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Inspection Summary


Overall summary & rating

Good

Updated 12 July 2018

We carried out this inspection at Acacia Lodge on 24 April 2018. The inspection was unannounced.

Acacia Lodge is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Acacia lodge accommodates 55 people in one adapted building. The service supports older people and younger adults with a range of conditions which includes people with physical disabilities an people living with dementia.

There was 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.

At the previous inspection on 16 December 2015 the service was rated at Good. At this inspection the service continued to be Good.

Throughout the inspection there was an extremely warm, cheerful and relaxed atmosphere. People benefited from staff who showed great kindness and compassion, which was promoted by the caring culture that had developed in the service. Without exception everyone described a 'family' feel to the service which had developed as a result of an approach that valued and respected everyone.

People received person-centred care that concentrated on what mattered most to them. Staff went to exceptional lengths to ensure people led full and meaningful lives that respected and valued them as unique individuals. Staff had developed positive relationships with people and relatives.

People enjoyed a wide range of activities that took account of their individual histories, interests and wishes. People had been supported to develop relationships with community groups which clearly enhanced their lives and well-being. Community groups were made welcome and their interactions with everyone at Acacia Lodge clearly had a profound effect on people and the groups involved.

People, staff and health and social care professionals spoke highly of the registered manager. The registered manager promoted an open and transparent culture that encouraged feedback about the service. Feedback was used to improve the service and enhance people's lives. The provider had effective systems in place to monitor and improve the service.

People were protected from the risk of harm and abuse by systems that assessed and managed risks. Staff understood their responsibilities to identify and report concerns where they felt people were at risk of harm or abuse. Medicines were safely managed and people were supported to understand the benefits of taking their prescribed medicines. Safe infection control practices were in place and equipment was well maintained. Accidents and incidents were reviewed and investigated by the registered manager.

There were sufficient staff to meet people's needs and staff had time to spend with people. Staff responded promptly to people's requests and were quick to support people if they experienced anxiety. Staff were well supported by the management team and had regular one to one meetings with their manager. Staff felt valued and listened to and had access to a wide range of development opportunities. There were effective systems in place to ensure staff had the skills and knowledge to meet people's needs.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People enjoyed a varied and nutritious menu, which ensured individual dietary needs were met. Where people were at risk of weight loss there were systems in place to ensure dietary intake and weight were monitored. People were supported to access appropriate he

Inspection areas

Safe

Good

Updated 12 July 2018

The service was safe.

Risks were identified and there were plans in place to guide staff in how to support people to manage risks.

There were sufficient staff deployed to ensure people's needs were met and they were safe.

Staff had a clear understanding of the actions they should take if they identified people were at risk of harm or abuse.

Effective

Good

Updated 12 July 2018

The service was effective.

People received food and drink to meet their dietary needs. Food was of a good quality and people had a choice of food options.

Staff were well supported and had training to ensure they had the skills and knowledge to meet people's needs.

People were supported in line with the principles of the Mental Capacity Act 2005(MCA)

Caring

Good

Updated 12 July 2018

The service was caring.

There was a strong caring culture that valued everyone as unique individuals.

Staff spoke passionately about their role and clearly cared deeply about the people they supported.

Staff took time to get to know people and used that knowledge to support them with compassion and empathy.

Responsive

Outstanding

Updated 12 July 2018

The service was extremely responsive.

The service went to great lengths to ensure people settled well and that action was taken to improve their health and well-being.

Staff had an exceptional understanding of the importance of involving people and their families to ensure people received person-centred care.

Care plans detailed people's individual needs and included clear guidance for staff in how to meet those needs.

Well-led

Good

Updated 12 July 2018

The service was well led.

There was an open and transparent culture that valued everyone as individuals.

The registered manager led by example which resulted in staff feeling valued and listened to.

Relationships had been developed with the local community that enhanced the lives of people, staff and community groups.