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Archived: Croft Lodge Good

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Inspection Summary


Overall summary & rating

Good

Updated 24 August 2016

Croft Lodge is a large detached house set on the outskirts of the coastal town of Teignmouth. The home is registered to provide accommodation for up to 24 older persons who require nursing or personal care. Nursing care is provided by the local community nursing team.

This inspection was unannounced and took place on 5 and 8 August 2016. The home was previously inspected in January 2014 when it was found to be meeting the requirements at the time.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission 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.

People told us they felt safe living at the home and with the staff who supported them. Relatives and health care professionals also felt people received safe care and attention. Staff demonstrated a good understanding of how to keep people safe and how and to whom they should report concerns. Staff had received training in safeguarding adults and knew the procedure to follow if staff suspected someone was at risk of abuse.

There were sufficient staff on duty to meet people’s care needs. We saw staff sitting and talking to people and people being assisted unhurriedly. This indicated there were enough staff on duty to meet people’s needs.

Staff were knowledgeable about people’s rights under the Mental Capacity Act 2005 to make decisions about their care and support. Staff said they supported people to be as independent as possible. Risks to people’s health and welfare resulting from their care needs were managed well through assessment and regular reviews. Where accidents and incidents had taken place, the registered manager reviewed how these had come about to ensure risks were minimised. People’s medicines were managed safely and people received their medicines as prescribed.

People and their relatives told us staff were skilled to meet people’s needs and spoke positively about the care and support provided. One person told us, “I’m very well looked after thank you very much.” Staff told us they were very well supported in their role. They said were provided with the training they required and received regular supervision and appraisals of their work performance. Robust recruitment practices ensured, as far as possible, only suitable staff were employed at the home.

People told us they enjoyed the meals provided by the home, describing them as “very good”. They said they could have drinks and snacks whenever they wished. One person said, “there’s always a choice and there’s plenty, you’d never go hungry here.” People’s nutritional needs were assessed to make sure they received sufficient food and fluids to maintain their health and people’s food preferences were recorded in their care plans. For example, one person’s care plan identified they liked to have “something small like a piece of cake and a hot drink before going to bed”. We saw people being assisted with their meals at breakfast and lunchtime. Staff sat beside each person who required support and helped them to enjoy their meal at their pace.

The home arranged for people to see health care professionals according to their individual needs. Care files contained information about people’s medical conditions and guided staff to be observant for signs of deterioration in a person’s health. Records were kept of referrals to GPs, community nurses and other health care specialists such as occupational therapists. The community nurses we spoke with during the inspection said the staff had the skills and knowledge to care for people well. One said “This is a lovely home; the staff are very friendly and caring.”

People said they were supported by kind and caring staff. One person said, “I get on very well with the staff. If you want something done t

Inspection areas

Safe

Good

Updated 24 August 2016

The home was safe.

Staff understood their responsibilities in relation to protecting people from harm and abuse.

Potential risks relating to people�s care needs were identified, appropriately assessed and planned for.

Medicines were managed and administered safely.

Recruitment practices were safe and there were sufficient skilled staff to meet people�s needs.

Effective

Good

Updated 24 August 2016

The home was effective.

People received support from staff who understood their needs and preferences well.

Meals were enjoyed by people. Those people who required support were assisted to eat and drink sufficient amounts to maintain their health.

Staff had an understanding of, and acted in line with, the principles of the Mental Capacity Act (MCA) 2005. This ensured that people�s rights were protected in relation to making decisions about their care and treatment.

People had prompt access to relevant health care professionals when needed.

Caring

Good

Updated 24 August 2016

The home was caring.

People were supported by kind and caring staff.

People were involved in the planning of their care and were offered choices in how they wished their needs to be met.

People�s privacy and dignity were respected and their independence was promoted.

Responsive

Good

Updated 24 August 2016

The service was responsive.

Care plans accurately recorded people�s care needs as well as their likes, dislikes and preferences.

People were supported to take part in a variety of social activities.

People were supported to maintain relationships with people important to them.

People were confident that should they have a complaint, it would be listened to and acted on.

Well-led

Good

Updated 24 August 2016

The service was well-led.

There was a positive and open atmosphere at the home. People, staff and

relatives found the registered manager approachable and professional.

The registered manager carried out regular audits in order to monitor the quality of the care and support provided in the home.