Neville Lodge

Updated 29 April 2024

The inspection

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 Health and Social Care Act 2008.

Inspection team

The inspection was carried out by 2 inspectors and 1 specialist pharmacy advisor (SPA).

Service and service type

Neville Lodge is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Neville Lodge is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

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 (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 2 people that use the service. We also spoke with 9 members of staff including 2 senior staff nurse’s, support workers, quality manager, human resources and health and safety lead. We observed staff providing support to people in the communal areas of the service. We reviewed a range of records. This included 2 people's care records and 3 people's medicines administration records. Quality monitoring systems and a variety of records relating to the management of the service, including policies and procedures were reviewed. During the inspection the registered manager was on leave. We provided formal feedback on the inspection findings to the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

Updated 29 April 2024

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

About the service

Neville Lodge is a residential care home providing personal care and support to people with learning disabilities and/or autistic people. There were two people living there at the time of the inspection. The service can support up to six people.

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

Right support

People were supported in a safe environment. Staff supported people in a safe way. Staff followed safe practice to reduce the risk of COVID-19 spreading within the service. Staff encouraged people to live full lives and meet their goals which included learning new skills. The provider, management and staff team developed the service in way that ensured they had the resources and knowledge to support people when they experienced periods of distress. Restrictions were minimised and people had the freedom and choice in how to live their lives.

Staff received the right training for their role, and this included training for specific complex needs people had. People were supported to communicate their needs, views and choices. Communication plans and tools were personalised to enable this. People were supported to personalise their rooms.

People were supported to access the community and to join in with activities and days out in their local area. People were supported by staff to live healthy lifestyles and access health and social care support. This helped improve people's wellbeing. Medicines were managed safely and were regularly reviewed.

Right care

People received support and care that was kind, compassionate and reflected people's own culture and preferences. Staff promoted people's equality and diversity, supporting and responding to their individual needs. People's care plans were an accurate reflection of the support they needed and what people could do independently. They included strategies and plans to help people reach their aspirations and goals.

Staff had received training on safeguarding people from the risk of harm and abuse. Staff knew how to recognise and report abuse. There were enough appropriately skilled staff to meet people's needs and keep them safe.

People were supported by staff who had a good understanding of people's needs, how people communicated and what their preferences were. Staff listened to people. People received care which supported their needs and aspirations, was focused on their quality of life, and followed best practice.

Right culture

The provider, registered manager and staff monitored the quality of service provided to people. People, their relatives, staff and professionals were involved in the process. People were supported by staff who had a good understanding of best practice and how to implement this into their roles. Staff put people's wishes, needs and rights at the heart of everything they did.

People and their relatives were involved in planning their care. This helped to ensure people had a service that was tailored and personal to them. Staff respected people and their views. People had been put at the forefront of all they did. The risk of a closed culture was minimised as people received care and support in line with their wishes, and staff were open and inclusive.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

This service was registered with us on 23 March 2021 and this is the first inspection.

Why we inspected

We undertook this inspection to assess that the service is applying the principles of right support, right care, right culture.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.