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Archived: Oxclose Lodge Good

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Reports


Inspection carried out on 19 June 2017

During a routine inspection

This inspection visit was unannounced and took place on 19 June 2017. At our last inspection visit on 2 April 2015 we asked the provider to make improvements to the audits and supervision of staff. At this inspection, we found improvements had been made. The service was registered to provide accommodation for up to five people who have physical needs and a learning disability. At the time of our inspection five people were using the service.

There was a registered manager in post. 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.

Oxclose Lodge comprises of a purpose built bungalow. There is a private enclosed garden which people can access from the rear of the bungalow. Within the garden there is a sensory summer house which can be accessed by people with support from staff.

The provider had completed a range of audits and quality checks and had responded to make improvements. Staff had received supervision and support for their role.

There were sufficient staff to meet people’s needs and we saw there was a flexible approach to the support they offered. Staff employed at the service had received the appropriate checks to ensure they were suitable to work with people. Medicines were administered safely by staff who were trained and regular audits ensured that any errors were addressed.

People were supported to be safe at the service and staff had received training to enable them to know how to raise any concerns. Risk assessments had been completed to cover all aspects of the environment and to maintain people’s safety when outside the service. Other risk assessments had been completed to support the individual’s independence and provide guidance when using equipment.

Staff had received a range of training to support the needs of people. Additional training was available to increase the staff’s knowledge and support their career development. There was a clear induction for all new staff which involved training and shadowing with experienced staff.

Staff understood what measures to take when people did not have the capacity to make decisions. Assessments had been completed to cover a range of decisions. When required referrals to the local authority had been made when there was an identified risk that someone’s liberty was deprived.

People could choose what food they wished to eat. People were supported with different ways to receive their nutrition and fluids to ensure they remained hydrated. When required specialist advice had been sought. Referrals to other health professional had been made to ensure the people maintained good health and well-being.

The staff had established positive relationships with the people to provide an individual level of care. Relationships with families had been promoted and they felt able to visit anytime. People’s dignity was respected and the staff had developed ways to promote their understanding of dignity.

The care plans provided details about people’s preferences and how they wished their care to be provided. Relationships that mattered had been included in the development of the plans. People’s leisure time was promoted and they had the choice of how to spend their day. There was a complaints policy in place which was available and any concerns had been addressed.

We saw that the previous rating was displayed in the reception of the home as required. The manager understood their responsibility of registration with us and notified us of important events that occurred at the service; this meant we could check appropriate action had been taken.

Inspection carried out on 20 April 2015

During a routine inspection

We inspected the service on 20 April 2015. The inspection was unannounced. Oxclose Lodge is owned by Scope and is registered to accommodate up to five younger adults with learning disabilities or autistic spectrum disorder. The accommodation consists of a bungalow which has been adapted to meet the needs of people with a learning disability and also a physical disability. On the day of our inspection five people were using the service.

The service had a registered manager in place at the time of our inspection. 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 felt safe in the service and the manager knew what information should be shared with the local authority when needed. Staff knew how to respond to incidents if the manager was not in the service. This meant there were systems in place to protect people from the risk of abuse.

Medicines were managed safely and people received their medicines as prescribed. Staffing levels were matched to the needs of people who used the service to ensure they received care and support when they needed it.

People were supported by staff who had the knowledge and skills to provide safe and appropriate care and support.

People were supported to make decisions and where there was a lack of capacity to make certain decisions, people were protected under the Mental Capacity Act 2005.

People were supported to maintain their nutrition and staff were monitoring and responding to people’s health conditions.

People were treated with dignity and respect and had their choices acted on. We saw staff were kind and caring when supporting people.

People enjoyed the activities and social stimulation they were offered. People also knew who to speak with if they had any concerns they wished to raise and they felt these would be taken seriously.

Although people were involved in giving their views on how the service was run, the systems in place to monitor the quality of records in the service was not robust.

Inspection carried out on 17 April 2013

During a routine inspection

We used observations and looked at records to help us understand the experiences of two people as they had complex needs which meant they were not able to tell us their experiences. We spoke with one person who told us they were happy living in the home and felt staff cared for them well. They told us they enjoyed the activities such as swimming and the �meet and mingle, a local social club where they met other people.

We looked at the care plans of two people who were using the service. The care plans we looked at were very person centred in that they contained a wide range of information informing staff of people�s individual preferences and how they wanted to be cared for. Each care plan addressed people�s individual needs and informed staff how they should meet these needs. Risks were identified and there were plans in place telling staff how to manage the risks. This meant people�s needs were assessed and care was planned and delivered in line with their individual care plan.

There was enough equipment to promote the independence and comfort of people who use the service. We saw people had a range of specialist equipment to enable them to move around the home and in the community. There was also equipment for therapeutic purposes to support people�s complex health needs. There were systems in place to make sure the equipment was tested, serviced and maintained.

Inspection carried out on 11 April 2012

During a routine inspection

We were not able to communicate directly with people using the service due to limitation is peoples verbal communication. We gained their views by speaking with relatives, observing people during the day and looking at records.

We spoke with two relatives of people using the service. We received positive comments about the care people were receiving such as, �My relative receives excellent care I couldn't have placed them anywhere better. The staff let me know straightaway if there are any problems." Another person said, �The care my relative receives is �outstanding. They choose not to come home as often as they are very happy at Oxclose Lane. All needs are met.� They also said, �My relative takes part in a range of activities and particularly likes going to rebound (using the trampoline). They have an excellent social life and staff encourage them to take part in activities.�

We observed positive interactions between staff and people using the service throughout our inspection. There was a relaxed, happy and positive atmosphere and we saw that people using the service appeared comfortable with staff.

We spoke with two relatives and they told us, �I have confidence in the staff. They appear to be well trained and have regular updating of their training;� �I am very pleased and confident that my relative is in the right place. If things were not right I am confident that staff would tell me. The staff are excellent and right on the ball� and �my relative loves the staff to bits they are like a second family."

We saw people using the service were supported to have meeting to decide on the next weeks menu and to plan activities. We saw the minutes of the last meeting and saw people using the service had been supported to be involved in decision making.