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Inspection carried out on 20 November 2019

During a routine inspection

About the service

Meyrick Lodge is a care home registered to provide accommodation and personal care for up to six people diagnosed with learning disabilities. At the time of this inspection there were five people living at the home.

The service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive of them.

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

There was a relaxed, happy and welcoming atmosphere at Meyrick Lodge. People were supported by staff who knew them very well and provided kind, caring person-centred care and support. People were treated with dignity and respect that valued them individually. People told us they enjoyed living at Meyrick Lodge and they liked the staff and people who lived in the home.

People were supported to have maximum choice and control of their lives, with staff providing support in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People led active lives, supported by staff to take part in a variety of activities, hobbies and voluntary work that they enjoyed and that maintained their independence.

We received positive feedback from relatives about the kindness, compassion and professionalism of staff. Staff understood how to identify, and report abuse and were well supported in their roles. Staff received regular supervision meetings and a variety of training courses to enable them to carry out their roles competently.

There was a clear management structure and people, relatives and staff spoke highly of the registered manager who ensured there was an open, supportive, friendly culture at the home. There was a strong ethos and culture of delivering personalised care and support to people.

The service was safe. Risks to people’s health, safety and well being were assessed and management plans put in place to ensure risks were reduced as much as possible, whilst providing positive risk taking support for people.

People were supported by safely recruited staff and there were enough appropriately trained and experienced staff to support people in ways that suited them. Communication styles and methods were tailored to individual people and staff supported people to understand the choices available to them.

The service worked collaboratively and closely with health care professionals to ensure people received the best care and support at all times. Staff were responsive to people’s changing support needs and adapted care and support according to their health needs.

People’s health care needs were met, and staff supported them to see healthcare professionals when appropriate. Medicines were managed, stored and administered safely. People were supported to take their medicines safely by staff who had received the appropriate levels of training.

There was a clear complaints policy and relatives told us they knew how to make a complaint if the needed to and felt any concerns would be taken seriously and action taken straight away.

There were established quality assurance systems in place to drive improvement and ensure the home offered a safe, effective, caring and responsive service.

Rating at last inspection

The last rating for this service was good, (published May 2017).

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 informa

Inspection carried out on 12 May 2017

During a routine inspection

This unannounced comprehensive inspection took place on 12 May 2017.

Meyrick Lodge is a care home registered to accommodate a maximum of six people with learning disabilities. At the time of the inspection five people were living at the home.

There was a registered manager employed at the home. 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.

People told us they were, "Happy” living there and relatives gave positive views about the home and the care and support their relative was given.

People told us they felt safe at the home. Staff had been trained in safeguarding adults and were aware of the types of abuse and how to identify, prevent and report abuse. There was an effective, inclusive system of training in place for staff, people and their relatives.

Plans were in place on how to support people in the event of an emergency.

Staff were friendly, kind and caring and gave individual, person centred care to everyone living at Meyrick Lodge. There were robust recruitment practises in place to make sure that appropriate staff were employed to support people.

People’s needs were assessed and areas of risk were assessed and reviewed to ensure peoples’ safety. Support was offered in accordance with people’s wishes and their privacy was protected. Staff knew people well and understood their physical and personal care needs and treated them with dignity and respect.

Staff and people told us they felt the staffing levels were appropriate to meet people’s needs. Staffing levels were planned and adjusted to make sure people were given individualised care.

People’s medicines were securely stored and managed and people were supported to take their prescribed medicines.

Staff were knowledgeable about the Mental Capacity Act 2005 and its principles and understood how people living at Meyrick Lodge preferred their care and support to be given.

People were provided with a choice of healthy food and drink ensuring their nutritional needs were met. Systems were in place to support people with budgeting, shopping and cooking. People’s health needs were monitored which included appropriate referrals to health professionals when required.

People were supported to take part in a range of activities, hobbies and work placements to maintain their independence and promote a healthy lifestyle. People could choose where they spent their time.

People told us they were happy to raise any issues or concerns with the manager and felt confident they would be listened to.

The service was well led with a clear management structure and an open, friendly culture. There were systems in place to promote a continuous drive for improvement.