You are here

Cheybassa Lodge Rest Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 11 April 2019

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:

•The provider lacked effective governance systems to identify concerns in the service and drive the necessary improvement. At times there was a lack of clear and accurate records regarding people’s medicines and support needs.

•Accidents and incidents were not analysed at a service level which meant overarching trends and patterns could not be identified. We have made a recommendation about this.

•The provider was not meeting the requirements of the Accessible Information Standard (AIS), we recommended that the provider seeks reputable guidance to ensure this was met.

•We found that activities were not always reflective of people’s preference and we made a recommendation that the provider seeks reputable guidance in order to provide personalised support for people

•Despite this, people were happy living at Cheybassa Lodge Rest Home and people told us they felt safe. People were supported by staff who were kind, caring and who understood their support needs, likes and dislikes. Where they needed external health input they were supported to receive this.

•Staff were not always supported with regular supervision or appraisal but staff told us they felt well supported by the registered manager and had enough training to undertake their roles effectively.

•People and their relatives knew the registered manager and felt able to speak to her if they had any concerns. Staff felt the registered manager had improved the culture of the service. 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.

Rating at last inspection: Requires Improvement (Report published 13 February 2018)

Why we inspected: This was a planned inspection based on our last rating. At the last inspection the provider was rated as Requires Improvement.

Follow up: The overall rating of the service remains Requires Improvement. At the last inspection, the provider was found to be in breach of Regulation 12 and 17 of the Health and Social Care Act 2008 (Regulated Activities) 2014. At this inspection, we found the provider had met the requirements of Regulation 12 but remained in breach of Regulation 17. This is the second consecutive time the service has been rated as Requires Improvement and we will request a clear action plan from the registered person on how they intend to achieve good by our next inspection. We may decide to meet with the provider following receipt of this plan. We will continue to monitor all information received about the service to understand any risks that may arise and to ensure the next inspection is scheduled accordingly.

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

Inspection areas

Safe

Requires improvement

Updated 11 April 2019

The service was not always safe

Details are in our findings below.

Effective

Good

Updated 11 April 2019

The service was effective

Details are in our findings below.

Caring

Good

Updated 11 April 2019

The service was caring

Details are in our findings below.

Responsive

Requires improvement

Updated 11 April 2019

The service was not always responsive

Details are in our findings below.

Well-led

Requires improvement

Updated 11 April 2019

The service was not always well-led

Details are in our findings below.