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Cheybassa Lodge Rest Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 24 October 2020

About the service

Cheybassa Lodge Rest Home is a 'care home'. Cheybassa Lodge Rest Home accommodates up to 18 people living with dementia and physical frailty in one building. At the time of our inspection 14 people were living at the home.

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

Quality assurance systems had not always been effective in identifying the concerns we found at this inspection or fully addressed concerns from our last inspection.

The provider had not always notified CQC about important events that happened in the service which meant these could not be monitored.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

The lack of robust infection control practices placed people at risk of being exposed to infections. This included known risks associated with the current Covid-19 pandemic. We made a recommendation about this. Some risks to people’s safety had not been safely managed and the registered manager had plans in place to address this.

We made a recommendation that the provider reviews their safeguarding systems and processes to ensure people are fully protected from the risk of harm and abuse.

People, staff and relatives felt there was enough staff for people to be safely supported. However, some staff and people felt there was not always enough staff to undertake other tasks such as cleaning and supporting people with social engagement. The registered manager told us of their plans to improve this by recruiting activities and cleaning staff. Recruitment processes were safe.

The management of medicines was mostly safe although further work was required to ensure people received their ‘as required’ medicines in the most effective way.

Staff felt well supported through training and supervision. Staff in the service worked well with each other and external professionals to ensure good health outcomes for people. People were provided with a nutritious and balanced diet that met their needs and preferences.

Care plans were not consistently detailed, or person centred, however, there was a consistent staff team in place, and they had got to know people well which meant they understood people’s needs and preferences. People were well supported at the end of their lives.

The provider had made some effort since our last inspection to improve social engagement for people, but this was not enough to ensure people’s social needs were always met. The registered manager had plans in place to improve this.

The provider had not always worked in line with the duty of candour requirements and we have made a recommendation about this.

People and their relatives knew the registered manager and felt able to speak to them if they had any concerns. Staff felt well supported by the registered manager and felt they provided them with good leadership. Relatives and staff told us they would recommend the home to others.

The registered manager demonstrated a willingness to make improvements and during the inspection began reviewing their systems and process to ensure the service consistently provided good, safe, quality care and support.

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:

The last rating for this service was requires improvement (published 10 April 2019). There was one breach of regulation in relation to regulation 17 Good Governance. We met with the provider and they completed an action plan after the last inspection to show what they would do and by when to improve.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Cheybassa Lodge Rest Home on our website at www.cqc.org.uk.

At this inspection enough improvement had not been made and the provider was st

Inspection areas

Safe

Requires improvement

Updated 24 October 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 24 October 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 24 October 2020

Responsive

Requires improvement

Updated 24 October 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 24 October 2020

The service was not always well-led.

Details are in our well-led findings be