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Inspection Summary


Overall summary & rating

Good

Updated 18 October 2017

Whitestone Lodge is a residential care home situated in the area of Roby, Liverpool. The service provides residential care for up to 20 people including people who are living with dementia. There are two floors accessed via stairways and passenger lift. At the time of our visit there were 18 people living at the service.

At the last inspection in November 2014, the service was given a rating of “Good” with one area highlighted for improvement which related to consent to care and treatment. At this inspection we found the area for improvement had been met.

People told us they felt safe living at Whitestone Lodge and were supported by staff that knew them well. One visiting relative told us “I have total peace of mind”.

The registered provider had appropriate policies and procedures in place for the management of safeguarding concerns. Staff had received training and demonstrated their understanding of abuse and actions they would take if they were concerned.

Staff recruitment procedures were safe and robust. Staff had received appropriate training and told us they were well supported. Staff demonstrated a good knowledge and understanding of the people they supported.

People told us sufficient staff were on duty at all times to meet their needs. Discussions with staff, relatives and our observations confirmed this.

Medicines were appropriately ordered, stored and administered by trained and competent staff. Medication administration records (MARs) were fully completed and signed. The registered provider regularly audited the medicines and completed actions as required.

Care plans and risk assessments were person centred and demonstrated the involvement of people and their relatives, where appropriate. These documents were reviewed and updated regularly.

The registered manager understood the requirements of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). This meant they were working within the law to support people who may lack capacity to make their own decisions.

People told us they were always offered a variety and choice of meals. Individual dietary requirements were met in accordance with people's care plans. We saw people had access to regular snacks and drinks throughout the day.

The building was well maintained, clean and free from unpleasant odours. All equipment was well maintained and regularly serviced.

People living at the home and their relatives knew how to raise a concern or complaint.

The registered provider undertook regular audits to monitor the quality of the service. The registered provider regularly sought people’s views to continually improve and develop the home.

Inspection areas

Safe

Good

Updated 18 October 2017

The service was safe.

People and their relatives told us there were enough staff available to meet the needs of the people living at the service.

There were appropriate arrangements in place for the safe management of people's medicines.

Staff demonstrated a good understanding of safeguarding procedures and explained clearly the indicators of abuse.

Effective

Good

Updated 18 October 2017

The service was effective.

People were supported to make choices in relation to their food and drinks.

The registered provider had systems in place to assess people's ability to make their own decisions under the Mental Capacity Act 2005 (MCA).

People had access to healthcare professionals when required.

Caring

Good

Updated 18 October 2017

The service was caring.

People told us they were supported by caring staff that respected their privacy and dignity.

People appeared comfortable and had developed positive relationships with staff.

Staff supported people to maintain their independence.

Responsive

Good

Updated 18 October 2017

The service was responsive.

People's care plans focused on their whole life and staff demonstrated a good understanding of the people they supported.

People were supported to participate in activities of their choice.

People and their relatives knew how to raise a concern or make a complaint.

Well-led

Good

Updated 18 October 2017

The service was well-led.

The registered provider had audit systems in place that identified areas for development.

The management team were approachable and understood the responsibilities of their roles.

The registered provider sought feedback from people living at the home and their relatives.