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Inspection Summary


Overall summary & rating

Good

Updated 25 April 2018

We inspected this service on 5 March 2018. The inspection was announced. We gave the service 48 hours’ notice because the service was a small care home for younger adults who are often out during the day and we needed to be sure that they and the staff would be in.

Preceptory Lodge is a residential 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.

Preceptory Lodge accommodates up to eight people in two adapted buildings for people with autistic spectrum disorder or learning disabilities. The service provides personal care and accommodation in a domestic environment. There were six people living at the service on the day of our inspection.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

A registered manager was 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 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 on-going 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 were protected from harm by staff that recognised the signs of abuse and were confident to raise concerns.

Personalised care plans and risk assessments were in place and there was enough staff to safely provide care and support. People were supported to make choices in relation to their food and drink and to maintain good health.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Staff understood the principles of the mental capacity act.

There were safe recruitment processes to prevent unsuitable staff working with vulnerable people. We recommended that the registered manager evidenced more clearly what new staff had learnt during their induction and reflected this in their supervisions.

People's medicines were stored and administered safely. Staff were aware of the infection control measures in place to reduce the risk of the spread of infection.

The care and support people received was person centred. Staff were kind and treated people with dignity and respect and their independence was promoted. They were sensitive to people's needs regarding equality, diversity and their human rights, as their choices and preferences were respected.

The provider had a system in place for responding to people's concerns and complaints. People were regularly asked for their views. There were effective systems in place to monitor and improve the quality of the service provided.

The registered manager led a good service. Staff said the registered manager was approachable and supportive and there were good working relationships with health and social care professionals.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 25 April 2018

The service remains Good.

Effective

Good

Updated 25 April 2018

The service remains Good.

Caring

Good

Updated 25 April 2018

The service remains Good.

Responsive

Good

Updated 25 April 2018

The service remains Good.

Well-led

Good

Updated 25 April 2018

The service remains Good.