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Inspection Summary


Overall summary & rating

Good

Updated 1 May 2018

Manor Lodge is a care home that provides accommodation and personal care for sixteen older people some of whom are living with dementia. The home has a communal lounge/dining room and well-maintained enclosed garden. People’s bedrooms are single occupancy and located over two floors. A passenger lift enables people with mobility needs to access the first floor. There were sixteen people using the service including one person who was in hospital at the time of the inspection.

At our last inspection we rated the service good. At this inspection on the 15 March 2018 we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

At this inspection we found the service remained Good.

Arrangements were in place to keep people safe. Staff knew how to identify abuse and understood the safeguarding procedures they needed to follow to protect people from abuse.

Risks to people's health and well-being were identified, assessed and managed as part of their plan of care and support. Staff understood their responsibilities to deliver safe care and to report to the manager all concerns to do with people’s safety and any poor practise from staff.

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. Staff gained people's consent before providing personal care.

Medicines management systems were in place to ensure people’s medicines were stored and administered safely. People’s dietary needs and preferences were understood and supported by the service.

People received personalised care and staff were responsive to people’s needs. People's care plans included details about people’s individual preferences and information staff required to provide people with the care and support they needed in the way that they wanted. Care plans were reviewed regularly and were updated when people's needs changed.

Staff had a caring approach to their work and understood the importance of treating people with dignity and protecting people's privacy. People’s confidentiality was maintained.

People had the opportunity to take part in a range of activities. Staffing levels and skill mix provided people with the assistance and care that they needed. Appropriate recruitment procedures were in place to ensure that only suitable staff were employed to provide care.

Staff received the training and support that they needed carry out their roles and responsibilities including providing people with individualised care.

People and their relatives knew how to make a complaint and were confident their concerns would be addressed appropriately by the service.

There were systems in place to assess, monitor and improve the quality of the services provided for people. Improvements to the service and people’s care were made when needed.

People’s healthcare needs were assessed. The service worked with healthcare and social care agencies to ensure people’s needs and preferences were met.

We have made two recommendations. One about improving the access of the building for people using the service and visitors who have mobility needs, and another about developing the adaptation, design and decoration of premises to ensure that the environment always meets the needs of people using the service who were living with dementia.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 1 May 2018

The service remains Good.

Effective

Good

Updated 1 May 2018

The service remains Good.

Caring

Good

Updated 1 May 2018

The service remains Good.

Responsive

Good

Updated 1 May 2018

The service remains Good.

Well-led

Good

Updated 1 May 2018

The service remains Good.