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Kallar Lodge Residential Care Home Requires improvement

Reports


Inspection carried out on 30 May 2019

During a routine inspection

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 carried out on 10 November 2016

During a routine inspection

This inspection took place on 10 November 2016 and was unannounced. At the previous inspection of this service in November 2013 we found it was meeting all the regulations we looked at during that inspection.

Kallar Lodge is registered to provide accommodation and support with personal care for up to 37 older people living with dementia. The home is operated by the London Borough of Barking and Dagenham. At the time of our inspection 33 people were using the service.

The service had a registered manager in place. 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.

The service had appropriate arrangements in place for safeguarding adults from the risk of abuse. Risk assessments were in place which included information about how to support people in a safe manner. There were enough staff working at the service and robust staff recruitment procedures were in place. Medicines were managed in a safe manner. However, we found a number of minor issues of concern relating to safety at the service.

Staff were well supported and received regular training and supervision. The service was operating within the Mental Capacity Act 2005 and people were able to make choices about their daily lives, including about what they ate and drank. People had routine access to health care professionals.

People told us they were treated with respect and in a caring manner by staff. The service promoted people’s independence and privacy. However, we found that bedroom doors were not personalised and did not promote orientation for people. We have made a good practice recommendation about this.

Care plans were in place which set out how to meet people’s individual needs. People were supported to engage in a variety of activities. The service had a complaints procedure in place and people knew how to make a complaint.

Staff spoke positively of the registered manager. The service had quality assurance and monitoring systems in place, some of which involved seeking the views of people that used the service.

Inspection carried out on 13 November 2013

During a routine inspection

We spoke with 10 people who used the service, seven family members, one visitor and six members of staff which included the registered manager. We observed people using the Short Observational Framework for Inspection (SOFI). The people we spoke with told us they were happy with the care they had received. One person said, "I can�t fault the care given here, the girls are very kind and caring." Another person said, "I am pleased with my life here, they help me with things I can�t do. We saw that staff had a good rapport with people living in the home. We saw people enjoying activities and chatting with staff.

There were systems in place in place for obtaining informed consent from people who use the service. Before people received any care or treatment they were asked for their consent and the provider acted in accordance with their wishes.

We saw that all areas, including bedrooms and communal areas, were clean. No odours were evident. Staff had access to, and we saw they used personal protective equipment such as gloves, alcohol gel for cleaning hands and disposable plastic aprons. One person told us, "this place is first class and is always very clean."

We looked at staff files and saw that the service followed recruitment procedures and checked that new staff were suitable people to work in a care home.

People using the service said they could talk to staff or the manager if they had any concerns or complaints. They also felt confident that staff members would resolve their problem. One person said, "I would complain and I have and it was sorted out quickly."

Inspection carried out on 6 March 2013

During a routine inspection

People were treated with respect and their care and welfare needs were met. They were supported and encouraged to be as independent as possible. A person who used the service told us �it�s very nice here, I like it and I like the girls, they dance with me.� A relative said �they treat people properly and take good care of them." Another visitor told us �I can�t fault them. The staff are kind and patient. If she is not well they phone the doctor.�

Systems were in place to safeguarding people from abuse. One visitor said �we feel she is quite safe here.� In a quality survey a visiting professional had written �a safe and friendly house for people to be in.�

Staff received the training and support that they needed to carry out their duties and support people who used the service. A member of staff told us �I have had a lot of training over the time that I have been working for the borough and it is updated all the time as things change.�

The manager monitored the quality of the service to ensure that people were receiving a safe service that met their needs. The provider had not been regularly monitoring the service but the manager told us that a system had been introduced by which managers of the providers services would visit each others services to check the quality of care provided. We found that people who used the service and their relatives were asked for their opinions about the service and that, as far as possible, any issues raised were addressed.

Reports under our old system of regulation (including those from before CQC was created)