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Inspection Summary


Overall summary & rating

Good

Updated 8 November 2019

About the service

Ivy Lodge is a residential care home providing personal care to people with learning disabilities and/or autism. The service can support up to seven people. At the time of the inspection seven people were living at the home.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People’s experience of using this service and what we found

Mental capacity assessments and best interest paperwork was in place for most areas such as personal care, use of equipment and finance. However, the kitchen had a coded lock on it and people could only access it with staff supervision. There was no paperwork on file to evidence that people had consented to this or that this was a best interest decision.

Care plans were personalised and updated in response to people’s changing needs. However, long and short term goals were not clear and achievements were not captured. Staff listened to what people wanted and acted quickly to support them. Staff looked to offer people solutions to aid their independence and develop their skills.

People told us they were happy, felt safe. Relatives said that staff had a good understanding of their loved one’s needs and preferences. Risks had been identified and measures put in place to keep people safe from harm. Medicines were managed safely and administered by trained staff.

Staff were well trained and skilled. They worked with people to overcome challenges and promote their independence. The emphasis of support was towards inclusion and enabling people to learn essential life skills. Equality, Diversity and Human Rights (EDHR) were promoted and understood by staff.

People, professionals and their families described the staff as caring, kind and friendly and the atmosphere of the home as relaxed and engaging.

People received pre-admission assessments and effective person-centred support. The service was responsive to people’s current and changing needs. Regular reviews took place which ensured people were at the centre of their support.

Leadership was visible and promoted good teamwork. People, professionals and staff spoke highly about the management and staff had a clear understanding of their roles and responsibilities. The registered manager, seniors, shift leader and staff team worked together in a positive way to support people to achieve their own goals and to be safe.

Checks of safety and quality were made to ensure people were protected. Work to continuously improve the service was noted and the registered manager was keen to make changes that would impact positively on people's lives.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 7 April 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor informa

Inspection areas

Safe

Good

Updated 8 November 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 8 November 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 8 November 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 8 November 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 8 November 2019

The service was well-led.

Details are in our well-led findings below.