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Inspection Summary


Overall summary & rating

Good

Updated 5 March 2021

Toby Lodge is a residential care home providing personal care for 10 male adults who had a forensic history, including mental health conditions and a learning disability.

Toby Lodge accommodates people in one building across four floors, with each person having their own bedroom with en-suite bathroom. There was also a communal living room/dining room, kitchen, computer room and access to a small courtyard.

There was an outbreak at the end of December 2020 where nine residents and 11 staff members, including the registered manager, tested positive for COVID-19.

The local authority and infection prevention and control (IPC) leads at the Clinical Commissioning Group (CCG) were involved in follow up support, which included a number of meetings and two virtual tours between 8 January 2021 and 4 February 2021 to provide advice and guidance to the registered manager and staff team.

We found the following examples of good practice.

¿ There were robust protocols in place for visitors upon entry, with temperatures taken and a requirement to take a lateral flow device (LFD) COVID-19 test before entering the home. Staff also had to sign to confirm they were free from any COVID-19 symptoms and had not been in contact with anybody with symptoms or who had tested positive. Due to the recent outbreak, visits from relatives were currently suspended.

¿ The provider had been proactive in response to the feedback and advice from the local authority and the CCG. A number of posters, including easy read versions were displayed across the home and in people’s rooms to remind them about following guidelines to keep people safe and reduce the risk of infection. Easy read social stories had also been used to help explain the pandemic and the importance of social distancing to help people understand that it was fine if another person did not want to shake their hand, which helped to reduce one person’s anxious and distressed behaviour.

¿ Staff checked people’s temperature, oxygen levels and their ‘cough status’ three times a day, which was recorded on their digital care planning software. If this was not completed an alert was sent to remind the staff team to do this.

¿ The home used technology to support people to have video calls with their relatives and facilitate health and social care professionals meetings, such as service reviews, medicines reviews and virtual tours.

¿ The majority of recommendations had been actioned by the provider after the outbreak and the provider had also carried out a professional deep clean of the service on 7 January 2021. The registered manager told us they were having regular discussions with the staff team about following the guidelines and ensuring they followed best practice to make sure this was embedded throughout the service.

Inspection areas

Safe

Good

Updated 5 March 2021

Further information is in the detailed findings below.

Effective

Good

Updated 5 March 2021

Caring

Good

Updated 5 March 2021

Responsive

Good

Updated 5 March 2021

Well-led

Outstanding

Updated 5 March 2021