Background to this inspection
Updated
12 April 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection was undertaken by two inspectors and an expert by experience. An Expert by Experience is a person who has experience of using or caring for someone who uses this type of service.
Service and service type:
White Lodge is a care home providing accommodation and personal care for older people living with dementia or frailty. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The home had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
This inspection was unannounced.
What we did:
Before the inspection:
• We used information, the provider sent us in the Provider Information Return (PIR). Providers are required to send us key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections
• We looked at information we held about the service including notifications they had made to us about important events.
• We also reviewed all other information sent to us from other stakeholders for example the local authority and members of the public.
During the inspection:
• We spoke with seven people who lived at the home, the registered manager, a director, a healthcare professional, four members of staff and two relatives.
• We reviewed a range of records about people's care and how the service was managed. These included the individual care records for five people, medicine administration records for six people, three staff records, quality assurance audits, incident reports and other records relating to the management of the service.
Updated
12 April 2019
About the service:
White Lodge is a residential care home. The home is registered for up to 30 older people living with dementia or frailty. There were 25 people living at the home at the time of inspection. People had access to a communal lounge, a dining area and landscaped gardens. People each had their own bedrooms with en-suites.
People’s experience of using this service:
¿People were safe from the risk of abuse and other identified risks relating to them. Staff had a good understanding of safeguarding people from potential abuse. One relative told us, "Mum has been here for two and a half years and I feel she is safe at all times. The staff are excellent, and somebody is always available especially if people are unwell. Mum has recently been in hospital and she had more night checks from staff on her return."
¿The home was clean and people were protected from infection risks.
¿Staffing levels met people's needs and staff were suitable to work with people.
¿People received effective care from skilled, supported and knowledgeable staff. Staff received training to support people's specific needs.
¿People were supported to maintain a balanced diet and were positive about the food provided.
¿People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
¿People received kind and compassionate care. A person told us, "People are very kind to me here and we are well looked after.”
¿People's privacy and dignity were respected and their views listened to.
¿People received person centred care that was specific to their needs. Activities were tailored to meet people's interests.
¿There was a complaints procedure in place which was accessible to people.
¿People were supported with compassionate end of life care.
¿People, staff, relatives and professionals spoke positively of the management of the home. There were a range of audits in place which supported the registered manager to drive improvements to the care people received.
¿People were supported to be engaged in the running of the home and told us their feedback was acted upon.
Why we inspected:
This was a planned inspection based on the homes rating at the last inspection.
Follow up:
We will continue to monitor the intelligence we receive about this home and plan to inspect in line with our re-inspection schedule for those services rated Good.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk