Background to this inspection
Updated
4 July 2019
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 Care Act 2014.
Inspection team
The inspection team consisted of one inspector, an assistant inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Lydgate 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
Both inspection dates were 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 eight people who lived at Lydgate Lodge and three visitors about their experience of the care provided. We spoke with sixteen staff including the operations manager, registered manager, deputy manager, two senior care workers, five care workers, two activities organisers and four members of the catering and housekeeping team. We also spoke with two visiting health care professionals.
We reviewed a range of records. This included eight peoples care records and four peoples medicine records. We looked at five staff recruitment and supervision records and a range of records relating to the management of the home.
After the inspection
After the inspection we requested further information from the registered manager to validate the evidence found. This was received, and the information was used as part of our inspection.
Updated
4 July 2019
About the service
Lydgate Lodge is a residential care home providing personal and nursing care to 57 people aged 65 and over at the time of the inspection. The service can support up to 64 people.
Lydgate Lodge comprises of four individual units over two floors. Two of the units provided support to people who are living with dementia.
People’s experience of using this service and what we found
Recruitment procedures were thorough and there were enough staff on duty to meet people’s needs. New staff received induction and there was an on-going programme of training and supervision for all staff.
People were safe from the risk of avoidable harm, risks were assessed and monitored. People were supported to eat and drink and were enabled to access other health care professionals as required.
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.
Staff were kind and caring. People’s right to privacy was respected and staff ensured people were treated with dignity and respect. Staff involved people in making decisions about their care and support. There was a range of activities for people to participate in if they chose to. Links had been formed within the local community.
Care records were detailed, and person centred. Care records were reviewed and updated at regular intervals. Information about people’s communication needs were clearly recorded.
People and visitors were aware of how to complain in the event they were dissatisfied with any aspect of the service they received. The registered manager had not received any formal complaints in recent months.
The service was consistently managed and well led. Systems of governance were effective in continually monitoring the quality of the service people received. Monthly meetings were held with people who lived at the home and staff. The registered manager and staff at Lydgate Lodge worked in partnership with other healthcare professionals.
Rating at last inspection and update
The last rating for this service was requires improvement (published 8 June 2019).
The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.