Keevan Lodge

Updated 9 July 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by one inspector.

Service and service type

Keevan Lodge is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Keevan Lodge is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We also reviewed the action plan submitted by the provider following the last inspection. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with the registered manager, head of human resources, two care staff and three people who used the service. We reviewed a range of records including three staff files; recruitment, supervision, induction and appraisal. We also looked at one person’s care plan and risk assessment, three people’s medicines, health and safety records including accidents and incident and fire safety. We also observed people’s interactions with staff.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We reviewed a variety of records relating to the management of the service, including policies and procedures. We also looked at another person’s care plan and risk assessment. We spoke with two care staff and one relative.

Updated 9 July 2022

About the service

Keevan Lodge is a residential care home providing personal care to people with learning disabilities and mental health conditions. The care home accommodates three people in a terraced house and was fully occupied at the time of the inspection.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

The service had been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen. However, people were given choices and their independence and participation within the local community encouraged.

Right Support

People were supported to maintain their independence and lead full lives. Staff understood how to effectively support people as individuals. The service supported people to have the maximum possible choice, control and independence be independent and they had control over their own lives. People were encouraged and supported to attend routine healthcare appointments to ensure their wellbeing. The service worked in collaboration with people to help plan and review their care.

Right Care

People were supported by staff who understood their individual needs. We observed kind and caring interactions between people and staff. People were supported by staff who were well trained and had also received training in working with people living with autism and learning disabilities. Staff understood what was important to people and supported them to take part in activities that were meaningful to them.

Right culture

The service was well run and staff were passionate about working with people. The values of the service were reflected in the care people receive. The service ensure staff understood best practices around making sure people were treated as individuals. People’s opinions were important and there were numerous systems of gaining people’s feedback. Auditing systems and people’s feedback ensured there was oversight of the care being provided. Where any learning was identified this was used to improve the quality of care.

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

Rating at last inspection

The last rating for this service was requires improvement (published 19 February 2021) and there were breaches of regulation around the safe management of medicines and management oversight of the service. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of the regulations (regulations 12 and 17).

Why we inspected

We undertook this inspection to assess that the service is applying the principles of Right support right care right culture.

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.