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St Andrews Lodge Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 28 March 2019

About the service: St Andrews Lodge is a home that provides rehabilitation and support for eight adults with mental health needs. It is situated in Colchester. There were eight people living in the service on the day of inspection.

People’s experience of using this service:

Systems were in place to monitor the quality of the service provision; however, these were not always effective in ensuring issues were identified or improvements were made and sustained.

Improvements were required to the service's governance arrangements to assess and monitor the quality of the service and ensure that action was taken as required.

Systems were not effective to check that people received their medicines as prescribed and where people received medicines ‘as and when required’ there was not always guidance in place for staff on when these medicines should be administered.

People, their relatives and staff were positive about the care provided at St Andrews Lodge.

Staff knew people well and had developed meaningful relationships with them. People were given choice and supported to develop daily living skills.

Staff were kind and caring and people were treated with dignity and respect.

People received effective care from staff who understood how to recognise and report issues of concern and potential abuse. Staff were recruited safely, were visible in the service and responded to people quickly.

There was a complaints system in place and people felt able to raise concerns which were addressed.

People could access the community and take part in a range of activities which promoted their wellbeing.

People were 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 health was well managed and there were positive links with other services to ensure that individual needs were met.

People, their relatives and staff were positive about the deputy manager and felt they were approachable.

Rating at last inspection: Good (report published 29 September 2016)

Why we inspected: This was a planned inspection based on the previous rating.

Enforcement: Please see the ‘action we have told the provider to take’ section towards the end of the report.

Follow up: We will continue to monitor all intelligence received about the service to ensure the next planned inspection is scheduled accordingly.

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

Inspection areas

Safe

Requires improvement

Updated 28 March 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Good

Updated 28 March 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 28 March 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 28 March 2019

The service was responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 28 March 2019

The service was not always well-led.

Details are in our Well-Led findings below.