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Maple Leaf Lodge Care Home Good

Inspection Summary


Overall summary & rating

Good

Updated 7 March 2020

About the service

Avery Lodge is a residential care home which provides accommodation and personal care for up to 64 older adults and people living with dementia. There were 59 people living at Avery Lodge on the day of our inspection.

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

People were protected from abuse. Staff were knowledgeable about how to recognise and report abuse. Systems were in place to ensure peoples safety, although these were not always effective in determining the level of risk associated with falls. The registered manager took immediate steps to ensure peoples falls risks were reviewed and the correct measures were in place. Risks associated with choking and skin integrity were managed appropriately and records were clear for staff to follow. Medicines were managed appropriately. Records of staffing levels showed the home was being staffed according to people's needs. Staff told us staffing levels were sufficient but said staff sickness sometimes affected this. Staff were recruited safely and in line with regulation.

People’s needs were assessed prior to moving into the home. Some people told us they were not satisfied with the quality of the food and told us the kitchen occasionally ran out of ingredients and condiments. We informed the registered manager who evidenced a plan to resolve the issues. Staff told us they received training they needed to do their job well. Staff told us they felt supported in their roles. People’s consent to care was sought. 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.

Staff were caring thoughtful and attentive. Staff seemed motivated and enthusiastic in their roles. People and relatives consistently told us staff were kind and caring and they were treated well. People were given the opportunity to express their views regularly and were involved in their care.

Staff were knowledgeable about how to maintain privacy and dignity.

Care planning captured people’s fundamental needs, but some development was required to capture more detail about people's likes and dislikes and what is important to them. The way people were involved in reviewing their care needed further development. We discussed this with the registered manager who developed a plan to address this. People knew how to complain and raise concerns and were listened to. Complaints were responded to appropriately and in line with policy. People were given the opportunity to take part in regular activities of their choosing. People took part in a variety of activities which they enjoyed.

There was a new registered manager who had plans to develop and improve the service. Staff were complimentary about the support they received from their managers. People and relatives were complimentary about the way the registered manager responded to issues and were happy with the support provided since in post. Processes were in place to ensure the delivery of care was monitored and checked regularly. Governance systems identified areas for improvement and plans were developed and actioned. The registered manager and the team built good working partnerships with other health and social care professionals and was developing and building links in the community.

Rating at last inspection

The last rating for this service was Good (published 02 June 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 7 March 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 7 March 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 7 March 2020

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 7 March 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 7 March 2020

The service was well-led.

Details are in our well-Led findings below.