You are here

Inspection Summary


Overall summary & rating

Good

Updated 9 August 2018

Byker Lodge is a service which provides short stay care for people living with dementia, who require emergency care in crisis situations. The service provides accommodation and personal care and support for a maximum of 25 people. The premises is split over 3 floors, has a communal lounge, two large sunrooms, bathrooms, laundry, garden area, offices and a kitchen/dining area which have all been designed to support and encourage people’s independence. At the time of the inspection there were 18 people using the service.

We carried out an unannounced comprehensive inspection of Byker Lodge on 15 and 16 March 2018. This meant that the provider and staff did not know we were coming.

At the last comprehensive inspection we rated this service overall as good. At this inspection we found the service remained good. We found no breaches of regulations and the service was meeting the legal requirements. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

There was a registered manager in post who had been registered with the Commission since 2011. The registered manager was aware of their responsibilities and had a clear vision for the service in partnership with the provider’s organisational vision. The registered manager had submitted notifications as and when required.

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 registered manager

The premises were safe. Regular checks of the premises, equipment and utilities were carried out and documented. There were infection control procedures and risk of control of substances hazardous to health (COSHH) in place. The provider had recently reassessed environmental risks and had removed a range of potential risks to people. Medicines were safely managed and there were robust medication policies in place.

People’s care plans reflected their individual needs and risks were assessed and reviewed. We found there were policies and procedures in place to help keep people safe. There was a business continuity plan in place for use in emergency situations. These were also reflected in people’s care plans with personal emergency evacuation plans (PEEPs) to support the safe evacuation of people in an emergency.

We reviewed staffing levels within the service and found these matched the assessed support requirements for people. We reviewed accidents and incidents at the service and found these to be all appropriately recorded, investigated, lessons learned shared with staff and were regularly analysed by the registered manager for themes, trends and further learning. Were applicable referrals had been made to the local safeguarding team and these were also fully investigated with outcomes and actions.

Staff were safely recruited, completed a thorough induction and they were provided with all the necessary training required for their role. There was training provided for staff in delivering end of life care and challenging behaviours in addition to key areas such as safeguarding and moving and repositioning safely. We saw evidence of regular staff supervisions, yearly appraisals and team meetings.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves, for example because of permanent or temporary problems such as mental illness, brain impairment or a learning disability. The Act requires that, as far as possibl

Inspection areas

Safe

Good

Updated 9 August 2018

The service remains Good

Effective

Good

Updated 9 August 2018

The service remains Good

Caring

Good

Updated 9 August 2018

The service remains Good

Responsive

Good

Updated 9 August 2018

The service remains Good

Well-led

Good

Updated 9 August 2018

The service remains Good