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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.
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Inspection report

Date of Inspection: 25 April 2014
Date of Publication: 22 May 2014
Inspection Report published 22 May 2014 PDF

Overview

Inspection carried out on 25 April 2014

During a routine inspection

We considered our inspection findings to answer questions we always ask; Is the service Safe? Is the service effective? Is the service caring? Is the service responsive? Is the service well led?

This is a summary of what we found.

Is the service safe?

CQC monitors the operation of the Deprivation of Liberty Safeguards (DoLs) and the Mental Capacity Act 2005. We found one DoLs application was in the process of being submitted and proper policies and procedures were in place. We discussed this with the deputy manager who understood when an application should be made, and how to submit one.

The people we spoke with said they felt safe living at the home. Comments from them included; "I have no concerns. I feel very safe here" and "I feel as safe here as I did at home".

Is the service effective?

People told us they were happy with the care provided and their needs had been met. Our observations and discussions with staff showed they were knowledgeable about the people they supported and what people's care needs were. One person told us; "They are very good to me here. I have no complaints".

Is the service caring?

During our observations on the dementia unit in the morning, we saw staff helped people to make floral display's. In the afternoon, we saw staff sitting and talking with people who used the service. We observed that staff spoke to people in a caring and compassionate manner. When people became confused and upset, staff dealt with the situation calmly and were attentive to people's needs. We conducted a period of observation in the lounge area of the unit that provided nursing and personal care. We observed that staff spoke to people in a caring and compassionate manner. One person told us; "If I feel down, they help me and I feel better then".

Is the service responsive?

We saw that before a person started to use the service, an assessment of their needs and abilities was undertaken. The care plans showed how the needs of the people who used the service were to be met, including any risks to their well-being. Each person was allocated a key worker and reviews of each person's care took place on a monthly basis or sooner if required. People's personal preferences such as their daily and bedtime routines were also taken into account. This had been done with the involvement of the person where possible as well as their relatives.

Is the service well led?

A new manager had recently been appointed at the home. Staff and people who used the service spoke highly of him and said they were listened to when concerns or suggestions were made.

We saw the service carried out monthly audits of various aspects of the service's operations such as medication management, care planning, people's finances and the homes environment. Where concerns were identified, processes were in place to enable appropriate changes to be made.

Before our inspection we examined our records and found the service did not have a manager that was registered with us. The current manager had been in post for eight weeks prior to our inspection. The manager agreed to start the registration process without delay as his probationary period with the service had been completed. We discussed this with the provider before our inspection. They told us they would ensure the manager would start the registration process immediately so that the service was not in breach of the conditions of its registration with CQC.