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Princess Lodge Limited Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 9 October 2019

About the service

Princess Lodge is a residential care home providing personal and nursing care to 31 people aged 65 and over at the time of the inspection. The service can support up to 32 people.

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

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.

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

A dependency tool was in place to assess staffing levels in the home. However, people, relatives and staff raised concerns about staffing levels in the home and staffs’ ability to respond to their needs in a timely manner.

People felt safe and were supported by a group of safely recruited staff who were aware of the risks to them and how to manage those risks on a daily basis. Where safeguarding concerns arose, they were acted on and responded to appropriately. People were supported to receive their medicines as prescribed by trained staff who had their competencies assessed. Accidents and incidents were reported and acted on appropriately and analysed for any trends.

Staff felt supported and well trained. Staff received training that was appropriate to them in their role and supported them in provided care in the way people wanted. New staff benefitted from an induction that included shadowing more experienced members of staff. Staff supported people to access a variety of healthcare agencies in order to maintain good health.

People spoke positively about the choices of food that were provided. We observed people were offered a variety of drinks throughout the day to support their wellbeing.

Staff had a good understanding of obtaining people’s consent prior to supporting them and the manager had a good understanding of the principles of the Mental Capacity Act (MCA). 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

Staff were seen to be kind and caring in their interactions with the people they supported. People were treated with dignity and respect and supported to maintain their independence where possible.

People were supported to take part in activities, but not everyone in the home benefitted from these experiences and the manager was looking to ensure people who were nursed in bed benefitted from regular social interaction.

People’s opinions matter and they were given the opportunity to raise any issues or concerns they may have through meetings or surveys. People had no complaints but were confident that if they did raise an issue it would be dealt with appropriately.

Staff were highly complimentary of the manager who had introduced a number of changes to they way they worked. Staff felt supported and listened to. The manager had a plan for action to continually improve the service and staff were on board with the plans for improvement.

A variety of audits were in place to provide the manager with oversight of the service.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Princess Lodge on our website at www.cqc.org.uk.

Rating at last inspection

The last rating for this service was good (published 25 January 2017).

Why we inspected

This was a planned inspection based on the previous rating.

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.

Inspection areas

Safe

Requires improvement

Updated 9 October 2019

The service was not always safe.

Effective

Good

Updated 9 October 2019

The service was effective.

Caring

Good

Updated 9 October 2019

The service was caring.

Responsive

Good

Updated 9 October 2019

The service was responsive.

Well-led

Requires improvement

Updated 9 October 2019

The service was not always well led.