Background to this inspection
Updated
9 October 2021
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by one inspector and one of our medicines team.
Service and service type
Radway Lodge Residential Home is a 'care home'. People in care homes receive accommodation and personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with three people and five members of staff including the registered manager, deputy manager and chef. We reviewed a range of documents which included three care plans and recent feedback from three relatives. We checked six peoples’ medicines records and looked at arrangements for administering, storing and managing medicines. A variety of records relating to the management of the service, including records of meetings, incident and accident records, and policies and procedures were reviewed. We also spoke with one visiting health professional.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.
Updated
9 October 2021
About the service
Radway Lodge Residential Home provides personal care for up to 15 older people. On the day of the inspection, there were 12 people living at the service. Radway lodge is an older building over two floors with a large lounge, separate dining room and set in beautiful gardens.
People's experience of using this service and what we found
People were safe at Radway Lodge. Staff demonstrated a good knowledge of how to protect people from harm.
Medicines management was good and staff gave people their medicines as prescribed. We recommended that the provider review procedures for recording verbal dose changes and handwritten medicines records to make sure best practice guidance is always followed.
There was an effective system to identify risks associated with people's care. These were recorded and regularly reviewed. Health professionals were contacted, where appropriate, to support people as needed.
The home was clean and tidy. Radway Lodge had a robust cleaning regime in place to support good infection prevention and control.
People were supported by enough staff who were trained to meet their needs. Staff knew people well and were engaging in their interactions.
People were able to pursue their interests and attend activities in groups or one to one with staff. Mealtimes were a social event in a pleasant setting and people were able to enjoy food they liked in a way that met their needs.
People, relatives and staff spoke positively about the home. One person told us, "It is special that positive relationships extend to all staff, including the wonderful chef who gives his time freely. Dad appreciates that [Chef’s name] will go the extra mile to ensure Dad can eat what he enjoys.” A staff member said, "I love working here.”
Robust audit systems were in place to identify any areas which required improvement and action was taken to develop practice if needed. Regular health and safety checks were made to ensure the environment was safe and well maintained.
People were involved in decision making about their care and were supported to maintain independence. They were given opportunities to give feedback on their care and told us they felt comfortable in doing so.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
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 19 June 2019).
Why we inspected
We undertook this inspection as part of a random selection of services rated Good and Outstanding to test the reliability of our new monitoring approach. We also looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively. We reviewed the information we held about the service.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Radway Lodge Residential Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.