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Inspection Summary


Overall summary & rating

Good

Updated 14 April 2016

We inspected this service on 2 March 2016. The inspection was unannounced. Our last inspection took place on 9 September 2013 when we found the provider was meeting all the standards we inspected.

The Lodge Nursing Home is registered to provide accommodation and nursing care for up to 10 people.

There was 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.

Some improvements were required to ensure the quality of the service was monitored to drive change. There was insufficient information provided to explain when people might need ‘as required’ medicines. People were protected from avoidable harm and abuse because staff understood their responsibilities and the actions they needed to take to protect people. People’s risks were assessed and there were management plans in place to ensure people were supported appropriately. Medicines were stored, recorded and administered correctly which ensured people received the treatments prescribed for them.

There were suitable recruitment checks in place to ensure staff were suitable to work within a caring environment. Staff received training and support to enable them to care for people effectively. People were able to choose nutritious meals and were offered frequent drinks to maintain their health and wellbeing. The advice of healthcare professionals was sought and implemented for people whenever specialist advice was required.

The provider recognised the importance of gaining consent from people and the requirements of the Mental Capacity Act 2005. There were arrangements in place to support people when they needed help with decision making.

Staff were kind, attentive, caring and showed an interest in people and their families. Staff understood people’s right to privacy and promoted their dignity by offering support and delivering personal care in a discreet way. Relatives were welcomed and supported by staff.

Staff knew people well and offered a personalised approach to care. People were encouraged to participate in hobbies and activities which interested them. Staff spent time socialising with people on a one to one basis.

People, relatives and staff felt supported by the registered manager and the acting manager. There were opportunities to share views on the service as there was an open and transparent ethos in the home.

Inspection areas

Safe

Good

Updated 14 April 2016

The service was safe. People were supported by staff who understood how to protect them from abuse and avoidable harm. There were a sufficient number of suitably recruited staff to support people and keep them safe. People�s medicines were managed, administered and recorded correctly to ensure people received their prescribed treatments.

Effective

Good

Updated 14 April 2016

The service was effective. People were cared for by staff with the knowledge and skills to support them effectively. Staff understood and worked within the requirements of the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. People received nutritious food and drinks of their choice.

Caring

Good

Updated 14 April 2016

The service was caring. People received care and support from kind and caring staff who demonstrated an interest in their wellbeing. Staff recognised and promoted people�s privacy and dignity. People were supported to maintain the relationships which were important to them.

Responsive

Good

Updated 14 April 2016

The service was responsive. People received care which recognised their preferences because staff understood what was important to them. People were encouraged to take part in hobbies and social activities to prevent them from becoming socially isolated. People and their relatives were supported to share compliments, concerns and complaints.

Well-led

Requires improvement

Updated 14 April 2016

The service was not consistently well-led. Improvements were required to the way the quality of the service was monitored. More guidance was required for staff on medicines used occasionally. People, their relatives and staff had opportunities to discuss changes in the home and their opinions were encouraged and when necessary, acted upon.