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Archived: Atherton Lodge Inadequate

The provider of this service changed - see new profile

We are carrying out a review of quality at Atherton Lodge. We will publish a report when our review is complete. Find out more about our inspection reports.
All reports

Inspection report

Date of Inspection: 31 October 2011
Date of Publication: 13 December 2011
Inspection Report published 13 December 2011 PDF

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Meeting this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

How this check was done

Our judgement

Quality assurance processes are in need of ongoing development and review to demonstrate compliance across all outcome areas.

User experience

People told us that overall they were satisfied with the service provided and confirmed that their views on the service had been routinely sought.

Other evidence

The registered manager informed us that the registered provider (Par Nursing Homes Limited) had developed a policy for quality management and assesses and monitors the quality of service provision for the service using various systems and processes.

For example, we noted that the provider had distributed questionnaires to staff and the people using the service and / or their representatives during July 2011. The results had been analysed and made available for people to view in the form of an excel bar chart. There was no action plan in place to demonstrate what action the provider has taken in response to any issues raised.

We saw evidence that the area manager had visited Atherton Lodge every month and produced a report of her findings in relation to a number of key audit areas including: care plans; admission records; health care records; medication; activities; management and accidents; environment; complaints, staffing; staff training and infection control. The report also included an action plan for reference.

We noted that some parts of the environment were in need of refurbishment, maintenance and / or redecoration. This issue was also identified by representatives from the Cheshire Local Involvement Network when they last visited. The registered manager reported that a maintenance and redecoration plan had been developed but this was not available at Atherton Lodge as it had been taken off site by a senior manager. We asked for a copy of the plan and confirmation that issues identified by the Fire Officer and the last Environmental Health Officer visit had been fully addresses but this information was not sent to us following our visit.

We also noted that two bedrooms had a malodour and some seat covers in the residents lounge were stained. We asked to see a copy of the cleaning schedule for the home. The copy we saw did not provide adequate evidence of the cleaning arrangements for the home and the manager agreed to review the schedule.

Periodic monitoring of the standard of care provided to residents funded via the local authority is also undertaken by Cheshire West and Chester’s Contracts and Commissioning team.