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Valley Lodge Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 22 October 2020

Valley Lodge Care Home is a residential care home providing personal and nursing care to 26 people at the time of the inspection. The service can support up to 47 people.

The care home is an adapted and extended property which has recently been zoned to provide two main accommodation areas, each with access to an outside space. There are also two separate isolation areas.

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

People were not always safe. We found there were improvements needed to water hygiene risk management.

People were not always supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive ways possible, or in their best interests; the policies and systems in the service did not support this practice. This was a continued area of concern from the last inspection.

We made a recommendation about medicines as we were concerned at how they were being managed.

Risks associated with people and the environment were thoroughly assessed and there were extensive security measures including key pad entry systems and extensive CCTV coverage.

Staff were safely recruited and most people’s feedback told us there were sufficient staff deployed.

Infection prevention and control was very good and the home had been adapted to facilitate safe management of infection should there be cases of Covid-19.

Staff had a working knowledge of the MCA and ensured people were offered choices.

Assessments are care plans were completed and care plans were displayed on the e-care system so staff could refresh themselves each time they undertook a care task.

Staff had received both formal and informal supervision, particularly during the pandemic. There had also been counselling provided should staff wish to participate.

Face to face staff training had been temporarily suspended during the pandemic. Alternatives such as workbooks and online learning had replaced some courses to ensure staff maintained their knowledge.

Most relatives were happy with the dietary and fluid support provided however we had one specific concern that a family member had lost significant weight and this had not been properly dealt with.

Healthcare professionals were available as required. Additional safety measures such as using full PPE were in place to facilitate their access to the service.

The service was well designed and had specific areas designed for reminiscence to enhance the lives of people living with dementia.

People were supported to live fulfilling lives.

The provider was aware of their responsibilities under the duty of candour. Relatives felt that communication could be improved.

The nominated individual was very supportive to the registered manager and there was a management team in place who oversaw particular areas of the service. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

Care staff told us that support from the management team was good and they were approachable.

We received mixed feedback from health and social care professionals about how engaged the provider was with them.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 5 January 2019). The service remains rated requires improvement.

At our last inspection, the provider was in breach of Regulation 11 of the Health and Social Care Act, Regulated Activities Regulations 2014, need for consent. At this inspection we found, although some improvements had been made, there were almost half of the inspected consent documents either not signed by someone with legal authority to do so or not signed. Not enough improvement had been made or sustained and the provider was still in breach of regulations. We found that the provider was also in breach of Regulation 12 of the Health and Social Care

Inspection areas

Safe

Requires improvement

Updated 22 October 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 22 October 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 22 October 2020

Responsive

Good

Updated 22 October 2020

Well-led

Requires improvement

Updated 22 October 2020

The service was not always well-led.

Details are in our well-led findings below.