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Worstead Lodge Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 23 July 2019

About the service: Worstead Lodge is a residential care home that provides personal care to 20 people living with a learning disability. Accommodation is spread over five buildings; the main house and four self-contained bungalows.

People’s experience of using this service:

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

People were cared for by staff who understood safeguarding principles.

Medicines were generally managed safely however more support is required for people who self-administer.

The storage of people’s medicines needs to be improved.

Further improvements to the management and oversight of records are needed.

Staff supported people to keep safe by assessing risks and identifying measures to mitigate potential causes of harm.

The service was person - centred and assessed people’s needs and individual preferences.

Health care professionals were involved in people’s care.

People were supported to have maximum choice and independence.

Staff sought people’s consent and supported them in the least restrictive way possible.

People were supported to pursue their own hobbies and interests.

People were involved in making decisions about their care.

Staff were knowledgeable about individual people and knew how to communicate well with them.

People were relaxed in the company of staff.

There was a friendly, open and welcoming atmosphere and a positive culture in the service.

The service remains in breach of Regulation 17 HSCA RA Regulations 2014 ‘Good Governance’.

We made recommendations about staff training and support for people who self-administer medicines.

Rating at last inspection: Requires Improvement (January 2018)

Why we inspected: This was a scheduled, planned inspection based on the previous rating

Follow up: ongoing monitoring; seeking an improvement plan; meeting with the provider

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection areas

Safe

Requires improvement

Updated 23 July 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Good

Updated 23 July 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 23 July 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 23 July 2019

The service was responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 23 July 2019

The service was not always well-led.

Details are in our Well Led findings below.