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Archived: Littledene House Good

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Reports


Inspection carried out on 5 July 2017

During a routine inspection

We carried out an unannounced inspection on 05 July 2017.

Littledene House provides accommodation and nursing care for up to 14 people, some of whom live with dementia. At the time of our inspection there were 14 people living in the home.

At the last inspection, the service was rated Good. At this inspection we found the service remained Good.

The service 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 in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were supported by staff who were skilled and knowledgeable in their roles. The staff team was highly motivated to improve people’s everyday experiences and outcomes.

Staff learnt different languages in order to overcome obstacles in communication and provided the people they supported with an outstanding care experience.

People were treated with respect and their privacy and dignity was promoted. People and relatives were involved in decisions about the care and support they received.

People were protected from avoidable harm or abuse. Risks to each person had been assessed and managed appropriately. The service followed safe recruitment procedures and there were sufficient numbers of suitably trained staff to keep people safe and meet their needs.

There were safe systems for the management of people’s medicines and they received their medicines regularly and on time.

People are 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’s nutritional needs were met and they were supported to have enough to eat and drink. They were seen by their doctors or other health care professionals when required.

People had their care needs assessed, reviewed and delivered in a way that mattered to them. They were supported to pursue their social interests and hobbies and to participate in activities provided at the home.

There was an effective complaints procedure in place.

There were systems in place to seek the views of people, their relatives and other stakeholders. Regular checks and audits relating to the quality of service delivery were carried out.

Inspection carried out on 10 July 2015

During a routine inspection

We carried out an unannounced inspection on 05 July 2017.

Littledene House provides accommodation and nursing care for up to 14 people, some of whom live with dementia. At the time of our inspection there were 14 people living in the home.

At the last inspection, the service was rated Good. At this inspection we found the service remained Good.

The service 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 in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were supported by staff who were skilled and knowledgeable in their roles. The staff team was highly motivated to improve people’s everyday experiences and outcomes.

Staff learnt different languages in order to overcome obstacles in communication and provided the people they supported with an outstanding care experience.

People were treated with respect and their privacy and dignity was promoted. People and relatives were involved in decisions about the care and support they received.

People were protected from avoidable harm or abuse. Risks to each person had been assessed and managed appropriately. The service followed safe recruitment procedures and there were sufficient numbers of suitably trained staff to keep people safe and meet their needs.

There were safe systems for the management of people’s medicines and they received their medicines regularly and on time.

People are 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’s nutritional needs were met and they were supported to have enough to eat and drink. They were seen by their doctors or other health care professionals when required.

People had their care needs assessed, reviewed and delivered in a way that mattered to them. They were supported to pursue their social interests and hobbies and to participate in activities provided at the home.

There was an effective complaints procedure in place.

There were systems in place to seek the views of people, their relatives and other stakeholders. Regular checks and audits relating to the quality of service delivery were carried out.

Inspection carried out on 18 February 2014

During an inspection to make sure that the improvements required had been made

On inspection we spoke with three People who use the service and two staff members. One person said "I am happy living here, the staff are good and respected my wishes". Another person told us "the staff were very helpful and I am looked after well". Staff confirmed they felt supported in their work. They had regular training, regular supervision and appraisals.

The atmosphere was calm, we observed good positive interaction between staff and people using the service. We saw people participating in varied activities. The home looked visibly clean and there were no mal odours.

Inspection carried out on 7 October 2013

During a routine inspection

During our inspection visit to Littledene House, we used a number of different methods to help us understand the experiences of people using the service. All 13 people who used the service were living with dementia and for seven of those people, Cantonese was their first language.

We spoke with relatives of three people who used the service, and they told us that they were very happy with the care provided. They told us that the manager and staff understood and were able to meet the needs of people who used the service. One relative said this meant they could go on holiday without worrying.

We spoke with two people who used the service, who said they got the care they needed and felt safe. We saw and heard positive interactions between staff and people who used the service. People who used the service were relaxed in the presence of staff and routines were flexible. For example, one person asked for soup in the middle of the afternoon and then later scrambled egg. This was provided without question by staff, which demonstrated their understanding of the importance of individualised care.

The provider was also the manager and worked full time in the home. We saw that they were very involved with overseeing and checking the care provided on a day to day basis. This meant that there was good oversight of the safety and welfare of people who used the service. However, recruitment checks were not sufficiently robust to guard against employing unsuitable staff.

Inspection carried out on 21 August 2012

During a routine inspection

People told us what it was like to live at this home and described how they were treated by staff and their involvement in making choices about their care. They also told us about the quality and choice of food and drink available. This was because this inspection was part of a themed inspection programme to assess whether older people living in care homes are treated with dignity and respect and whether their nutritional needs are met.

The inspection team was led by a Care Quality Commission (CQC) inspector joined by an Expert by Experience who has personal experience of using or caring for someone who uses this type of service and a practising professional.

We spoke to people who use the service about the staff. They told us that staff are, ‘very nice, very helpful’ and ‘no problem’.

People told us that the food was, ‘very good’ one person told us that ‘they cook different kinds of food, its quite good, we look and pick what we like from the menu, we can tell them to give us something different.

Inspection carried out on 25 August 2011

During a routine inspection

During our visit on 16 August 2011, we spoke with two people who use the service and they said that, on that day, they had chosen to remain in their rooms and one had decided to eat their meals there. We also spoke with a visitor who said that their relative’s wishes were always supported by staff and that any requests their relative or the family made for changes were implemented immediately. The visitor told us that they had been involved in all the care planning for their relative and that they are contacted whenever there are any concerns or incidents to report. The visitor said that their relative is very happy with all the care provided and that, because it is a small home, they are able to observe all the people and able to say that they think everyone living in the home is very happy. The same relative we spoke with on 16 August 2011 said that they had no concerns about the safety of people living in the home and would not hesitate to voice a concern to staff if they had one. They said the home was always very clean when they visit and that there are always enough staff on duty at the home to meet their relative's needs in the way they prefer. We were also told that regular residents' and relatives' meetings take place at the home and they praised the staff at the home and said that the care provided was excellent and that they could not fault any of the staff at the home.

Reports under our old system of regulation (including those from before CQC was created)