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Archived: Cripps Lodge Good

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Reports


Inspection carried out on 8 February 2018

During a routine inspection

Cripps Lodge is registered to provide personal care support to people in their own homes. At the time of our inspection, the service was providing care to ninety-six people.

At our last inspection, we rated the service ‘Good.’ At this inspection, we found the evidence continued to support the rating of ‘Good’ and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People continued to receive safe care. Staff received safeguarding training so they knew how to recognise the signs of abuse and how to report any concerns. Risk management plans were in place to protect and promote people's safety.

There were enough staff deployed to keep people safe. Recruitment practices ensured staff were suitable to work with people.

Staff received comprehensive induction training when they first commenced work at the service. On-going refresher training ensured staff were able to provide care and support for people following current practice. Staff supervision systems ensured that staff received regular one to one supervision and appraisal of their performance.

Staff supported people to access health care services when required, to make sure people received appropriate healthcare to meet their needs. People received support to eat and drink sufficient amounts to maintain a varied and balanced diet.

Where the provider supported people to take their medicines staff followed best practice guidelines. Staff followed infection control procedures to reduce the risks of spreading infection or illness.

People were encouraged to be involved in decisions about their care and support. Staff demonstrated their understanding of the Mental Capacity Act, 2005 (MCA) and they gained people's consent before providing care.

People had their diverse needs assessed, they had positive relationships with staff and received care that met their personal preferences. Staff consistently provided people with care in a respectful compassionate way. People had their privacy, dignity and confidentiality maintained at all times.

The provider had systems in place to monitor the quality of the service and had a process in place which ensured people could raise any complaints or concerns.

The service notified the Care Quality Commission of certain events and incidents, as required.

Inspection carried out on 2, 4 and 5 February 2016

During a routine inspection

Our inspection took place on 2, 4 and 5 February 2016 and was announced. At the last inspection in January 2014, the provider was meeting the regulations we looked at.

Cripps Lodge is a domiciliary care service run by Milton Keynes Council. The service provides personal care for people in their own homes, including sheltered housing locations. On the day of our inspection there were approximately 140 people receiving support from the service.

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 felt safe with the support they received from the service. Staff were knowledgeable about reporting abuse and the processes involved in keeping people safe from harm. Risk assessments were in place to ensure that care could be safely delivered to people in their own homes and actions were taken to reduce any identified risks.

There were sufficient numbers of suitable staff to ensure that people could have their needs met in a timely manner. Robust recruitment processes had been followed to ensure that staff were suitable to work with people. Systems were in place to ensure people were supported with the administration of medication and protected by safe medication processes.

New staff were provided with induction and all staff received essential training to keep their skills up to date and to support appropriately them in their roles. People’s consent to care and support was sought in line with the Mental Capacity Act (MCA) 2005. Staff understood and complied with the requirements of the MCA and the associated Deprivation of Liberty Safeguards (DoLS.)

People were supported with their nutritional needs where appropriate. People’s health needs were closely monitored and the staff coordinated well with other professionals, to ensure these needs were met.

Positive, trusting and caring relationships had developed between people and staff. People were treated with kindness and compassion by staff that were knowledgeable about how to meet their needs. Staff understood how to promote and protect people’s rights and maintain their privacy and dignity. People were able to make suggestions about the service delivery and their feedback was acted upon, to make improvements to the service.

People received person-centred care, based on their likes, dislikes and individual preferences. Before they received a service, their needs had been assessed to ensure the care provided would be personalised to their identified needs.

People were aware of the provider’s complaints system and felt able to raise any concerns with staff when they needed to.

There was a positive and transparent culture at the service. Leadership at the service was visible and as a result staff were inspired to provide a quality service. Senior staff regularly assessed and monitored the quality of care provided to people. Staff were encouraged to contribute to the development of the service and understood the provider’s visions and values.

Inspection carried out on 29 January 2014

During a routine inspection

During this inspection we made more than 40 telephone calls and obtained the views of 18 people who used the service. We also spoke with three people in their own homes and spoke directly with two relatives. All of the people we spoke with told us they were asked for consent before care was provided. One person said �I am very satisfied with the care I receive, all the staff know how I like to be supported�.

People told us they were well cared for by the service, one person said �I am very well looked after, I have no concerns at all, the staff are just like family to me� and another person said �The staff are very kind and I feel safe in their care�.

Some of the people we spoke with told us they were supported to take their medication. One of the relatives told us �I usually order my relative�s medication and hand it over so that the staff can ensure that it has been taken, the system works well�.

All of the people we spoke with told us the staff had enough time allocated to be able to meet their needs; that the staff were nice to them and treated them with kindness. One person said �They�re very, very good� other comments included �We�re comfortable with the carers and share a laugh and a joke�; "The carers are lovely�, and �The staff are very considerate�. Both relatives told us that their family members were safe and well cared for by Cripps Lodge staff.

Inspection carried out on 21 May 2012

During a routine inspection

People told us they were able to make decisions about the care and support that they received and that they had been involved in the planning of their care.

Both confirmed that the staff were respectful and protective of their privacy and dignity in all aspects of their care. One person commented �The care I receive is excellent, the staff are always flexible and they know how I need to be cared for�. Another person commented �the staff recognise that there are still some things I can do myself, they give me the time to be as independent as possible but are there to help with the things that I can�t do�.

Both commented that the staff were caring, kind and friendly and that they valued the individual support that they received. One person commented �nothing is too much trouble; they even feed the birds for me�.

People told us they were well looked after by the staff who provided care to them within their own homes. They told us that they were confident that staff had the right skills to meet their needs and they knew how to raise any concerns should they need to do so.

The people that we spoke with told us they were pleased with the quality of the service provided. One person commented �The service is excellent; I am looked after very well�.