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Inspection Summary


Overall summary & rating

Good

Updated 29 August 2018

Cypress 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. Cypress Lodge accommodates up to 10 people across two separate buildings located next door to each other. Each building has separate adapted facilities.

After our last Inspection in May 2017 we asked the provider to complete an improvement action plan. This was because we had identified shortfalls in two of our key questions. Is the service Safe? And Is the service Well Led?

At our last inspection in 2017 we had found that medicine administration systems that were in place were not fully safe. Improvements were needed to ensure people always received their medicines when they needed them and that medicines were stored correctly. Staff administered medicines to people; no one self-medicated.

We had also found at that inspection in that quality assurance systems were not fully effective in ensuring people received consistently high-quality care, that the service complied with the law or that necessary improvements were carried out.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

There was no registered manager at the time of our visit. The acting manager was in the process of applying to be registered with CQC. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The home had a relaxed atmosphere and people were being supported by staff who knew them well. Although the impact of inspection could have been great on the senior staff they continued to be focused on people using the service and ensured that their plans and needs were addressed.

The staff leadership were intent on continuing to make progress that had commenced after the last inspection. Comments made indicated that there was a drive to develop the service and build on the skills and abilities of staff to successfully support people to develop their independence.

The premises were plain but functional and it was clear that both homes were lived in and well used by the people who occupied them. They were not clinically tidy but instead showed evidence of being peoples own space with some personal belongs in lounge areas such as games, magazines and drinks on side tables when people were watching television or chatting.

The staff had been on training about abuse and had the knowledge and insight to know how to keep people safe. This helped people to be supported to stay safe in their home and out in the community.

People felt well supported to have choice and control of their lives. The staff team supported people in positive ways. There were policies and systems to support the staff to do this effectively.

The principles of the Mental Capacity Act were implemented in the home. There were policies and systems in the home that supported the staff and people who lived there.

People were supported to have enough to eat and drink to maintain good health and wellbeing. People were encouraged to cook meals and snacks for themselves.

People were supported flexibly in ways that ensured their individual needs and preferences were met. Care plans were personalised and guided staff to provide care and support in the way people preferred.

Activities were planned with people in an individualised way. This was to reflect the interests wishes and choices

Inspection areas

Safe

Good

Updated 29 August 2018

The service has improved to good

There were now safe systems in place for storing, administering and managing people�s medicines.

Risks to people were identified and actions taken when needed to help to keep people safe.

There were enough staff on duty at any time to help to keep people safe.

Staff understood about abuse and how to protect people at the home.

Effective

Good

Updated 29 August 2018

The service remains good

Caring

Good

Updated 29 August 2018

The service remains good

Responsive

Good

Updated 29 August 2018

The service remains good

Well-led

Good

Updated 29 August 2018

The service has improved to good

Notifications about the service were now being sent to CQC and other organisations when needed in a swift and timely way.

The provider had effective systems in place to check and monitor the quality of the care and the service provided for people.

The acting manager was open and inclusive and the home was run in the best interests of people.

Staff and people at the home felt well supported and were encouraged to make their views known.