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Kings Lodge Nursing Home Good

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Inspection report

Date of Inspection: 10 September 2014
Date of Publication: 31 October 2014
Inspection Report published 31 October 2014 PDF

Overview

Inspection carried out on 10 September 2014

During a routine inspection

We carried out this inspection to look at the care and treatment that people who lived at the home received. At the last inspection on 28 January 2014 we found that there were concerns with regard to the care and welfare of people; the management of medication and the systems in place to support staff. We found at this inspection that these issues had been addressed.

We spoke with 11 of the people who lived at the home. Some people were unable to tell us their experiences of living at Kings Lodge Nursing Home because of their complex needs. To ensure that everyone in the home was involved in the inspection we observed the care and support provided, and spoke with relatives and friends. People who spoke with us said, "I am very comfortable here, the staff are very good", and "I prefer to spend most of my time in my room, I like the peace and quiet, although I can go to the lounge if I want to�.

We spoke with five relatives and two visitors, one nurse, eight care staff, the activity person, the chef, the manager and the operations manager during the inspection. We reviewed six care plans and associated documentation; we looked at the management of medication and the systems in place to support staff.

We considered our inspection findings to answer questions we always ask:

Is the service safe?

Is the service effective?

Is the service caring?

Is the service responsive?

Is the service well-led?

Is the service safe?

The care plans showed that staff were aware of people's capacity to make decisions, and there was evidence that relatives had been involved in assessing people's care needs if appropriate. We also found that �best interest� meetings were held in relation to any restrictions that were in place.

We saw that staff had received training in safeguarding vulnerable adults. Relatives we spoke with told us they felt people who lived at the home were safe. Staff felt that they provided care and support in a way that ensured people�s safety, whilst also allowing them to take make choices.

Systems were in place to ensure the management and staff learned from events. The issues identified at the last inspection had been addressed, and the manager had recognised that there were some areas of the service that needed to be improved.

However, we found that some of the records did not reflect the needs of some people; or the support and care provided by staff, and the homes policies and procedures were not specific to the needs of people who lived at the home.

Is the service effective?

We saw that people were supported by kind and attentive staff. Staff were seen to interact with people when providing support and care.

A person who used the service said, ""People are all very nice." One relative told us, "I am 100% satisfied." "The food is outstanding. There is a choice of food. The staff are great you can have a bit of banter".

Is the service caring?

We saw that people were supported by kind and patient staff. People were encouraged to make decisions about how they spent their time and were support to do things, such as have their lunch or take part in an activity.

However, we had some concerns that staff did not interact with some people who used the service in a meaningful way.

Is the service responsive?

We saw evidence that when people�s needs had changed, the staff had made appropriate referrals to outside agencies, including GPs and the local authority.

Is the service well led?

Staff spoken with were clear about their roles and responsibilities. They said they had an understanding of the needs of people who lived at the home, and they felt well supported by the management.

We were told that a satisfaction survey was sent out to relatives and people at the home, but the results were not available.

Relatives told us they could talk to the manager at any time; they had been involved in planning care people received and staff responded when they put forward suggestions.