9 February 2022
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on 20 January 2022 and was announced. We gave the provider 24 hours’ notice of the inspection
9 February 2022
About the service
Annesley Lodge is a purpose built residential care home providing personal and nursing care to 36 people aged 65 and over at the time of the inspection. The service can support up to 48 people.
People’s experience of using this service and what we found
People were provided with safe care, staff understood their responsibilities in relation to protecting them from potential abuse, and the risks to people safety were assessed with measures in place to mitigate the risk. People were supported by adequate numbers of staff, and staff recruitment was ongoing, to allow consistent care for people. People’s medicines were well managed, and they were protected from the risks of infection through safe staff practices.
People were supported by staff who had received appropriate training for their roles. Their nutritional and health needs were supported. The environment people lived in was well maintained and the provider was undertaking refurbishment of some areas of the home. 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.
People were supported by staff who were caring, people trusted and liked the staff who supported them and felt their views on their care were considered. Staff worked to maintain people’s privacy, dignity and independence.
People received personalised care from staff who knew their needs, however, the information in some people’s plans was not always reflective of their needs. People were supported to undertake social activities of their choice and there was an activities program in place. People told us the provider listened to their concerns or complaints and dealt with any issues of concern quickly.
People at end of life received personalised and compassionate care, and there was information in people’s care plans about their wishes in relation to their end of life care.
We were told the management team were open and approachable. Governance systems and audits were in place and used regularly to maintain good standards of care for people. There was good engagement with people, relatives and staff through meetings and quality monitoring questionnaires. Staff were supported with regular supervisions. The management team worked with external professionals to improve the quality of the service.
Rating at last inspection
The last rating for this service was requires improvement (published 31.05 2018) and was in breach of one regulation of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on the previous rating.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk