them to do their job efficiently.

We saw that risk assessments were in place for the safety of the building. All areas of the home were clean and well maintained. Procedures were in place to prevent and control the spread of infection.

Systems were in place to deal with any emergency that could affect the provision of care, such as a failure of the electricity and gas supply.

People’s care records contained detailed information to guide staff and other professionals involved in the care and rehabilitation people required. The care records showed that risks to people’s health and wellbeing had been identified and plans were in place to eliminate or reduce the risk.

Appropriate arrangements were in place to assess whether people were able to give consent to their care and treatment. Where appropriate family and friends were involved in a person’s post care and future goals and plans were discussed.

We observed that a ‘board round’ meeting took place four days a week with all the teams being involved. This meeting was to discuss any admissions or discharges, people’s health and wellbeing and what input from staff was needed for example a home visit to check the environment was ready for a person when discharged from the service.

A healthy, well balanced and varied diet was provided and dietary needs catered for. People spoken with told us the food was good and they enjoyed their meals.

To help ensure that people received safe and effective care and support, systems were in place to monitor and assess the quality of the service provided. Regular checks were undertaken on all aspects of monitoring the service.

Inspection areas

Safe

Good

Updated 17 February 2016

The service was safe.

People who used the service were encouraged to self-administer their own medication in preparation for their discharge home. Locked medicine cabinets were available in bedrooms.

Suitable arrangements were in place to help safeguard people from abuse. Sufficient, Suitably trained staff, who had been safely recruited, were available at all times.

Risk assessments were in place for the safety of the premises. The service was clean, secure and well maintained.

Effective

Good

Updated 17 February 2016

The service was effective.

Staff received sufficient training to allow them to do their jobs effectively and safely. Systems were in place to ensure staff received regular supervision and support.

Appropriate arrangements were in place to assess whether people were able to give consent to their care and treatment. The provider was meeting the requirements of the Mental Capacity Act.

People were provided with a choice of suitable and nutritious food and drink to ensure their health needs were met.

Caring

Good

Updated 17 February 2016

The service was caring

People who used the service spoke positively about the care and support provided by all the staff.

The staff encouraged and supported people in a caring and sensitive manner to help them achieve their goals and maintain their independence.

Staff had a good understanding of the care and support needs of people who used the service.

Responsive

Good

Updated 17 February 2016

The service was responsive

The care records contained information to guide staff on the care to be provided.

Each person’s care package was discussed and any changes to the planned care was recorded.

In the event of the a person being transferred back to hospital or another service, information about the person’s care needs and the medication they were receiving was sent with them. This was to help ensure continuity of care.

The provider had systems in place for receiving, handling and responding appropriately to complaints.

Well-led

Good

Updated 17 February 2016

The service was well led

Systems were in place to assess and monitor the quality of the service provided and arrangements were in place to seek feedback from people who used the service.

Staff spoke positively about working at the home. They told us they felt supported by the registered manager.