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Wellesley Lodge Residential Home Good

Inspection Summary


Overall summary & rating

Good

Updated 2 August 2017

Wellesley Lodge Residential Home provides residential care and support for up to 21 people. The service specialises in meeting the needs of older people living with dementia. At the time of our inspection, 21 people were using the service.

At the last Care Quality Commission (CQC) inspection in October 2015, the service was rated ‘Good’ overall but we rated the service ‘requires improvement’ for the key question, ‘is the service well led?’ We did not find the service in breach of regulations but we found some gaps in audit systems and there was a lack of robust scrutiny and oversight at provider level. There was also no registered manager in post. A registered manager is a person who has registered with CQC 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.

At this inspection we found the service remained ‘Good’. Improvement had been made to the well led question. The range of quality monitoring checks of the service had been improved to give the provider better assurances that key aspects of the service were effective. There was improved scrutiny of the service at provider level including meetings every three months with trustees on how the service was meeting its aims and objectives for people. There was also a registered manager in post. We have revised the rating for the well led question to Good. The service demonstrated they met the regulations and fundamental standards.

People continued to be safe at Wellesley Lodge Residential Home. Staff knew how to protect people from the risk of abuse or harm. They followed appropriate guidance to minimise identified risks to people's health, safety and wellbeing. There were enough staff to keep people safe. The provider maintained recruitment checks to assure themselves of staff’s suitability and fitness to support people.

The environment was clean and staff followed good practice to ensure risks to people from poor hygiene and cleanliness were minimised. Staff also made sure the environment was clear of slip and trip hazards so people could move freely around. The premises and equipment were regularly maintained and serviced to ensure these were safe. The provider maintained appropriate arrangements for the safe management of medicines. People received these as prescribed to them.

People continued to receive support that was personalised and which met their specific needs. Senior staff reviewed people’s needs regularly to ensure the support they received continued to meet these. Staff received relevant training and felt well supported by senior staff. Staff knew people well and had a good awareness and understanding of their needs, preferences and wishes.

People were supported to eat and drink enough to meet their needs. People were also supported to stay healthy and to access healthcare services when needed. Staff encouraged people to participate in activities and events and to maintain relationships with the people that mattered to them. Staff were warm and welcoming to visitors to the home and friends and families were free to visit when they wished. There were good links with the local community which helped to enhance the quality of people’s lives.

Staff treated people with dignity and respect and ensured people's privacy was maintained particularly when being supported with their personal care needs. People were encouraged to do as much as they could and wanted to do for themselves to retain their independence. People were prompted to make choices and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.

People and relatives were satisfied with the support provided by staff. The provider maintained arrangements to deal with people’s complaints appropriately if these should arise.

People and staff

Inspection areas

Safe

Good

Updated 2 August 2017

The service remains Good.

Effective

Good

Updated 2 August 2017

The service remains Good.

Caring

Good

Updated 2 August 2017

The service remains Good.

Responsive

Good

Updated 2 August 2017

The service remains Good.

Well-led

Good

Updated 2 August 2017

The service was now well led. The range of quality monitoring checks of the service had been improved. There was better scrutiny of the service at provider level.

People and staff were asked for their views on how the service could be improved. The provider had plans in place to make improvements that people asked for.

Senior staff worked proactively with other healthcare professionals and organisations to enhance the quality of people’s health and wellbeing.