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Inspection Summary


Overall summary & rating

Good

Updated 11 July 2018

This unannounced comprehensive inspection took place on 23 and 24 May 2018.

White Lodge and St Helens is registered to provide accommodation, care and support for up to 54 people. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

There was a registered manager employed at the service. 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.

Our previous inspection of the home, carried out in February 2017 identified some areas where improvements were required. These included staffing levels and quality assurance systems. At this inspection we found the provider had made a large number of improvements to ensure compliance with the regulations. These improvements included an increase in staffing levels, an increase in the amount and type of activities available for all people and they had implemented a range of quality assurance systems to ensure the shortfalls previously identified were addressed.

People told us they were well cared for and said they felt safe living at the home. Staff were aware of what constituted abuse and the actions they should take if they suspected abuse. Relevant checks were undertaken before new staff started working at the service which ensured they were safe to work with vulnerable adults.

Staff had the right skills and training to support people appropriately. Staff had completed or were in the process of completing The Care Certificate, which is a nationally recognised set of standards for health and social care workers.

People told us and records and observations showed us there were enough staff available on each shift to care for people safely and well. Staff felt well supported by the management team and received regular supervision sessions. Staff told us they worked well as a team, they told us, “We work like one big family. It works well.”

Pre-admission assessments were completed prior to people moving into the home. People’s risks were assessed and plans developed to ensure care was provided safely. Accidents and incidents were monitored to ensure any trends were identified to enable action to be taken to safeguard people.

Medicines were handled appropriately and stored securely. Improvements were made during the inspection to ensure people had their medicines administered safely. Medicine Administration Records (MAR) were signed to indicate people’s prescribed medicine had been given.

People were referred to health care professionals as required. If people needed additional equipment to help them mobilise and keep them safe and comfortable this was readily available.

The manager was aware of their responsibilities in regard to the Deprivation of Liberty Safeguards (DoLS). These safeguards aim to protect people living in care homes and hospitals from being inappropriately deprived of their liberty. These safeguards can only be used when there is no other way of supporting a person safely. Staff had an understanding of the Mental Capacity Act 2005 (2005) and how it applied to their work.

Staff ensured people’s privacy and dignity was protected. People received personalised care from staff who were responsive to their needs and knew them well. Staff created a relaxed, friendly atmosphere which resulted in a calm, open and honest culture in the home.

People knew how to make a complaint and felt confident they would be listened to if they needed to raise concerns or queries. The provider sought feedback from people and changes were made if required.

People told us they felt the service was well led, with a clear management st

Inspection areas

Safe

Good

Updated 11 July 2018

The service was safe. People were supported by sufficient, suitably experienced and qualified staff.

Medicines were managed safely and stored securely. People received their medicines as prescribed.

Staff demonstrated an understanding of the signs of abuse and neglect. They were aware of what action to take if they suspected abuse was taking place.

Effective

Good

Updated 11 July 2018

The service was effective. Staff received on-going support from senior staff who had the appropriate knowledge and skills.

Induction and supervision processes were in place to enable staff to receive feedback on their performance and identify further training needs.

Staff understood the requirements of the Mental Capacity Act 2005 (MCA) and how this applied to their daily work.

People had access to a range of healthcare professionals as appropriate.

Caring

Good

Updated 11 July 2018

The service was caring. Care was provided with warmth and compassion by staff who treated people with respect and dignity.

Staff were aware of people’s preferences and took an interest in people and their families to provide person centred care.

People and relatives told us that staff were kind, caring and compassionate.

Responsive

Good

Updated 11 July 2018

The service was responsive. People had personalised plans which took account of their likes, dislikes and preferences.

Staff were responsive to people’s changing needs.

People’s views were sought. They felt they could raise a concern if required and were confident that these would be addressed promptly.

Well-led

Good

Updated 11 July 2018

The service was well led. Staff felt well supported by the management team and felt comfortable to raise concerns if needed and felt confident they would be listened to.

Observations and feedback from people and staff showed us the service had a supportive, honest, open culture.

The provider had audits in place to monitor the quality of the service provided and kept up to date with changes in practice.