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Inspection Summary


Overall summary & rating

Good

Updated 17 November 2017

This unannounced inspection of Afton Lodge Care Home took place on 12 October 2017.

Located in a residential area of Bootle, Afton Lodge Care Home provides accommodation and care for a maximum of 27 people. Access for people who use wheelchairs is located to the front of the property. A passenger lift is available for access to the upper floors. Parking is available to the front of the property and a large garden to the rear. The home is located close to shops, local facilities and transport links.

There were two registered managers in post who shared the role. 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.

Everyone we spoke with told us they felt safe living at the home.

Records showed that people received their medications when they needed them, and medication was stored safely in home. Medication was only administered by staff who had the skills to do so.

Staff recruitment records showed that staff were only offered positions in the home once all satisfactory pre-employment checks had been completed.

Risk assessments had fully explained and explored ways to help mitigate risk. These risk assessments were reviewed every month, and where a change in the person’s needs had been identified, the risk assessment had been updated accordingly to reflect this.

All staff were able to explain the steps they would take to ensure any safeguarding concerns were reported to the registered manager or the relevant safeguarding authority.

New staff underwent a full training programme and induction before they started work. Existing staff had their knowledge updated in line with the providers training programme by attending regular refresher courses. The training matrix showed that all staff were up to date with the training.

The staff and the registered managers were knowledgeable with regards the Mental Capacity Act 2005 and associated legislation. We viewed examples of when best interest processes had been considered for people in line with guidance set out in the MCA.

Everyone told us they enjoyed the food, and the dining experience at Afton Lodge was positive. People said they could chose whatever they liked to eat and they were not restricted to eat at certain times of the day if they did not feel like it and could have what they liked.

We received exceptionally positive comments from everyone we spoke with regarding the caring, kind, and approachable nature of the staff and registered managers. People could not compliment the staff enough on their approach. We observed natural interactions and relationships between people who lived at the home and the staff throughout the duration of our inspection. When we spoke to staff they were extremely passionate about the people they supported, and demonstrated a remarkable knowledge of people and how they wanted to be cared for. This extended to people’s families, who staff equally had good relationships with and who told us staff made a difference to people.

We saw dignified support across the duration of our inspection, ranging from staff discreetly helping people with personal matters, to staff supporting people to eat their meal. Everyone was given support quickly and attentively, and this was done in way which did not appear rushed. Care plans were written equally as dignified, and important information was highlighted in people’s care plans because it mattered most to them.

People’s care plans were presented to them in a way which they understood, and they had been involved in their completion. Family members were kept involved and consulted with anytime there was a change to people’s care needs.

Health care professionals we spoke with on the day of our inspection told us that

Inspection areas

Safe

Good

Updated 17 November 2017

The service was Safe.

Medication was stored and administered safely by staff who were trained to do so.

Risk assessments were robust and reviewed regularly to help mitigate risk and in accordance with people's changing needs.

The environment was safe and regular checks took place with regards to the environment to ensure it was safe for people to live in.

Staff were only recruited after satisfactory checks were conducted and completed.

Effective

Good

Updated 17 November 2017

The service was Effective.

The service was working in accordance with the principles of the Mental Capacity Act and associated legislation.

Staff were trained in a range of subjects and were encouraged to complete work based qualifications. Supervisions took place regularly.

Everybody had enough to eat and drink at the home, and people told us they liked the food.

People had access to regular healthcare when they required it.

Caring

Good

Updated 17 November 2017

The service was Caring.

We received exceptionally positive feedback from everyone regarding the caring nature of the staff.

People's dignity and respect was paramount, and this was respected by staff and included in care plans.

People were actively involved in their care plans and reviews.

Responsive

Good

Updated 17 November 2017

The service was Responsive.

People received care which was right for them, and their likes, dislikes and routines were taken into consideration.

People enjoyed their time at the home and there was enough going on to help stimulate and engage people.

Complaints were managed in accordance with the providers policy. Everyone said they knew how to complain.

Well-led

Good

Updated 17 November 2017

The service was Well- Led.

Everyone we spoke with was complimentary regarding the registered managers.

There was a calm, compassionate culture at the home. The registered managers led by example, and supported staff well.

There was a system in place for auditing (checking) service provision. This included regular visits from the provider.