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Kallar Lodge Residential Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 27 June 2019

About the service:

Kallar Lodge Residential Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. 29 people were using the service at the time of inspection.

People’s experience of using this service:

We found two breaches of regulations because people’s safety was potentially compromised, and quality assurance and monitoring systems were not always effective. Medicines were not managed appropriately and there were not always adequate risk assessments in place for people. The service had failed to identify these areas of concern.

Procedures were in place to help protect people from the risk of abuse and staff understood their responsibility with regard to safeguarding people. There were enough staff working at the service to meet people’s needs and robust staff recruitment practices were in place. The service sought to learn lessons when accidents and incidents occurred. Steps had been taken to protect people from the risk of infection.

People’s needs were assessed before they commenced using the service to ensure those needs could be met. Staff received training and supervision to support them in carrying out their role effectively. The design and layout of the building was suitable for the people using it. People had a choice of what they ate and drank. The service worked with other agencies and professionals to support people’s health care needs. People were supported to have maximum choice and control of their lives and staff did support them in the least restrictive way possible; the policies and systems in the service did support this practice.

People told us staff were kind and caring and treated them respectfully. Staff had a good understanding of how to promote people’s privacy, dignity and independence. The service sought to meet people’s needs in relation to equality and diversity.

Care plans were in place which set out how to meet people’s needs. People and their relatives were involved in developing these plans. People had access to a range of social activities and we saw people enjoying these on the day of our inspection. Complaints procedures were in place and records showed complaints were handled in line with the procedures. Appropriate support arrangements were in place for people at the end of life stages of care.

Staff spoke positively about the leadership group and said there was a good working atmosphere. The service had links with other agencies to help develop best practice. Systems were in place for seeking the views of people who used the service and their relatives.

Rating at last inspection: At the last inspection of this service it was rated as good. The report from that inspection was published on the 14 December 2016.

Why we inspected:

This was a scheduled inspection based on the previous rating.

Enforcement:

Refer to the end of the full version of this report for details of action we have asked the provider to take.

Follow up:

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

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

Inspection areas

Safe

Requires improvement

Updated 27 June 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Good

Updated 27 June 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 27 June 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 27 June 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 27 June 2019

The service was not always well-led

Details are in our Well-Led findings below.