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Inspection carried out on 27 December 2019

During a routine inspection

About the service

Eden Lodge is a respite service providing personal care to adults with learning disabilities. The service is registered to provide care for up to 10 people, on a respite basis, in one building. There were five people living at the home at the time of inspection.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

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

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

Medicines were predominantly safe. We have made a recommendation about the management of some medicines.

Staff understood their roles and responsibilities to safeguard people from the risk of harm. People were supported to maintain their health and well-being through access to relevant health and social care professionals.

People's risks were assessed at regular intervals or as their needs changed. Care plans informed staff how to provide care that reduced any identified risks.

There were enough staff deployed to meet people's needs. Staff were recruited using safe recruitment practices. Staff received training to enable them to meet people's needs and were supported to carry out their roles.

People received care from staff they knew. Staff had a good understanding of people's needs, choices and preferences. People were encouraged to make decisions about how their care was provided and their privacy and dignity were protected and promoted. Staff gained people's consent before providing personal care.

People were involved in the planning of their care which was person centred and updated regularly. People were supported to express themselves, their views were acknowledged and acted upon. The registered manager responded to complaints using the providers policies.

The registered manager monitored the quality of the service, identifying issues and making changes to improve the service. Following any incidents, lessons learnt were clearly communicated. The registered manager promoted a staff culture which was open and honest.

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 9 March 2017).

Why we inspected

This was a planned full comprehensive inspection to ensure that the service was meeting the regulations of the Health and Social Care Act 2008 and CQC.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information, we may inspect sooner.

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.