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Lotus Lodge Requires improvement Also known as Lotus Lodge 1-1105339039

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 27 March 2020

About the service

Lotus Lodge is a residential care home providing accommodation and personal care. At the time of the inspection they were providing care to six people with a learning disability or who were on the autistic spectrum. The service can support up to seven people.

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. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

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

The service was not always safe because medicines were not managed appropriately, and the premises were potentially dangerous. Risks to people were not always properly assessed. Quality assurance systems had failed to identify and address shortfalls within the service. Newly recruited staff did not complete the Care Certificate [a nationally recognised qualification for the care sector] and we have made a recommendation about this.

Systems were in place for responding to allegations of abuse and staff and staff had undertaken training about this. There were enough staff working at the service to meet people's needs. Pre-employment checks had been carried out to help ensure suitable staff were employed.

Pre-admission assessments were carried out to determine people's needs. Staff were supported through training and supervision. People had enough to eat and drink. The service worked with other care agencies to promote and meet people's health care needs. 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.

Staff were friendly and polite in their interactions with people and people told us staff were caring. People were supported to be as independent as possible and the service sought to meet needs around religion and ethnicity.

Care plans were in place which set out how to meet people's needs. People and relatives were involved in developing these. The service sought to meet people's communication needs and to provide information in an accessible format. A variety of social and leisure activities were offered, and people were able to maintain relationships with family and friends. Systems were in place for dealing with complaints.

There was a registered manager in place. People and staff spoke positively about them and about the working culture at the service. The provider worked with other agencies to develop knowledge and share best practice.

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 requires improvement (published 13 March 2019). T

Inspection areas

Safe

Requires improvement

Updated 27 March 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 27 March 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 27 March 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 27 March 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 27 March 2020

The service was not always well-led.

Details are in our well-led findings below.