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Chester Lodge Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 24 April 2020

Chester Lodge is a three-storey building providing personal and nursing care for up to 40 people. The service was supporting 35 people at the time of the inspection. The service supports people living with dementia.

People’s experience of using this service and what we found

The system for recording people’s individual medicine stock quantities was not effective and reliable, stock balances could not be established, and excessive stock amounts were being held. Staff had access to medicines policies and procedures as well as best practice guidelines.

The care plans and daily records for people were not consistently stored for ease of access. They had recently been transferred on to an electronic care plan system. The system was still being developed and further work was required to ensure care plans were reflective of people’s individual needs, routines and preferences.

Staff told us they had completed training and they demonstrated competence. Records were unclear and training information and supervision records were not readily accessible.

The provider audit processes had not identified the areas for improvement highlighted within the inspection process.

People’s needs had been fully assessed prior to them being supported by the service. They told us they had been involved in the development of their care plans. Risk assessments were in place to ensure people’s needs could be met and risks reduced or mitigated. These were being developed further to ensure they were personalised.

Safe recruitment procedures were in place and people were supported by regular staff. There were enough staff to meet the needs of the people supported. However; we spoke to the provider about the deployment of staff to meet the needs of the people supported and they addressed this immediately.

People were protected from the risk of harm and abuse. Staff felt confident to raise any concerns they had. Staff understood how to minimise the risk of infection being spread and clearly described the procedures they followed.

People received care and support from staff that knew them well and were kind and caring. People’s privacy and dignity was respected, and their independence promoted. People and their relatives spoke positively about the management and staff team.

People were supported to eat and drink in accordance with their assessed needs and personal preferences. People spoke positively about the food and drink at the service.

People participated in activities and were supported and encouraged to maintain contact with relatives. Staff communicated with people in ways that were meaningful to them.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Feedback from people and their relatives was regularly sought. People spoke positively about the service and many compliments had been received.

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

Rating at last inspection

The last rating for this service was requires improvement (published 5 March 2019) The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection enough improvement had not been made and the provider was still in breach of regulations.

The service remains rated requires improvement. This service has been rated requires improvement for the last three consecutive inspections.

Why we inspected

This was a planned inspection based on the previous rating.

We have identified breaches in relation to regulation 17 due to records not being readily accessible and information being unclear at this inspection.

Follow-up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will meet with the provider to find out wh

Inspection areas

Safe

Requires improvement

Updated 24 April 2020

The service was not always safe.

Details are in our Safe findings below.

Effective

Requires improvement

Updated 24 April 2020

The service was not always effective.

Details are in our Effective findings below.

Caring

Good

Updated 24 April 2020

The service was caring.

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 24 April 2020

The service was not always responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 24 April 2020

The service was not always well-led.

Details are in our Well-led findings below.