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Inspection Summary


Overall summary & rating

Good

Updated 26 November 2016

This inspection took place on 26 October 2016 and was unannounced. At the last inspection of the service on 24 and 25 November 2015 we found breaches of the Health and Social Care Act 2008 in that the provider did not have systems in place to ensure staff received an appraisal of their practice and performance and care plans and records were not always accurate nor reviewed on a regular basis, in line with the provider’s policy to ensure people’s needs were appropriately documented and met. We carried out this inspection to check the outstanding breaches had been met and also to provide a review of the rating for the service.

Elmwood lodge provides accommodation and personal care support for up to ten people. People who use the service have mental health support needs. At the time of our inspection the home was providing support to ten people. The home had 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.

At this inspection we found the provider was compliant with the requirements of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Risks to the health and safety of people using the service were assessed and reviewed in line with the provider's policy. Medicines were managed, administered and stored safely. There were arrangements in place to deal with foreseeable emergencies. There were safeguarding adult’s policies and procedures in place. Accidents and incidents were recorded and acted on appropriately. There were safe staff recruitment practices in place and appropriate numbers of staff were deployed throughout the home to meet people’s needs.

There were processes in place to ensure staff new to the home were inducted into the service appropriately. Staff received training, supervision and appraisals that enabled them to fulfil their roles effectively. There were systems in place which ensured the service complied with the Mental Capacity Act 2005 (MCA 2005). This provides protection for people who do not have capacity to make decisions for themselves. People’s nutritional needs and preferences were met and people had access to health and social care professionals when required.

People were treated with respect and were consulted about their care and support needs. Staff respected people’s dignity and privacy. People’s support needs and risks were identified, assessed and documented within their care plan. People were provided with information on how to make a complaint. The service worked with health and social care professionals to ensure people’s needs were met.

There were robust systems and processes in place to monitor and evaluate the service provided. People’s views about the service were sought and considered through service user meetings and satisfaction surveys.

Inspection areas

Safe

Good

Updated 26 November 2016

The service was safe.

Risks to the health and safety of people using the service were assessed and reviewed in line with the provider's policy.

Medicines were managed, administered and stored safely.

There were arrangements in place to deal with foreseeable emergencies.

There were safeguarding adult’s policies and procedures in place to protect people from possible abuse and harm.

There were safe staff recruitment practices in place and appropriate numbers of staff were deployed to meet people’s needs.

Effective

Good

Updated 26 November 2016

The service was effective.

People were supported by staff that had appropriate skills and knowledge and staff were supported through supervision and appraisals of their practice and performance.

Staff received training that enabled them to fulfil their roles effectively and meet people’s needs.

There were processes in place to ensure staff new to the home were inducted into the service appropriately.

There were systems in place which ensured the service complied with the Mental Capacity Act 2005 (MCA 2005). This provides protection for people who do not have capacity to make decisions for themselves.

People’s nutritional needs and preferences were met.

Caring

Good

Updated 26 November 2016

The service was caring.

Interactions between staff and people using the service were positive and staff had developed good relationships with people.

People were supported to maintain relationships with relatives and friends.

Staff were knowledgeable about people's needs with regards to their disability, race, religion, sexual orientation and gender and supported people appropriately to meet their identified needs and wishes.

Staff respected people’s privacy and dignity.

Responsive

Good

Updated 26 November 2016

The service was responsive.

People’s care needs and risks were assessed and documented within their care plan.

People’s needs were reviewed and monitored on a regular basis.

People's need for stimulation and social interaction were met.

People were provided with information on how to make a complaint.

Well-led

Good

Updated 26 November 2016

The service was well-led.

There were systems and processes in place to monitor and evaluate the service provided.

There was a registered manager in post at the time of our inspection and they were knowledgeable about the requirements of a registered manager and their responsibilities with regard to the Health and Social Care Act 2014.

People’s views about the service were sought and considered through service user meetings and satisfaction surveys.