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Inspection Summary


Overall summary & rating

Outstanding

Updated 27 November 2018

This inspection took place on 14 and 17 September 2018. This inspection was unannounced.

Coneygar Lodge is a ‘care home. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Coneygar Lodge is located in Bridport, Dorset. The home accommodates 22 people in four separate buildings situated around a courtyard, each of which has separate adapted facilities.

There are 22 single rooms, 21 of which are en-suite. All but three rooms are accessed from the ground floor. The three first floor rooms are accessed via stairs and there is a stair lift available. At the time of the inspection there were 22 people living at the service.

There was a registered manager in position. 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.’

The service was exceptionally well led. The service benefitted from strong leadership. The registered manager was passionate about providing person centred care and this was reflected in every aspect of the service. The registered manager worked in partnership with other organisations and had taken part in several good practice initiatives designed to further develop the service. They were enthusiastic and committed to providing the best service possible. Their focus included the promotion of dignity and valuing people's diverse needs to provide a very high standard of person centred care.

There was a 'whole team' approach which was the driving force in delivering a truly person centred service. Staff who had shown interest in specific areas, such as infection control medicines and end of life were designated 'Champions'. These champions played an essential role in developing best practice, sharing learning and acting as role models for other staff. An end of life champion told us their role was to, “Oversee what was happening and gently guide staff to what we should be doing in response to the wishes of the resident and their family".

People said they felt the service was extremely responsive to their needs. People who used the service received highly personalised care from staff who knew their background, interests and hobbies. People were encouraged to pursue individual interests and establish new community links and friendships. The registered manager listened to people who used the service and about what they wanted in regards to activities. Staff had an excellent understanding of people's needs and were imaginative in the way they provided person centred care which put people at the heart of the service. They did this by empowering people to reconnect with past interests, making people feel valued and enabling them to “live life to the full” again.

There were a range of social activities taking place. The registered manager told us, “We are proud of our activities, we take time to find out people’s individual interests so we can support them to remain as active and interested as possible. The art group are making amazing progress.” People told us they had been consulted in regards past interests and employment. They told us where they had shared their past experiences they had been encouraged to explore and “Take up” previous interests.

One initiative had been to involve people in past interests such as painting. People were introduced to a local artist and encouraged to join an art workshop. People showed us their art work and told us of their love of art and how they had, “Loved being able to take up that interest again. “I did not think I would ever paint again, it has given me a new lease of life.”

The service has taken innovative steps to m

Inspection areas

Safe

Good

Updated 27 November 2018

The service was safe.

Staff were recruited safely. There were enough staff to provide people with the care and support they needed and to keep the home clean and infection free.

Staff understood how to keep people safe and where risks had been identified, action had been taken to mitigate those risks.

Staff made sure medicines were managed safely and kept under review.

Lessons were learnt and improvements were made when things went wrong.

Effective

Good

Updated 27 November 2018

The service was effective.

Staff were inducted, trained and supported to ensure they had the skills and knowledge to meet people's needs.

Meals at the home were very good, offering choice and variety. The meal time experience was a calm and relaxed experience for people.

The service worked with other healthcare services to deliver effective care.

People were supported to access health care services to meet their individual needs.

The legal requirements relating to Deprivation of Liberty Safeguards (DoLS) were being met.

Caring

Outstanding

Updated 27 November 2018

The service was extremely caring.

There was a strong person centred culture and people were supported by staff who were compassionate and extremely kind. Without exception people and their relatives told us about the very caring approach from staff.

Staff knew people as individuals and had a detailed knowledge of their wishes and personal histories.

People were at the heart of the services culture and were supported by staff that respected and promoted their independence, privacy and dignity.

Responsive

Outstanding

Updated 27 November 2018

The service was extremely responsive.

Staff knew people extremely well and provided care in a way that met their individual needs.

People who used the service were always put first and they were valued as individuals.

Staff were highly responsive to changes in people�s needs. Staff actively listened to people and improvements to their care and the homes facilities had been made as a result.

A full range of stimulating and varied activities were on offer and there were fantastic links with the community.

A complaints procedure was in place. People told us they would know how to complain.

The service was skilled at supporting people�s wishes at end of life, to ensure they received a dignified and pain free death

Well-led

Outstanding

Updated 27 November 2018

The service was extremely well-led.

A registered manager was in place who provided outstanding leadership and management of the home. They were enthusiastic and determined to provide the best possible service for people and this had happened.

Effective quality assurance systems were in place to assess, monitor and improve the quality of the service.

People were supported by highly motivated staff who were proud to work for the service. There was a strong organisational commitment to ensure there was a high level of satisfaction for all staff working for the service.