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Aspen Lodge Residential Care Home Requires improvement

Reports


Inspection carried out on 20 January 2020

During a routine inspection

About the service

Aspen Lodge is a residential care home providing personal care to 22 people aged 65 and over at the time of the inspection. The service can support up to 25 people in one adapted building.

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

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 however did not consistently support this practice and improvements were needed.

People’s care plans were not always up to date and showing accurate information about how to effectively support people. Staff however were aware of how to meet peoples needs so this did not impact on the effectiveness of people’s care.

The governance and audit systems to check on the quality of people’s care had not identified the issues we found during the inspection.

Staff safeguarded people from abuse and managed risks to people’s safety. People were supported by enough safely recruited staff. People had their medicines as prescribed and were protected from the risk of cross infection. When incidents happened there was learning in place to minimise the risk of reoccurrence.

People were supported by staff who had received an induction and updates to their training. People were supported in a consistent way with access to health professionals when they needed it. People had enough to eat and drink and had a choice of meals. People were supported in an adapted environment.

People were supported by caring staff who respected their privacy and supported them to maintain their independence. People had their privacy maintained and were able to make choices for themselves.

People received person centred care and support from staff that understood their individual needs and preferences. People and relatives were involved in assessments and care plans. People had individual communication care plans in place to support them. People had access to social activities and visitors were encouraged to visit and made to feel welcome.

People understood how to make a complaint and there was a policy in place to manage these. There were systems in place to check on people’s medicines administration and ensure the home was clean. The registered manager was accessible to people, relatives and staff and other health professionals spoke highly of the service. There were partnerships in place and the registered manager had developed a learning culture.

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 good (published 20 July 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 information we may inspect sooner.

Inspection carried out on 9 June 2017

During a routine inspection

This inspection took place on 9 and 15 June 2017 and was unannounced.

Aspen Lodge Residential Care Home provides accommodation and personal care to a maximum of 25 older people, some of whom may have dementia, mental health conditions or physical disabilities. There were 21 people living at the home when we visited.

A registered manager was in post and present during our inspection. 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's rights under the Mental Capacity Act 2005 (MCA) were not always promoted. Significant decisions about people's care were not always reached and recorded in line with the requirements of the MCA.

The provider had taken steps to protect people from harm and abuse. Staff had received training in, and understood, how to recognise and report abuse. The risks associated with people's care and support had been assessed, managed and kept under review. The management team assessed and organised their staffing requirements to ensure people's individual needs could be met safely. People were supported to take their medicines safely and as prescribed by trained staff.

People were supported by staff who had the knowledge and skills to fulfil their duties and responsibilities. Staff received ongoing training, supervision and support. People had enough to eat and drink and were encouraged to make choices about what they ate and drank. People were supported to access a range of healthcare services.

Staff adopted a caring approach towards their work, and knew people well. People's involvement in decisions that affected them was actively encouraged. People's rights to privacy and dignity were understood and promoted.

People received personalised care and support. Care plans included details of people's personal histories and preferences, and staff referred to these. People and their relatives knew how to complain to the provider about the service provided.

The management team promoted an inclusive and open culture within the service. People, their relatives and staff had confidence in the management team. Staff felt well supported and were clear what was expected of them. The provider carried out quality assurance activities to identify and address areas for improvement within the service.