We carried out a review of the data available to us about Terrington Lodge on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Terrington Lodge, you can give feedback on this service.
Terrington Lodge is a residential care home providing accommodation and personal care to 19 people aged 65 and over in one adapted building at the time of the inspection. The service can support up to 25 people.
People’s experience of using this service and what we found
People continued to receive safe care and felt safe living at Terrington Lodge. People were protected from abuse and risks to people's health and wellbeing were assessed, managed and regularly reviewed. There were enough staff to ensure that people's needs were met safely. People received their medicines as prescribed and there were practices in place to ensure prevention and control of infection protected people. Lessons had been learnt following analysis of incidents.
People's needs and expected outcomes were assessed and regularly reviewed. People were supported by staff who had relevant training, skills and experience to care for them. People had access to food and drink throughout the day. Staff worked with other health and social care professionals to achieve good outcomes for people's health and wellbeing. 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.
The staff were caring, and we received positive feedback from people and their relatives. People had supportive and meaningful relationships with staff. People’s received a service which was caring and respectful. People’s rights to make their own choices, independence, dignity and privacy were promoted and respected.
People had personalised care plans that promoted independence. Staff identified people's information and communication needs by assessing them. People were encouraged to participate in meaningful activities. People and relatives knew how to make a complaint and felt confident they would be listened to. People's preferences and choices in relation to end of life care had been explored.
Information from audits, incidents and quality checks was used to drive continuous improvements to the service people received. Staff were motivated and enjoyed strong team work, they felt well supported by the registered manager. People and their relatives told us the registered manager was visible, open and approachable. The registered manager understood their duty of candour and responsibilities of registration with us.
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 31 January 2017).
Why we inspected
This was a planned inspection based on the previous rating. You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Terrington Lodge on our website at www.cqc.org.uk.
This comprehensive inspection took place on 22 November 2016 and was unannounced.
At the time of this inspection care was provided to 21 people.
The provider is required to have a registered manager as one of their conditions of registration.
A registered manager was in post at the time of the inspection and had been registered with the Care Quality Commission (CQC) since 19 February 2016. A registered manager is a person who has registered with the CQC 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 service is run.
Care plans gave guidance to staff on how to meet people's care needs. However, some care plans did not always contain full details about the support that people needed.
People were kept safe and staff were knowledgeable about reporting any incident of harm. People were looked after by enough staff to support them with their individual needs. Pre-employment checks were completed on staff before they were assessed to be suitable to look after people who used the service. People were helped to take their medicines by staff who were trained and had been assessed to be competent to administer medicines.
People were supported to eat and drink sufficient amounts of food and drink. They were also supported to access health care services and their individual health and nutritional needs were met.
The CQC is required by law to monitor the Mental Capacity Act 2005 [MCA 2005] and the Deprivation of Liberty Safeguards [DoLS] and to report on what we find. The provider was aware of what they were required to do should any person lack mental capacity. People’s mental capacity was assessed and care was provided in their best interests. Staff were trained and knowledgeable about the application of the MCA.
People were looked after by staff who were trained and supported to do their job.
People were treated by kind, respectful staff who enabled them to make choices about how they wanted to live. People and their relatives were given opportunities to be involved on a day-to-day basis about their planned care.
There was a process in place so that people’s concerns and complaints were listened to and were acted upon.
The registered manager was supported by a team of management staff and care staff. Staff, people and their relatives were able to make suggestions and actions were taken as a result. Quality monitoring procedures were in place and action was taken where improvements were identified.