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Acorn Lodge Nursing Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 17 October 2019

About the service

Acorn Lodge is a care home which provides accommodation and care for up to 85 older people across four separate units. One unit specialises in providing care to people with dementia. During our inspection the service was providing care to 73 people.

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

On the inspection we identified concerns about safety and governance. These amounted to breaches of legislation, although we did not identify anyone had suffered harm as a result. The provider and manager commenced immediate action to resolve the issues identified.

People had not always been safely assessed by a competent member of staff to use appropriate equipment for moving and handling transfers. The provider had addressed some of these issues before the inspection and work was ongoing. Two bath hoists were not fitted with appropriate lap belts. People told us there were sometimes not enough staff on duty. We have made a recommendation about the call bell system.

People and relatives were complimentary about staff's skills, who had been provided with training to help increase their awareness of people's needs. People's needs were assessed, and staff were provided with guidance to help inform their practice. Overall, people were complimentary about the range of food available and people who needed assistance to eat and drink were supported with sensitivity and patience.

Everyone we spoke with said the staff were caring. People told us they were happy and regarded the service as their home. People's privacy and dignity were maintained, and they were treated with respect, kindness and compassion. People were involved in discussions and decisions about their care.

Staff cared for people the way they preferred. However, these details were not always captured in people’s care plans. Formal complaints were recorded and responded to appropriately. People were supported by Acorn Lodge as they came to the end of their lives. However, more detail was required in care plans to consider and support people's wishes. We have made a recommendation about end of life care training.

Quality assurance systems were in place to assess, monitor and improve the quality and safety of the services provided. However, audits had not identified risks to people’s safety and shortfalls in person-centred planning. The management team were receptive to our feedback and started to make the required improvements immediately. They were committed to making improvements at the home, and ensuring effective systems were in place.

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

Rating at last inspection

The last rating for this service was good (published 5 January 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to safety and governance. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work with the local authority to monitor progress. We will 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 17 October 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 17 October 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 17 October 2019

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 17 October 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 17 October 2019

The service was not always well-led.

Details are in our well-led findings below.