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Inspection Summary


Overall summary & rating

Good

Updated 13 November 2019

About the service

Retreat Lodge is a residential care home providing accommodation and personal care. The home accommodates up to seven people in one house. At the time of our inspection seven people with learning disabilities were living at the home.

The service has been developed and designed in line with the principles and values that underpin 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 for them.

As part of thematic review, we carried out a survey with the manager at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people. The service used some restrictive intervention practices as a last resort, in a person-centred way, in line with positive behaviour support principles.

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

Staff managed people’s medicines safely and our checks showed people received their medicines as prescribed. Staff understood the risks in people’s care and how to support them safely and the provider had checks in place to manage the premises and equipment safely. The service was clean and staff followed suitable infection control practices. There were enough staff to support people safely and staff were recruited following robust processes.

The provider supported staff with a range of training relating to people’s needs, as well as one to one supervision. People received the support they needed to maintain their day to day health and in relation to eating and drinking. 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.

People were cared for by staff who were kind and understood them well. Staff supported people to be involved in decisions in their care and care was personalised to meet people’s needs and preferences. Staff supported people to access a wide range of activities they were interested in, and supported people on annual holidays. Staff understood people’s communication needs well. The provider had a suitable process in place to respond to any concerns or complaints.

An experienced manager was in post who was in the process of registering with us. The manager was well regarded by staff and relatives. The manager had sufficient oversight of the service, working alongside staff regularly to check high standards were maintained. The provider had a range of audits in place to check standards were maintained at all times.

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

Rating at last inspection

The last rating for this service was requires improvement (report published September 2018).

Why we inspected

This was a planned inspection based on the rating at the last inspection.

Follow up

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

Inspection areas

Safe

Good

Updated 13 November 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 13 November 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 13 November 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 13 November 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 13 November 2019

The service was well-led.

Details are in our well-led findings below.