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Inspection Summary


Overall summary & rating

Good

Updated 25 August 2017

The inspection took place on 25 July 2017 and was unannounced. This meant the provider and staff did not know we were going to visit.

We last inspected this service in July 2015, when it was found to be complying with all the regulations and we rated the service as ‘Good.’.

Windsor Lodge provides care and accommodation for up to 15 people who have functional mental health needs. On the ground floor of the home there is a kitchen, dining room and small lounge. On the first floor there is a large communal lounge. Bedrooms are situated on the ground, first and second floor of the home.

At the time of our inspection there were nine people living at Windsor Lodge who did not require assistance with their personal care. We discussed with the provider and manager whether they needed to maintain the registration of the service, as personal care was not being provided. We heard how staff occasionally needed to support two people with their personal care needs and envisaged that in the future this may become a more frequent occurrence.

The service had a registered manager who was also one of the provider’s directors. They had been the registered manager of the service since January 2012. 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.

People told us they were happy being supported by the service and felt the staff were friendly and helpful. People were extremely independent and organised their day. However, any risks they might encounter were assessed by the staff and actions were taken to minimise any harm to them. Staff had been trained in safeguarding issues and knew how to recognise and report any abuse.

People’s medicines were managed safely.

There were enough staff to meet people’s needs. Any new staff were appropriately vetted to make sure they were suitable and had the skills to work at the service. The staff team had been in post since the last inspection and had a good knowledge of people’s needs and preferences. They were given support by means of regular training, supervision and appraisal.

All of the people were able to make informed decisions about the support they received and how they lived their lives. Some restrictions were in place, such as people needing to be let back into the service after they had been out and informing staff when they intended to go out. But we found that people agreed with the restrictions because it prevented unwanted guests entering the home and meant in the event of a fire staff would not be looking for them if they were out.

Staff made the meals but if people wanted they could make their own. Each person’s dietary needs were fully understood and people told us staff encouraged them to eat a healthy diet.

People were supported, where appropriate to manage their health needs. Staff responded promptly to any changes in a person’s health or general demeanour.

People told us staff treated them with respect and protected their privacy and dignity at all times.

People were encouraged to be as independent as possible.

Support plans were in place to meet people’s assessed needs. These plans incorporated people’s wishes and preferences about how their support was to be given. We discussed how these could be enhanced by making them more focused on supporting people’s rehabilitation.

People enjoyed active social lives and used the full range of community resources.

People told us they had no complaints about their care, but would feel able to share any concerns they had with the manager.

Systems were in place for auditing the quality of the service and for making improvements.

Inspection areas

Safe

Good

Updated 25 August 2017

The service remains good

Effective

Good

Updated 25 August 2017

The service remains good

Caring

Good

Updated 25 August 2017

The service remains good

Responsive

Good

Updated 25 August 2017

The service remains good

Well-led

Good

Updated 25 August 2017

The service remains good