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Archived: Croft Lodge Good

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Inspection carried out on 5 August 2016

During a routine inspection

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 carried out on 6 March 2014

During a routine inspection

There were 24 people living at Croft Lodge at the time of our inspection. We spoke with seven people who live at the home, four care staff, the manager and the deputy manager.

We found that people's consent had been obtained for care and treatment provided to them by the service.

People who live at the home told us they were well looked after and were happy. One person told us "I am very well looked after and happy here�.

People had been protected against the risks associated with medicines because the provider had appropriate arrangements in place to manage medicines.

People were cared for, or supported by, suitably qualified, skilled and experienced staff. The service had an effective, robust recruitment procedure in place. One person told us �Staff are lovely. We all have a laugh and a joke�.

People told us that they felt safe and knew what to do if they had concerns. One person told us that they would feel comfortable making a complaint �Most certainly and I have done so. Mind you, they�ve all been sorted out right away". People told us that they would not hesitate to report any issues to any member of care staff or management team.

Inspection carried out on 10, 11 January 2013

During a routine inspection

We (the CQC) spoke with six people, one visitor, the providers (owners), registered manager, deputy manager and three carers. We also spent time observing care and lunch time and looked at three care plans. During our two day inspection 23 people were living at the home and receiving care from the service.

Staff showed consideration and respect in the way they responded to the needs of those with dementia. There were enough staff to meet people�s needs and staff were well supported. We looked at the arrangements in place to support the staff team to do their jobs and found that staff were well trained and their work practice was supervised.

People that we spoke with made positive comments about the way they were looked after. Comments made by people included "I am as happy as one could be not in one�s own home", "Staff are very helpful" and "I have no complaints, we are all well looked after here".

We found the home to be clean and tidy throughout. People told us that if they wanted to make comments, raise concerns or complaints they were confident that they would be listened to and appropriate action would be taken where possible.

Reports under our old system of regulation (including those from before CQC was created)