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Inspection Summary


Overall summary & rating

Good

Updated 17 November 2017

The inspection took place on 31 August and 1 September 2017 and was unannounced. We carried out this inspection because we had a number of concerns shared with us. These concerns came from health and social care professionals who had visited the home. These concerns were about the care and support people were receiving in relation to the Mental Capacity Act and best interests decisions.

Avon Lodge Care Home is a care home with nursing care for up to 62 predominately older people. People have general nursing care needs and some are living with dementia. At the time of our visit there were 61 people living at the home.

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 of the Health and Social Care Act 2008.

People told us they felt safe living at the home. Staff were aware of what constituted abuse and the actions they should take if they suspected abuse.

Risks associated with people's care, daily routines and activities were identified with action taken to minimise these. Care plans addressed the support people required with personal care, maintaining their health and their activities of daily living.

People were provided with safe care by adequate numbers of appropriately skilled staff being made available.

Staff recruitment procedures were safe and the employment files contained all the relevant information to help ensure only the appropriate staff were employed to work at the home.

People received their medicines when they required them and in a safe manner. Staff received training and guidance to make sure they remained competent to handle people's medicines.

The home was meeting the requirements of the Deprivation of Liberty Safeguards (DoLS). Staff had received appropriate training, and had a good understanding of the Mental Capacity Act 2005 (MCA) and the DoLS. Staff had the right skills and training to support people appropriately.

People told us they felt there were enough staff available on each shift. Staff felt well supported by the manager and received regular supervision sessions and appraisals.

People told us the staff were friendly and caring and they felt safe in their presence. We observed staff caring for people in a way that promoted their dignity in a respectful manner.

People told us they enjoyed the food in the home. They were offered a choice of meals which were appropriate for a balanced diet.

People had access to a range of healthcare professionals when they required specialist help. Care records showed advice had been sought from a range of health and social care professionals

People were actively encouraged to provide feedback. Complaints were investigated and action taken to address concerns when needed. People and their relatives told us they had no complaints.

The registered manager assessed and monitored the quality of the service provided for people. Systems were in place to check on the standards within the home. These included regular audits of care records, medicine management and health and safety.

Inspection areas

Safe

Good

Updated 17 November 2017

The service remains Good.

Effective

Good

Updated 17 November 2017

The service remains Good.

Caring

Good

Updated 17 November 2017

The service remains Good.

Responsive

Good

Updated 17 November 2017

The service remains Good.

Well-led

Good

Updated 17 November 2017

The service remains Good.