We undertook this unannounced inspection on 19 & 20 January 2015 of Henran Lodge. Henran Lodge provides care and accommodation for a maximum of four older people with dementia and mental health needs. At this inspection there were two people living in the home. The home was registered in June 2014. This is the first inspection of the home.
The home has a registered manager. 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 of the Health and Social Care Act and associated Regulations about how the service is run.
On both days of the inspection staff were welcoming and people in the home appeared settled and well cared for. People had complex needs and were not able to fully share their experiences of using the service. However, the feedback we received from them via brief replies, nods and gestures indicated they were satisfied with the staff and the care provided. Two social care professionals informed us that people were well cared for and the home was well managed.
We saw staff going about their duties in a calm and orderly manner. They were friendly and interacted with people. There was always at least one staff member in the lounge supervising and engaging people in conversation or in some activity when we inspected.
People’s needs had been carefully assessed and detailed care plans were prepared with the involvement of people and their representatives. Their physical and mental health needs were closely monitored. There were reviews of people’s health and a record of appointments with health and social care professionals. This ensured that they received treatment and support for their individual needs. There were suitable arrangements for the recording, storage, administration and disposal of medicines in the home.
Staff had been carefully recruited and provided with training to enable them to care effectively for people. They demonstrated a good understanding of the needs of people with dementia.
The home had a safeguarding policy and the London guidance document “Protecting Adults at Risk: London Multi-Agency Policy and Procedure to Safeguard Adults from Abuse”. Staff had received training and knew how to recognise and report any concerns or allegation of abuse.
Staff had assessed people’s preferences prior to their admission and arrangements were in place to ensure that these were responded to. The home had residents’ meetings to ensure that people could express their views and their suggestions were addressed.
The home had arrangements for quality assurance. This included a satisfaction survey, checks on medicines, health and safety and care documentation by the registered manager. Professionals who provided us with feedback stated that they were satisfied with the quality of care provided and there were no concerns regarding communication.
We found the premises were clean and had been recently renovated. The home had an Infection control policy and measures were in place for infection prevention and control. The home was well maintained and there was a record of essential inspections of the electrical installations, portable appliances and gas boiler.