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Inspection carried out on 23 February 2017

During a routine inspection

The inspection took place on 23 February 2017 and was announced. The provider was given 48 hours’ notice because the service is small and we needed to be sure that someone would be in. The care home was last inspected in August 2015 and was rated overall good with requires improvement in the responsive domain.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for ‘Eden Lodge’ on our website at www.cqc.org.uk’

Eden Lodge is a care home situated in Stainforth, Doncaster and is registered to provide residential care for up to ten people with learning disabilities. This is provided on a respite basis. Some rooms have en-suite facilities. There are large gardens to the rear of the property and a small car park at the front of the building. The service is close to local shops and there are good train and bus links into Doncaster town centre. The service is provided by Doncaster Metropolitan Borough Council. The registered manager we spoke with told us that approximately 83 people were currently accessing the respite service. Some people use the service for overnight stays and some people stay at Eden Lodge for two weeks while family members have a holiday. Other emergency situations can also be catered for. At the time of the inspection six people were using the service for respite stays.

The service has a registered manager. 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 and associated Regulations about how the service is run.

At our last inspection we identified a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 in that we found that some checks had not been undertaken in order to ensure there were effective quality monitoring of infection control, care plans and health and safety. We also found that some staff were aware of the Mental Capacity Act and the Deprivation of Liberty Safeguards. However, the care records we looked at did not reflect how some decisions and consent were made.

At this inspection we found improvements had been made in the two requires improvement areas and they were fully complaint.

Some people we spoke with had limited verbal communication. However, they very clearly indicated they felt safe and were happy living in the home, liked the staff and did the activities they liked to do.

The support plans were centred on people’s individual needs and contained information about their preferences, backgrounds and interests. People were positive about the different social groups they could attend as well as following their own routines like attending adult social centres which they would normally attend if they were at home. One person told us they used to go to the adult social centres but had lost interest, so they did not attend anymore.

There were enough skilled and experienced staff and there was a programme of training, supervision and appraisal to support staff to meet people’s needs. Procedures in relation to recruitment and retention of staff were robust and ensured only suitable people were employed in the service.

People were encouraged to make decisions about meals, and were supported to go shopping and be involved in menu planning. People’s dietary needs were catered for and we saw clear instructions were followed when a person had involvement from the speech and language therapist (SALT).

Our observations, together with our conversations with people, provided evidence that the service was caring. The staff had a clear understanding of the differing needs of people staying at the home and we saw they responded to people in a caring, sensitive, patient and understanding professional manner.

People had access to a wide range of activities during their stay at Eden Lodge th

Inspection carried out on 10 and 11 August 2015

During a routine inspection

The inspection took place on 10 and 11 August 2015 and was unannounced. This is the first comprehensive inspection of the service since it was registered with the Care Quality Commission in December 2014.

Eden Lodge is a care home situated in Stainforth, Doncaster which is registered to provide residential care for ten people with learning disabilities. This is provided on a respite basis. Some rooms have ensuite facilities. There are large gardens to the rear of the property and a small car park at the front of the building. The service is close to local shops and there are good train and bus links into Doncaster town centre. The service is provided by Doncaster Metropolitan Borough Council. The senior support worker we spoke with told us that approximately 95 people were currently accessing the respite service. Some people use the service for overnight stays and some people stay at Eden Lodge for two weeks while family members have a holiday. Other emergency situations can also be catered for.

The service has a registered manager. 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 and associated Regulations about how the service is run. The registered manager had been absent from the service for a period of two months. Since then there has been no incidents or concerns raised that needed investigation.

Our inspection identified a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 in that we found that some checks had not been undertaken in order to ensure there were effective quality monitoring of infection control, care plans and health and safety. We also found that some staff were aware of the Mental Capacity Act and the Deprivation of Liberty Safeguards. However, the care records we looked at did not reflect how some decisions and consent were made. They failed to demonstrate how they were acting in the person’s best interest. This legislation is used to protect people who might not be able to make informed decisions on their own.

People we spoke with told us they felt safe while staying at the home. One person said, “I feel very safe here, staff have helped me a lot I am a lot more confident now.” Staff had a clear understanding of potential abuse which helped them recognise abuse and how they would deal with situations if they arose.

The support plans were centred on people’s individual needs and contained information about their preferences, backgrounds and interests. People were positive about the different social groups they could attend as well as following their own routines like attending adult social centres which they would normally attend if they were at home. One person told us, “I like to go to the Karaoke on Thursday and sing to my favourite songs.” Another person told us they liked to go to football practice.

There were enough skilled and experienced staff and there was a programme of training, supervision and appraisal to support staff to meet people’s needs. Procedures in relation to

recruitment and retention of staff were robust and ensured only suitable people were employed in the service.

People were encouraged to make decisions about meals, and were supported to go shopping and be involved in menu planning. People’s dietary needs were catered for and we saw clear instructions were followed when a person had involvement from the speech and language therapist (SALT).

Our observations, together with our conversations with people, provided evidence that the service was caring. The staff had a clear understanding of the differing needs of people staying at the home and we saw they responded to people in a caring, sensitive, patient and understanding professional manner.

People had access to a wide range of activities during their stay at Eden Lodge that were provided both in-house and in the community. One person told us they liked to go and watch the local football team and watching horse racing on the television while another person liked to watch their DVD’s that they had brought with them.

People told us they were aware of the complaints procedure and said staff would assist them if they needed to use it. We saw that the complaints procedure was written in plain English using pictures and words which described how people should raise any concerns the may have. It also explained to people how they could obtain an independent person to assist them if needed.