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Inspection report

Date of Inspection: 27 August 2014
Date of Publication: 25 September 2014
Inspection Report published 25 September 2014 PDF

Overview

Inspection carried out on 27 August 2014

During a routine inspection

At the time of this inspection there were 58 people living at Tye Green Lodge.

Below is a summary of what we found. The summary describes what people using the service and staff told us, what we observed and the records we looked at.

If you want to see the evidence supporting our summary, please read the full report.

This was an unannounced inspection. We spoke with seven people who lived at the home. We could not speak with some people due to their needs. We also spoke with the manager and two other members of staff. We looked at written records, which included copies of people's care records, medication systems, staff personnel files and quality assurance documentation.

Is the service safe?

We found the home to be warm and clean. The accommodation was adapted to meet the needs of people living there, was suited to caring for people with limited mobility and was appropriately maintained.

The provider had systems in place that ensured the safe receipt, storage, administration and recording of medicines. People were protected by safe recruitment practices. There were proper processes in place in relation to the Mental Capacity Act (2005) and Deprivation of Liberty Safeguards (DoLS).

Is the service effective?

We saw that care plans and risk assessments were informative and up to date. Staff we spoke with were familiar with their contents and understood people's needs, which enabled them to deliver appropriate and safe care.

People we spoke with were satisfied with the care and support they received.

Is the service caring?

We spoke with seven people who used the service. One person said to us, "It is very good here. They look after you well and they all try to get things right for you." Another person said to us, "This place is absolutely perfect. Nothing could be improved. The staff are superb." Another person said, "We are free to do as we please. I would recommend it to anyone." Nobody we spoke with raised any concerns with us.

We observed a good rapport between staff and the people who lived at the home. We witnessed the care and attention people received from staff. Staff were friendly, were attentive to people's needs and people were treated with dignity and respect.

Is the service responsive?

People were consulted about and involved in their own care planning and the provider acted in accordance with their wishes. Care plans and risk assessments were regularly reviewed. Activities took place regularly that were appropriate to people's needs.

Two staff members told us that the manager was approachable and they would have no difficulty speaking to them if they had any concerns.

Is the service well led?

The manager had a range of quality monitoring systems in place to ensure that care was being delivered appropriately by staff, that the service was continuously improving and that people were satisfied with the service they were receiving. The provider undertook regular detailed audits of the service to support the management of the home.