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Archived: Abbi Lodge Residential Home

Overall: Good read more about inspection ratings

13 Clifton Road, Weston Super Mare, Somerset, BS23 1BJ (01934) 642251

Provided and run by:
Mrs Lorraine Mutch

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Background to this inspection

Updated 23 December 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This comprehensive unannounced inspection took place on 22 November 2017. This inspection was carried out by one inspector and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Before the inspection we reviewed the intelligence we held internally about the service. On the day of the inspection we spoke with seven people, one visitor, two members of staff and the registered manager.

We looked at three people’s care and support plans and medicine administration records. We also looked at records relating to the management of the service such as the incident reports, meeting minutes, audits, recruitment, staff supervision and training records.

Overall inspection

Good

Updated 23 December 2017

We carried out an unannounced comprehensive inspection on 22 November 2017.

The previous comprehensive inspection was undertaken in August 2016. At the inspection in August 2016 the provider had breached one regulation of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The breach related to safe care and treatment. Following the previous inspection the provider sent us an action plan telling us how they were going to address the breach. The service was rated as ‘Requires Improvement.’

You can read the report from our last comprehensive inspection, by selecting the 'All reports' link for Abbi Lodge Residential Home, on our website at www.cqc.org.uk.

Abbi Lodge Residential Home is registered to provide accommodation and personal care for up to seven older people. At the time of our inspection there were seven people living at the service.

There was a registered manager in post at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the home. 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 home is run. The registered manager is also the provider of the service.

Following the previous inspection conducted in August 2016 we raised concerns relating to medicines management, lone working risk assessments, environment risks and recruitment checks. At this inspection we found sufficient improvements had been made.

Care plans contained risk assessments for areas such as mobility, falls, personal care needs and bathing. These had all been reviewed regularly and when risks had been identified, the plans provided guidance for staff on how to reduce the risk of harm to people.

Environmental checks had been undertaken regularly to help ensure the premises were safe. People were cared for in a safe and clean environment and regular infection control audits were undertaken.

At our previous inspection people were at risk of having their human rights breached because Deprivation of Liberty Safeguards (DoLS) were not always followed. At this inspection we found sufficient improvements had been made. The provider had met their responsibilities with regard to the DoLS. DoLS is a framework to approve the deprivation of liberty for a person when they lack the mental capacity to consent to treatment or care and, need protecting from harm.

People received effective support from staff that had the skills and knowledge to meet their needs. Staff said they felt well supported and all had regular appraisal and supervision sessions. Supervision is where staff meet one to one with their line manager.

People’s nutrition and hydration needs were met. People were supported to maintain their well-being and good health and had access to on-going healthcare

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People told us that they felt well cared for and the staff were caring. We observed positive interactions between staff and people using the service. People seemed relaxed around the staff, they were smiling and chatting. Staff spoke positively about their roles and knew people well. They were aware of people’s personal history and demonstrated an in-depth understanding of their needs and preferences. We observed that people's privacy and dignity was respected at all times.

Care plans contained details of people’s preferences and choices regarding the care and support they needed. Care plans had been regularly reviewed. They were written in conjunction with the person and where appropriate family members.

The provider had systems in place to receive and monitor any complaints that were made. The service had not received any formal complaints in 2017. People told us they would speak to the registered manager if they unhappy with the level of service they were receiving.

People had access to a limited range of activities. The registered manager told us they are addressing this issue by appointing an activities coordinator who would be arranging activities inside and outside of the service.

Relatives were welcomed to the service and could visit people at times that were convenient to them. People maintained contact with their family and were therefore not isolated from those people closest to them.

The provider had systems and processes for identifying and assessing risks to the health, safety and welfare of people who use the service. Staff felt well supported by the registered manager. People were encouraged to provide their views and actions were taken as a result.