23 August 2019
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
The inspection was carried out by one inspector.
Service and service type
St Lucy Lodge is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with three people who used the service and their experience of the care provided. We spoke with three members of staff including the provider, deputy manager and a visiting professional.
We reviewed a range of records. This included three people’s care records and medicine records. We looked at six staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found and we spoke to a relative.
23 August 2019
About the service
St Lucy Lodge is a residential care home providing 24 hour support and personal care to five people living with a mental health diagnosis. The service can support up to five people.
People’s experience of using this service and what we found
People told us they were kept safe at the service and their relatives agreed. People were protected from the risks of abuse and staff knew how to report concerns. People received their medicines in a safe manner.
People had effective risk assessments to reduce risks associated with their healthcare needs. People were supported to take positive risks to ensure they lived a non-restrictive life.
People were supported by staff who had received relevant training and were supported by management. People chose what they ate and drank each day and were encouraged to have a balanced diet. People were able to make their own choices and staff supported people to do this daily.
People were supported by kind and caring staff who enjoyed working with them. People’s privacy and dignity was respected. People were not discriminated against and staff understood to treat people as individuals.
Care plans were personalised and contained people’s preferences. People were supported to attend activities of their choice and to practice their religion if they wished. We have made a recommendation about planning and recording people’s end of life care wishes.
People liked the management of the service and felt able to approach them at any time. The service had systems in place to monitor the quality of care provided and engaged with people using the service, staff and health professionals.
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 7 January 2017).
Why we inspected
This was a planned inspection based on the previous rating.
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.