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Inspection Summary


Overall summary & rating

Good

Updated 7 April 2018

Laburnum Lodge is situated in the Breightmet area of Bolton. The service is owned by Bolton Council and is close to local amenities and is on a local bus route. The service provides short stay intermediate care and support for 32 people. The aim of the service is to help people to return to their own home or move in to other care settings. The care is provided 24 hours a day by local authority staff with NHS staff working daytime hours only. The following services that are involved daily in providing intermediate care includes: Nursing staff, physiotherapy, occupational therapy, Pharmacy support, social care staff, social workers and a catering and domestic team.

Laburnum Lodge is registered as a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

This inspection took place on 14 February 2018 and was unannounced. The last inspection was carried out on 17 November 2015 and was rated as ‘Good’.

The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission 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. The registered manager and the deputy manager facilitated the inspection.

There were sufficient staff on duty on the day of the inspection. We saw from rotas that the service responded to people's dependency levels to ensure the correct number of staff were deployed on each shift.

The service had a robust recruitment process and the induction programme was comprehensive. Training for staff was on-going.

Safeguarding policies and procedures were followed appropriately and staff were aware of these.

Health and safety measures were in place and equipment was maintained and tested regularly.

The service had an appropriate medicines policy in place. There were good systems in place for and medication procedures were followed by staff. However during the inspection the manager took immediate action to remedy the minor shortfalls we found.

Care plans included a range of health and personal information and were person centred. Appropriate risk assessments were held within the care plans. Staff were aware of how to deal with incidents and accidents.

Nutritional and hydration needs were catered for and mealtimes were relaxed and well managed by the service.

The service was working within the legal requirements of the Mental Capacity Act (2005) (MCA) and the Deprivation of Liberty Safeguards (DoLS).

We observed interactions between staff and people who used the service and saw that these were friendly and respectful.

The service endeavoured to work in an inclusive way, ensuring equality and diversity for everyone.

There was a range of activities on offer and people were given choices in the course of their daily lives.

Any complaints were dealt with appropriately and responded to. The service had received a number of compliments from people who had used the service and their relatives.

Staff and people who used the service described the management as approachable.

Systems were in place to assess and monitor the quality of service and the care delivered. Audits were undertaken and any issues identified and actioned within a given timescales.

Visiting times were flexible, however friends and relatives were asked try and avoid meal times so people could dine without disruption.

Inspection areas

Safe

Good

Updated 7 April 2018

The service was safe.

Safeguarding procedures were in place and staff had received training in safeguarding vulnerable adults. Staffing levels were sufficient on the day of the inspection.

Assessments were undertaken when people arrived at the service.

The service was supported with their medicines management by a pharmacy team. The team includes technicians and pharmacists. The team gives very good support to the staff at Laburnum Lodge.

Effective

Good

Updated 7 April 2018

The service was effective.

People were supported by staff that were sufficiently trained, skilled and experienced to support them

The registered manager and staff were aware of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguard (DoLS).

A team of healthcare professional were based at the service to help ensure people’s health and well-being.

Caring

Good

Updated 7 April 2018

The service was caring.

People who used the service were treated with kindness and respect. Staff were respectful of people’s rights and privacy.

Care and support was provided in accordance with people’s wishes and in preparation for discharge back home.

Responsive

Good

Updated 7 April 2018

The service was responsive.

Care plans were in place outlining people’s support needs during their stay and what action would be required to ensure a safe discharge home.

The registered manager and all the teams based at the service worked together to make sure people received care and support in a coherent way.

People who used the service and their relatives knew how to make a complaints and were confident they would be listened to.

Well-led

Good

Updated 7 April 2018

The service was well led.

A range of audits were in place to monitor the health safety and welfare of people who used the service.

The service had clear lines of accountability. Staff understood their role and were committed to providing a good standard of support for people in their care.

The registered manager consulted with stakeholders , people they supported and relatives for their input on how they could continually improve.