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Inspection Summary


Overall summary & rating

Outstanding

Updated 2 November 2018

Manor Lodge provides accommodation, personal care and nursing for up to 120 people some of whom may be living with dementia. At the time of our inspection, 117 people were living at the service. The service was delivered in a purpose built building set over two floors divided into seven units. The service was set in a residential area with easy access to the local community and had a large garden. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission regulates both the premises and the care provided, and both were looked at during this inspection.

At the last inspection, the service was rated Good. At this inspection we found the evidence supported a rating of outstanding in caring and well led, 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.

Staff were well trained and attentive to people's needs. Staff were very compassionate and able to demonstrate that they knew people well. Staff created a homely environment and treated people like family with dignity and respect. Staff were passionate about providing individual care to people that added value to their lives. Staff were inclusive of people’s choices and beliefs and treated people with dignity and respect.

Staff shared the registered manager’s vision to provide outstanding care. There was an inclusive culture at the service and people’s, relatives and staff’s views and opinions were listened to. There was a strong governance framework and the service worked towards making continuous improvements, by following research and using innovative ideas.

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare. There were systems in place to minimise the risk of infection and to learn lessons from accidents and incidents. People were cared for safely by staff who had been recruited and employed after appropriate checks had been completed. People’s needs were met by sufficient numbers of staff. Medication was dispensed by staff who had received training to do so.

People were safeguarded from the potential of harm and their freedoms protected. Staff were provided with training in safeguarding adults from abuse, Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS). People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice.

People had sufficient amounts to eat and drink to ensure their dietary and nutritional needs were met. The service worked well with other professionals to ensure people’s health needs were met. People's care records showed that, where appropriate, support and guidance was sought from health care professionals, including a doctor, district nurse, tissue viability nurse, palliative care nurse and dementia specialist. The environment was appropriately designed and adapted to meet people’s needs.

People were provided with the opportunity to participate in activities which interested them at the service. These activities were diverse to meet people’s social needs. People knew how to make a complaint should they need to. People were provided with the appropriate care and support at the end of their life.

Inspection areas

Safe

Good

Updated 2 November 2018

The service remains Good.

Effective

Good

Updated 2 November 2018

The service remains Good.

Caring

Outstanding

Updated 2 November 2018

The service has improved to Outstanding

The service was exceptionally caring.

People and relatives repeatedly told us how caring and kind the staff were.

Throughout the inspection we saw the positive relationships that had formed between staff and people.

Staff were passionate about providing individual care to people that added value to their lives. Staff were inclusive of people�s choices and beliefs and treated people with dignity and respect.

Responsive

Good

Updated 2 November 2018

The service remains Good.

Well-led

Outstanding

Updated 2 November 2018

The service has improved to outstanding

The registered manager and staff were passionate about providing people with the best care and experience possible.

Staff shared the registered managers vision to provide outstanding care.

There was an inclusive culture at the service and people�s, relatives and staffs views and opinions were listened to.

The registered manager had formed strong relationships with partnership agencies to provide support at the service.

There was a strong governance framework and the service worked towards making continuous improvements, by following research and using innovative ideas.