Archived: Compass Lodge

Previously we found the service did not have suitable arrangements to ensure people's dignity and independence or to effectively enable them to communicate their decisions. On this visit we found up to date information about how the service met people's communication needs. We observed that staff were able to obtain people's views and take them into account in relation to their support.

When we last visited we found that people were at risk of receiving inappropriate care. Their care plans lacked proper detail about how the service assisted them with their health needs. On this visit we found that advice had been obtained from health professionals and people's care plans had been updated. Care and treatment was planned and delivered in a way that ensured people's welfare.

On our last visit we found the service had not kept people's records accurate and up to date. This placed them at risk of receiving unsafe care and treatment. On this visit we found these records had been updated and correctly completed. People's records were accurate and fit for purpose.

Previously we found the provider did not monitor the quality of the service in relation to the current required standards. On this visit we found appropriate checks were being made to identify and address risks to people's health, safety and welfare. There was an effective system to regularly assess and monitor the quality of service people receive.

The provider has made the necessary improvements. The required standards were met.

In May 2013 we found that the service did not effectively assess people's needs or plan and deliver their care. In addition, we found that the service had not always appropriately involved health care professionals in planning people's care. On this visit we found that people had up to date care plans in place but these lacked proper detail about how the service assisted them with their specific health needs. This meant people were not always protected from the risks of unsafe or inappropriate care and treatment. In addition, we found that the service had not always appropriately involved health care professionals in planning people's care .This was similar to what we found in May 2013. Action had not been taken on the issue we previously identified. The provider needs to make improvements to become compliant with the standards.

In May 2013 we found that people's records had not been kept to the required standard. At this inspection we found medication administration records had not always been correctly completed and did not contain all the appropriate guidance for staff. People were not protected from the risks of unsafe care because accurate records had not been kept. Action had not been taken on the issue we previously identified. The provider needs to make improvements to become compliant with the standards.

On this visit we found the provider's arrangements to monitor the quality of the service were not effective. They did not assess and monitor the service with regard to the current required standards. The provider needs to make improvements to become compliant with the standards.

People were unable to tell us their views of the service because of their learning disabilities. We observed that they interacted positively with staff and they indicated to us that they enjoyed going out to clubs and activities.

Peoples' needs were not assessed and care and treatment was not planned and delivered in line with their individual care plan. Care plans were disorganised, which made important documents difficult to find. There was no clear activities plan for people to take part in each day. Health care professionals were not properly involved in planning people's care.

The manager and carers we spoke with and observed, were interested in the welfare of the people who lived at the service and showed genuine concern. The manager and staff knew the needs of the people they supported.

The location had enough qualified, skilled and experienced staff to meet people's needs. However, its staff rota planning could be improved.

People were not protected from the risks of unsafe or inappropriate care and treatment because accurate and appropriate records were not maintained. Although staff we spoke to were aware of people's needs there is a possibility information about a person may be overlooked.

We found that people were involved in various activities in the home and in the community and were free to make choices. We observed that people were treated with patience and respect during our visit. People who use the service were relaxed and felt comfortable to approach staff members in the home.

Staff told us that they enjoyed working at Compass Lodge, the team worked together and that there was a friendly atmosphere in the home.