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Alpine Lodge Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 11 December 2019

About the service:

Alpine Lodge is a 'care home'. People in care homes receive accommodation and nursing or personal care. The service can accommodate up to 67 people across four units. There were 58 people living at Alpine Lodge at the time of this inspection.

People’s experience of using this service and what we found.

We found the arrangements in place to manage medicines so people were protected from risks associated with medicines required improvement.

The systems in place to assess, monitor and mitigate the risks relating to the health, safety and welfare of people had improved since the last inspection. However, we saw the system and processes in place to ensure people had an accurate and complete care plan required improvement.

At our last inspection we found safeguarding procedures needed to be embedded into service practice. We saw improvements had been made, but further action was required to ensure staff always reported incidents to the registered manager.

People and relatives spoken with did not express any worries or concerns. They were satisfied with the quality of care that had been provided. People had access to external health professionals to help promote good health and wellbeing.

There were robust recruitment procedures in place so people were cared for by suitably qualified staff who been assessed as safe to work with people.

At our last inspection we saw people were not always treated with dignity and respect. At this inspection the culture within the service had improved. During the inspection we observed staff giving care and assistance to people. They were respectful and treated people in a caring and supportive way. People and relatives spoken with described the staff as kind and caring.

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.

At our last inspection we found concerns about staff training. At this inspection we found action had been taken to ensure staff completed relevant training. The systems in place to ensure staff received regular supervision had improved, however some staff were still not receiving the number of supervisions stated in the provider’s supervision policy.

People made positive comments about the quality of food provided and told us their preferences and dietary needs were accommodated. People’s nutritional needs were monitored and actions taken where required. However, we found the pureed food provided to people required improvement.

At our last inspection there were limited meaningful activities for people using the service. At this inspection we found further improvement was required to ensure people were provided with meaningful activities.

The complaint process at the service had improved since the last inspection. There was a robust process in place to respond to concerns or complaints by people who used the service, their representative or by staff.

The service looked, on the whole, clean and regular infection control audits were undertaken by the senior staff. The registered manager told us the provider was planning to replace the carpet in one unit as it had malodours.

The registered manager and provider had an overview of the service. The registered manager and provider identified any areas for improvement and planned changes to the service to ensure it provided high-quality care. However, we found some systems and processes need to be more robust.

Rating at last inspection:

At our last inspection in September 2018 Alpine Lodge was rated requires improvement and we found five breaches of regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of four of these regulations. This service has been rated requires improvement for th

Inspection areas

Safe

Requires improvement

Updated 11 December 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 11 December 2019

The service was not always effective

Details are in our effective findings below

Caring

Good

Updated 11 December 2019

The service had improved and was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 11 December 2019

The service was not always responsive

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 11 December 2019

The service was not always well-led.

Details are in our well-led findings below.