Background to this inspection
Updated
11 May 2022
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by one inspector.
Service and service type
The Lodge is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement dependent on their registration with us. The Lodge is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We visited the service on two separate occasions, one of which was in the early evening to get a sense of people’s experiences who lived at the home. We also had opportunity to observe people’s daily routines and choices. During the inspection we spoke with one person who used the service about their experience of the care provided. We spoke with six members of staff including the registered manager, deputy manager and care staff.
We looked at a range of records. This included four people’s care and medicine records. We looked at three staff files, in relation to recruitment and staff supervision. A selection of records relating to the running and management of the service, including policies and observations.
After the inspection
We spoke with two relatives and contacted health and social care professionals about the service.
Updated
11 May 2022
About the service
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The Lodge is a residential care home providing accommodation and personal care for up to four people who have a learning disability, autistic spectrum disorder or physical disabilities. At the time of the inspection four people were living at the service.
People’s experience of using this service and what we found
Right Support
People’s independence was promoted, people had a choice of how they wanted to live their life and staff supported them to achieve their goals.
People’s medicines were managed safely. People were enabled to access specialist health and social care support as required and supported to maintain their own health and well-being.
People had a choice about their living environment and were given an opportunity to personalise their rooms to reflect their interests and hobbies.
People received care and support from skilled and knowledgeable staff who were able to meet people’s needs and keep them safe.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Right Care
People’s care, support and treatment records reflected their individual needs and how to promote their well-being whilst providing care and support.
People received kind and considerate care from staff who promoted and respected people’s dignity and privacy. Staff understood people’s varying needs and responded accordingly.
People were protected from poor care and abuse by staff who understood how to protect people from harm. Staff had training on how to recognise abuse and staff knew how to report any concerns they might have.
People took part in a wide variety of activities that interested them.
Right Culture
People were supported to live as full a life as possible and achieve the best possible outcomes, that included choice, control and independence.
People received care and support from a consistent staff team who knew them well.
The registered manager was available and visible to people, their relatives and staff which promoted an open, inclusive and empowering culture.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 21 June 2018).
Why we inspected
We undertook this inspection as part of a random selection of services rated Good and Outstanding.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.