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Inspection Summary


Overall summary & rating

Good

Updated 12 December 2018

Mar Lodge is a care home for a maximum of seven people with learning disabilities and autism. The service comprises of two semi-detached buildings made into one larger home. All bedrooms are single rooms.

The service was registered with the CQC prior to the CQC’s publication of ‘Registering the Right Support’ guidance for homes which accommodate people with learning disabilities and autism. Our guidance now says people with learning disabilities should not live in homes of more than six people. At the time of our visit, whilst registered for seven people, six people lived in the home.

At our last inspection we rated the service as ‘good’. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Most areas of the service continued to be safe. However, the kitchen and laundry area posed some potential risks to people’s safety and infection; and the facilities in the communal bathroom meant people could not be as independent with personal care as they could potentially be. There were regular checks made on water, gas, electric and fire systems to support people’s safety. People received their medicines as prescribed. Staff understood the risks to people’s health and wellbeing and acted to lessen each risk. Checks had been made on staff before they started working for the service to make sure they were safe to work with people. There were enough staff on duty during a 24-hour period to meet people’s needs.

The service continued to be effective. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The principles of the Mental Capacity Act (MCA) were followed. People enjoyed the meals prepared at the home. People attended appointments when required, with different health and social care professionals. Staff received training to support them to work effectively with people who lived at the home.

The service continued to be caring. People were treated with dignity and staff respected their privacy. Staff were kind to people, and had developed positive relationships with the people they supported. They understood people’s needs and preferences, and what was important to them. The service supported people to maintain and develop relationships with their family.

The service continued to be responsive. People’s individual needs were catered for very well by staff who worked at the home. They had an excellent understanding of what mattered to people. People lived purposeful lives having opportunities to work in the community, as well as pursuing their interests and hobbies. Information was available throughout the home in formats which supported people's needs. There was a complaints procedure, although no complaints had been made to the service since our last inspection. Procedures were in place for planned end of life care.

The service continued to be well-led. The registered manager and deputy manager worked hard to ensure a good quality of service was maintained. Management was inclusive, and the opinions of people and staff mattered. The registered manager provided good support to the staff group, and to people who lived at the home. Checks were made to ensure the service met its obligations to provide safe accommodation to people and to deliver care and support which met people’s individual needs.

Inspection areas

Safe

Requires improvement

Updated 12 December 2018

The service was not always safe. Some aspects of the kitchen, laundry and bathroom required attention. The service remained safe in all other areas.

Effective

Good

Updated 12 December 2018

The service remained effective.

Caring

Good

Updated 12 December 2018

The service remained caring.

Responsive

Good

Updated 12 December 2018

The service remained responsive.

Well-led

Good

Updated 12 December 2018

The service remained well-led.