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Inspection Summary


Overall summary & rating

Good

Updated 21 December 2015

This inspection was unannounced and took place on 10 and 11 November 2015.

The Dene Lodge is registered to provide accommodation and personal care for up to 30 people. The home specialises in the care of older people and provides support for some people living with dementia. At the time of this inspection there were 22 people living at the home.

Within the home is the Exmoor unit which is a secure unit for five people living with advanced dementia. There is a member of staff present at all times. People are encouraged and supported to join in the activities in the main home.

At the last inspection of the home no concerns were identified with the care being provided to people.

There is a registered manager in post. A registered manager is a person who has 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 2008 and associated Regulations about how the service is run.

People, staff and visitors felt the service was well led by an enthusiastic and approachable manager. The registered manager was seen to be involved in the daily lives of people in the home. They knew people very well. People told us they could rely on them to “sort things out.”

People were supported by sufficient numbers of staff to meet their needs in a relaxed and unhurried manner. When people needed staff attention they responded promptly. People said staff would come and help whenever they needed them. Staff numbers were consistently maintained and there were always senior staff available to support care staff and people living in the home.

People were supported by kind and caring staff. All comments about staff were very positive. One person said “The staff are very nice. Very kind. They are friendly and do their best. It is nice to be here.” Another person told us “They are ever so kind. I couldn’t do without them.”

We visited the Exmoor unit for people living with dementia. People were relaxed and happy. People were used to kindness. They were able to move freely about the unit and looked “at home” there.

People’s health was monitored and it was clear from their comments and care records that appropriate action was taken when people were unwell. Staff in the home worked with other health professionals to ensure people’s health needs were met.

People were very positive about the meals served in the home. Staff assisted people to order their choice of meals. Mealtimes were sociable and enjoyable.

People were able to take part in a range of activities according to their interests. Staff encouraged and supported people to enjoy their days in the home.

Inspection areas

Safe

Good

Updated 21 December 2015

The service was safe.

There were systems to make sure people were protected from abuse and avoidable harm. Staff had a good understanding of how to recognise abuse and report any concerns.

There were sufficient numbers of experienced and appropriately trained staff to meet people’s needs.

Effective

Good

Updated 21 December 2015

The service was effective.

People received care and support from staff who received appropriate training to carry out their jobs.

People’s nutritional needs were assessed and met.

People’s health needs were met because staff monitored their healthcare needs and made referrals to other healthcare professionals where appropriate.

Caring

Good

Updated 21 December 2015

The service was caring.

People were supported by kind and caring staff.

People’s privacy was respected and they were able to choose to socialise or spend time alone.

People had opportunities to express their opinions about the care they received.

Responsive

Good

Updated 21 December 2015

The service was responsive.

People were able to make choices about all aspects of their day to day lives.

People were offered a range of activities by staff who understood the importance of encouraging people to enjoy and maintain their creative and social skills.

Care and support was personalised to ensure people’s wishes and needs were met.

There was a complaints procedure in place and action was taken to ensure all people and their relatives knew how to make a complaint if they needed to.

Well-led

Good

Updated 21 December 2015

The service was well led.

There was a registered manager in post who was approachable and enthusiastic about the service they provided for people.

People’s well-being was monitored and action was taken when concerns were identified.

People were cared for by staff who were well supported by the management structure in the home.

There were systems in place to monitor the quality of the service and plan ongoing improvements.