• Care Home
  • Care home

Wellington Lodge

Overall: Good read more about inspection ratings

334a Waterloo Road, Cheetham, Manchester, Greater Manchester, M8 0AX (0161) 740 8549

Provided and run by:
Anchor Hanover Group

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Wellington Lodge on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Wellington Lodge, you can give feedback on this service.

31 March 2021

During an inspection looking at part of the service

Wellington Lodge is a care home located in the Cheetham Hill area of Manchester registered to provide accommodation and support for up to 33 people some of whom are living with dementia. On the day of inspection 25 people were living at the home.

The service is divided into two floors, the ground and the first floor. There is access to each floor via a passenger lift and two stairwells.

We found the following examples of good practice.

All staff had received specialist training to ensure they understood how to prevent the spread of COVID-19 however; staff should repeat infection control training to check and strengthen their knowledge.

Staff were supervised and monitored to ensure they followed IPC guidelines.

The cleaning schedule for the home was reviewed and domestic hours increased.

Procedures for entering the home were based on best practice guidance and people could only meet with people after completing the required tests and donning the correct personal protection equipment (PPE). The provider should consider recording the results of temperature checks and COVID-19 tests.

The required risk assessments had been completed and mitigating action taken to promote the health and wellbeing of high-risk staff.

Systems were in place and action taken to ensure all stakeholders were kept informed of IPC processes. This included regular staff meetings, an ‘open door’ policy for discussions with individual staff or residents; use of social media and strategically placed Covid-19 information posters.

Action was taken to keep friends and families in touch and regular video and phone calls were facilitated and window and face to face visits commenced in keeping with best practice guidance.

All staff and people were regularly tested in line with government current COVID-19 testing program, the provider was supporting people and staff to access COVID-19 vaccinations in line with the governments vaccination programme.

28 September 2018

During a routine inspection

The inspection took place on 28 September 2018 and was unannounced. The last inspection of this service was on 1 March 2016 and we found the service to be good in all areas. The service is run by Anchor Trust.

Wellington Lodge is a care home located in the Cheetham Hill area of Manchester. People in care homes receive accommodation and personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. The home is registered to provide accommodation and support for up to 33 people some of whom are living with dementia. On the day of inspection, 32 people were living at the home.

The service is divided into two floors, the ground and the first floor. There is access to each floor via a passenger lift and two stairwells.

At this inspection we found the evidence continued to support the overall rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. At this inspection we found the service remained good overall.

The service had a registered manager in place. A registered manager is a person who has registered with CQC to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements of the Health and Social Care Act 2008 and associated Regulations about how the service is run. The registered manager was supported by a deputy manager, both managers assisted with the inspection.

People felt safe living at Wellington Lodge and were aware of how to raise any concerns they had. Staff members were aware of their responsibilities in relation to protecting vulnerable adults from abuse and were confident the registered or deputy manager would act on any concerns they had. All staff had received safeguarding training.

Staff members were recruited safely and received a robust induction to introduce them to their role.

Premises safety was well managed. Regular external checks took place of equipment such as the firefighting systems, the passenger lift, moving and handling equipment and electrical and gas safety. Internal checks on premises safety were completed weekly or monthly and clearly documented.

People had appropriate risk assessments in place to support them. Risk assessments were reviewed regularly or when needs changed.

Accidents and incidents were fully documented and lessons learned were shared to prevent future occurrences.

Medicines were safely managed. Audits were in place to monitor the safe receipt, storage, administration and documentation of medicines. Staff received training to enable them to administer medicines safely.

Staff received training suitable for their job role. The provider supported staff to complete diplomas in health and social care to expand their knowledge. We saw all staff received an induction and were given the opportunity to shadow more experienced members of staff.

The service was working in line with the Mental Capacity Act 2005. People received appropriate capacity assessments and decisions were made in people’s best interests. People were only deprived of their liberty where applications had been made to do so.

People were supported to eat a healthy and nutritious diet. People were very complimentary of the food and meal times were a sociable event.

People received input from primary care services such as a GP or dentist. People told us they could see a GP when they felt unwell and the home had regular weekly visits from the district nurses and a practitioner who assisted in monitoring people’s weights and skin integrity.

We observed caring and dignified interactions between staff members and people living at the home. People told us they felt cared for and staff always ensured their privacy and dignity.

Care plans captured people’s support needs and were person centred. People told us they had been able to contribute to their care plan and we saw people’s choices, likes and dislikes were clearly recorded. Care plans were regularly reviewed to ensure they were current.

Activities were varied and clearly enjoyed by everyone. We observed staff actively engaging people in activities and the homes Twitter page highlighted some of the work the service provides in relation to activities.

People were supported to remain at the home at the end of their life. The service had developed memory books to allow people, staff and visitors to record their favourite memories of people.

The provider had developed audits and tools to monitor the service. Audits worked to highlight areas for improvements and action plans were then developed to ensure the improvements were made in a timely manner.

People and staff members told us they felt well supported by the registered and deputy manager. We observed both managers to be visible across the home throughout the inspection and offering support to people, staff and relatives. The registered manager felt well supported by the district manager.

1 March 2016

During a routine inspection

This inspection was unannounced and took place on 1 March 2016. The last inspection took place on 30 June 2014 and the service was meeting all of the regulations we assessed at that time.

The service provides residential care for up to 32 people and is situated in the northern part of Manchester. The home does not provide nursing care. The service has a homely feel and there are communal lounges for people to spend their time. All bedrooms are for single occupancy and have en suite facilities. The service has a secure garden which people can access through a patio door.

Wellington Lodge had a registered manager. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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 the time of our inspection there were 32 people living there.

People told us the service was kept clean and we saw this was the case when we carried out a tour of the building. On the day of our inspection, it was raining heavily and we noted that the paving slabs in the garden area were slippery to walk on. We pointed this out to the registered manager who organised for the area to be treated using a power washer to remove algae and moss.

People told us they received a good standard of care. We saw detailed information in care records which showed that people were receiving care and treatment which was planned or based on their current needs. Information was up to date and relevant.

The registered manager had made statutory notifications which are required by law. Statutory notifications are matters such as safeguarding incidents, serious injury or unexpected deaths.

People told us they were safe and well cared for and this view was shared by the staff we spoke with. The service had sufficient staff to meet people’s needs and staff had the time to ensure people were provided with a good standard of care.

Medicines were managed safely and people received their medicines at the correct time and from staff who were well trained. The service had safe systems to store, administer, order and dispose of medicines.

People told us the food was well prepared, good and tasty. People were given choices at each meal and had a varied menu. Staff, including the chef and catering staff, knew people’s individual likes and dislikes. Care staff understood the importance of people having enough to eat and drink and we saw people being regularly encouraged to eat and drink throughout our visit.

The service was working within the principles of the Mental Capacity Act 2005 and staff routinely sought consent from people and supported them to make their own choices.

People had access to routine health care professionals and where they needed more specialised support, this was sought as appropriate.

All of the staff we spoke with told us they enjoyed supporting people and this was clear in their interactions with people, which were patient, kind and warm. We heard examples of staff “going the extra mile” and coming into work on their days off, to join in activities and take people out. Staff told us about their commitment to make sure people were well supported, comfortable and happy.

All the staff told us they felt well supported by the registered manager and provider and had access to regular training and supervision. Staff morale was described as good by those we spoke with and there was clear evidence of staff working as a team for the benefit of people living at Wellington Lodge.

30 June 2014

During a routine inspection

During our visit, we spoke with four of the thirty two people who used the service and one family member who was visiting. They shared some of their experiences at the home. We spoke with two care staff, the activities co-ordinator, the registered manager and the care manager.

One inspector carried out the inspection. We considered all the evidence we had gathered under the outcomes we inspected. We used the information to answer the five 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?

We saw people were being cared for in an environment which was safe and clean. Processes for the prevention and control of infection were in place. For health, safety and security reasons, visitors were asked to sign in and out.

The people we spoke with who used the service told us they felt safe. One person said 'I'm very well looked after.'

We saw training records and certificates which showed staff had received training to enable them to meet the needs of the people who used the service. This helped ensure the people who used the service were supported by staff who had the necessary skills and experience. We saw staff rotas which showed appropriate numbers of staff were on duty each shift.

The Care Quality Commission (CQC) monitors the operation of the Deprivation of Liberty Safeguards. The Deprivation of Liberty Safeguards (DoLS) are part of the Mental Capacity Act 2005 (MCA). The aim is to make sure people in care homes and hospitals are looked after in a way which does not restrict their freedom inappropriately. There were no authorisations restricting the freedom of anyone living at the home at the time we visited. Several members of staff had received training about the Mental Capacity Act and Deprivation of Liberty Safeguards so they understood when an application should be made and how to submit one.

The home had received a food hygiene rating of 5 on 3rd May 2013. This reflects the standard of food hygiene found on the date of the most recent inspection by the local authority.

Is the service effective?

People's health, social and care needs were assessed with them and they were involved in writing and reviewing their care plans. Specialist dietary, mobility and equipment needs had been identified in care plans where required. Care plans were reviewed every month and when people's needs changed.

From the training records we viewed we found staff had received training to enable them to meet the needs of the people who used the service. Discussion with staff and examination of records confirmed a programme of training was in place so all members of staff were kept up to date with current practice.

The people we spoke with told us they were happy with the care they received and said their needs were met. They spoke positively about the care they received and the staff who supported them. From what we saw and from speaking with staff it was clear they had a good understanding of the care and support needs of the people who used the service.

Is the service caring?

People we spoke with told us they liked living at the home. Comments included 'I like it here' and 'The staff are lovely.'

We saw the staff showed patience and gave encouragement when they were supporting people so people were able to do things at their own pace and were not rushed.

Is the service responsive?

People's needs had been assessed before they moved into the home. The records we saw confirmed people's preferences and diverse needs had been recorded and care and support had been provided in accordance with people's wishes. People had access to activities which were important to them and had been supported to maintain relationships with their friends and relatives.

Is the service well-led?

We saw documentary evidence which showed the service worked well with other agencies and services to make sure people received their care in a joined up way.

From speaking with staff we found they had a good understanding of the home's values. They told us about their roles and responsibilities and they were clear about these. We saw quality assurance processes were in place to make sure the provider monitored the care provided and made improvements where necessary. For example, satisfaction questionnaires had been completed by people who used the service and by staff which showed people were satisfied with the service.

4 November 2013

During a routine inspection

One person living at the home told us 'I'm well looked after and taken care of. The staff are all great. You can have a laugh with them'. Another said 'I wouldn't have come as far as I have without them. They keep me as independent as possible'. Another confirmed staff respected their privacy and 'always knock' before entering a bedroom.

The provider had a policy in place regarding safeguarding vulnerable adults. This was displayed in the reception area and readily accessible to people using the service. All members of staff completed training on safeguarding.

We looked at the personnel files of three employees who worked at Wellington Lodge. The contents included completed application forms, notes of interview, photographic proof of identity and a disclosure and barring service (DBS) check. References had been supplied and evidence of conduct in previous employment concerned with the provision of services relating to social care checked.

There was an induction programme for new employees joining the company and there were arrangements in place for the on-going supervision of staff. The provider offered training and development opportunities for staff in matters relevant to their role.

Wellington Lodge is part of the Anchor Trust group. The provider had arrangements in place to assess and monitor the quality of service provided in their homes.

4 January 2013

During a routine inspection

People using the services of Wellington Lodge told us that they were respected and treated well by staff, were being cared for and supported appropriately and were provided with food that was of a good standard. Comments made included;

'I have always been spoken to with respect.'

'My care has been really good and the staff are kind and patient.'

'My relative has generally received good care here, but there has been one issue I have had to raise three times.'

'I have greatly improved since coming to this home, I have been treated well.'

'The care I have received has been second to none. The staff help me with the things I can no longer do for myself. If I am not well they get the doctor to come to see me.'

We found that people were being cared for in a suitable environment by adequate numbers of appropriately trained staff. A suitable system to deal with complaints was being operated.

22 November 2011

During a routine inspection

People living at Wellington Lodge told us they were treated with respect and that staff preserved their dignity. They also said that the care and support they were receiving was safe and appropriate and that they were treated as an individual.