We carried out a review of the data available to us about Titchfield Lodge on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Titchfield Lodge, you can give feedback on this service.
People’s experience of using this service:
• People using the service experienced positive outcomes. Care was designed to meet their needs and support people to develop their independence. Staff were able to provide positive behavioural support to reduce the risks from behaviour which may challenge by de-escalating situations and maintaining routines which were important to people. People were supported to develop their independence and to improve their health and community involvement.
• The care service has 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.
• The provider followed safe recruitment processes. Staffing levels were planned to meet people’s needs. Sufficient staffing levels were in place to ensure people’s needs were met al all times.
• We observed positive interactions between people using the service and staff. Staff were able to communicate effectively with people using a range of tools. People’s plans were reviewed regularly to make sure their needs and goals were met. The provider worked closely with the local authority and health teams in order to meet people’s needs and manage risks to their health and wellbeing. The provider assessed peoples’ ability to make particular decisions and met legal requirements to act in people’s best interests when they were not able to do so.
• The registered manager had systems in place to ensure good communication, to develop staff skills and knowledge and to ensure the service remained of a good standard. There were systems to learn from incidents and from people and the service was open about when things had gone wrong. People were safeguarded from abuse and improper treatment. People’s medicines were safely managed with appropriate oversight and measures to prevent over-medication.
• Feedback from healthcare professionals and relatives was positive.
Rating at last inspection: At our last inspection we rated the service ‘good’. At this inspection we found the provider remained ‘good’.
Why we inspected: This was a planned and comprehensive routine inspection.
Follow up: The service has been rated ‘good. We will continue to monitor the service and will carry out another comprehensive inspection within 30 months of this report.
The service had a registered manager. 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.
Risks associated with people’s care were identified and plans had been developed to reduce any risks. Incidents and accidents were recorded and monitored on a regular basis. Medicines were stored safely and administered as prescribed. Fire safety checks were being carried out by staff and there were plans for any emergencies. Procedures in relation to recruitment of staff had been followed ensuring the safety of people.
Staffing levels were planned to meet the needs of people. Staff received appropriate training and support to meet people’s needs. People had developed good relationships with staff who were caring and knowledgeable in their approach. People were treated with dignity and respect. People’s support plans reflected their current needs. Staff had tried to include people in the development of their care plans. Relatives told us their family members were well looked after and safe at the home. There were clear procedures in place for safeguarding people at risk and staff were aware of their responsibilities and the procedures to follow in keeping people safe.
The Care Quality Commission (CQC) monitors the operation of the Deprivation of Liberty Safeguards (DoLS) which applies to care homes. The registered manager and staff had a good understanding of DoLS and the action they needed to take. Applications had been made to the local authority and considerations had been given to updating the applications. Staff demonstrated a good understanding of the need for consent and an understanding of the Mental Capacity Act 2005. The registered manager and staff knew how to undertake assessments of capacity and when these may need to be completed.
People were provided with a choice of healthy food and drink ensuring their nutritional needs were met. People’s physical and emotional health was monitored and appropriate referrals to health professionals had been made.
Details of the complaints procedure were displayed around the home in a pictorial format. The home had a complaints procedure. The registered manager operated an open door policy and encouraged staff to make suggestions or discuss any issues of concerns. A system of audits was in place and used to identify where improvements could be made.
This unannounced inspection took place on 16 and 20 July 2015.
Titchfield Lodge provides support and accommodation for up to four people who live with a learning disability. At the time of our inspection there were four people living in the service.
The service had a registered manager. 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.
Risks associated with people’s care were identified and plans had been developed to reduce any risks. Incidents and accidents were monitored and used to inform the delivery of care. Medicines were stored safely and administered as prescribed. However the records were not always accurate when medicines were being taken out of the home.
Staffing levels were variable with bank and agency staff being used whilst more staff were being recruited. Staff received appropriate training and support to meet people’s needs. Procedures in relation to recruitment of staff were followed. All required information was obtained to ensure recruitment decisions were keeping people safe.
People had developed good relationships with staff who were kind and caring in their approach. People were treated with dignity and respect. Three of the four care plans had been updated to reflect people’s current needs. Staff had tried to include people in the development of the care plans. People were provided with activities but these were not always matched to meet individual needs.
Relatives told us they felt their relatives were well looked after and safe at the home. There were clear procedures in place for safeguarding people at risk and staff were aware of their responsibilities and the procedures to follow in keeping people safe.
The Care Quality Commission (CQC) monitors the operation of the Deprivation of Liberty Safeguards (DoLS) which applies to care homes. The registered manager and staff had a good understanding of DoLS and the action they needed to take. Appropriate applications had been made to the local authority.
Staff demonstrated a good understanding of the need for consent and an understanding of the Mental Capacity Act 2005. The registered manager and staff knew how to undertake assessments of capacity and when these may need to be completed.
People were provided with a choice of healthy food and drink ensuring their nutritional needs were met. People’s physical and emotional health was monitored and appropriate referrals to health professionals had been made.
Details of the complaints procedure were displayed around the home in a pictorial format. The home had a complaints procedure and a log of complaints.
The registered manager operated an open door policy and encouraged staff to make suggestions or discuss any issues of concerns. A system of audits was in place and used to identify where improvements could be made. Action plans were developed to ensure identified improvements were taken forward.
We identified three breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of this report.