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Elizabeth Lodge Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 17 July 2019

About the service

Elizabeth Lodge is a nursing and residential care home providing personal and nursing care to people aged 65 and over. At the time of the inspection the service was supporting 75 people.

Elizabeth Lodge can accommodate up to 87 people across five separate units called Windsor, Tudor, Hanover, Stuart and York. Each unit has separate adapted facilities. The units specialise in providing nursing and residential care to people including those living with dementia.

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

People were not always receiving care that respected and promoted their dignity.

Care was seen to be task focused with minimal interaction and stimulation taking place especially between people and the staff supporting them.

The lack of activities, interaction and stimulation for people on individual units, especially those who did not join in with group activities was not person centred and did not promote people’s well-being.

We have made a recommendation about the appropriate deployment of staff to ensure people’s safety at all times.

Despite management audits and checks that monitored the quality of care people received identifying these issues, sufficient improvements and changes had not been made to improve people’s experiences.

People and relatives were overall happy with the care and support that they received at Elizabeth Lodge. However, negative comments were made around staffing deployment, provision of activities and the level of personal care that people received.

Risks associated with people’s health, care and social care needs had been assessed to enable the safe delivery of care for each individual.

Processes in place for medicines management and administration were appropriately followed to ensure people received their medicines safely and as prescribed.

Care plans were person centred and gave information about people’s lives, their likes, dislikes and preferences.

People and their relatives told us that they felt safe and secure living at Elizabeth Lodge. Care staff understood their responsibilities around safeguarding people and the steps they would take to report their concerns.

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.

Care staff were appropriately supported through training, supervision and annual appraisals.

People were observed enjoying their meals and were given a choice of what they would like to eat and drink. Snacks and drinks were readily available and offered to people throughout the day.

People and their relatives knew who to speak with if they had a complaint or concern to raise and were generally confident that their concerns would be appropriately addressed.

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

Rating at last inspection and update

The last rating for this service was Good (published 15 December 2016). However the key question Responsive was rated as requires improvement. There were no regulatory breaches identified but improvements were required. At this inspection sufficient improvements had not been made and the provider was now found to be in breach of regulations in relation to person centred care, dignity and respect and good governance.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 17 July 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 17 July 2019

The service was effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 17 July 2019

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 17 July 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 17 July 2019

The service was not always well-led.

Details are in our well-Led findings below.