Southview Lodge Residential Care Home

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture.

At our last assessment we rated this key question requires improvement. At this assessment the rating has remained requires improvement. This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centred care.

The service was found to be in breach of legal regulation in relation to good governance.

This service scored 62 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The provider had inclusive leaders at all levels who understood the context in which they delivered care, treatment and support and embodied the culture and values of their workforce and organisation. Leaders had the skills, experience and credibility to lead effectively.

The registered manager was visible, available and lead by example. A relative said “The manager is very supportive. The home is well managed and everyone knows their job. I have seen the manager helping out with care duties.”

Staff confirmed the registered manager had the appropriate skills to lead effectively. “We couldn’t ask for a better manager. She is so present. She has the residents’ needs and staff needs as a priority.” The registered manager had a good level of training recorded in their personnel file and had worked at the service for a number of years.

We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The provider did not have clear responsibilities, roles, systems of accountability or good governance. They did not always act on the best information about risk, performance and outcomes, or share this securely with others when appropriate.

The registered manager still did not always ensure data or notifications were submitted to external organisations as required. Information about several incidents and accidents had not been shared in a timely manner.

The provider’s processes for auditing the safety and quality of care were still not always clear or effective at driving improvement. They had not identified or addressed concerns with the environment, care plans or risk, identified during our inspection. See the ‘safe’ and ‘effective’ sections of this report for more information.

However, there were robust arrangements for the availability and confidentiality of data, records and data management systems. Filing systems were clear and orderly, and an electronic care planning system had been implemented, which ensured information about people was more secure.

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The provider focused on continuous learning, innovation and improvement across the organisation and local system. They encouraged creative ways of delivering equality of experience, outcome and quality of life for people. They actively contributed to safe, effective practice and research.

The provider encouraged staff to speak up with ideas for improvement and staff were given the time and resources to develop their skills around improvement and innovation. Staff confirmed they were able to contribute to team meetings and present new ideas, and some staff had designated ‘champions’ roles in different aspects of care. For example, dementia, dignity, end of life, falls prevention and continence.

The provider was focused on improving the service. The service’s business plan detailed upcoming objectives, and they had invested in several new systems and environmental improvements since our last inspection.