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Inspection Summary


Overall summary & rating

Good

Updated 17 November 2017

The unannounced inspection took place on 21September 2017.

Benham Lodge provides care and accommodation to up to nine adults with a learning disability. There were eight people living at the service at the time of our inspection, including people with physical health needs.

The service had changed providers and this was our first rated inspection to the service since it had registered with us in September 2016.

The service was run by a registered manager who was present on the day of our visit. 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.

Staff had been trained to recognise and respond to the signs of abuse. They were confident they could raise any concerns with the registered manager or outside agencies if this was needed.

There were enough staff with the skills required to meet people's needs. Staff were recruited using procedures designed to protect people from the employment of unsuitable staff. They were deployed in sufficient numbers to meet people’s physical, social and emotional needs.

Assessments of risk were undertaken of the environment and each person’s specific needs and gave guidance to staff about how these risks could be minimised. There were systems in place to review accidents and incidents and make any relevant improvements as a result.

Medicines were managed, stored, disposed of and administered safely. People received their medicines when they needed them and as prescribed.

Staff had received training in infection control and followed this guidance to help minimise the spread of any infection.

Staff had received the training necessary for their roles and were supported through supervision and on-going appraisals.

CQC is required by law to monitor the operation of the Deprivation of Liberty Safeguards (DoLS). DoLS applications had been made to ensure that people were only deprived of their liberty, when it had been assessed as lawful to do so.

People had their health and dietary needs assessed and clear guidance was in place to ensure they were effectively monitored.

People were involved in making decisions about their care and treatment. They had the opportunity to take part in activities which they enjoyed and to go out.

Staff respected and valued people’s contributions. They communicated with people in a kind and caring manner and reassured people when they became anxious.

People’s feedback about the service was gained through regular meetings, conversations and surveys. Information was available to their relatives and visitors about how to raise a concern or complaint.

The registered manager was approachable and the atmosphere in the service was relaxed and informal. Relatives and professionals said there had been improvements to the service since they had been in post. They were supported by a staff team who understood the aims of the service.

Systems were in place to review the quality of the service which were effective in identifying areas where any improvements were required.

Inspection areas

Safe

Good

Updated 17 November 2017

Staff knew how to follow the service’s safeguarding procedures to keep people safe.

There were sufficient staff to meet people's physical, social and emotional needs. Recruitment processes were safe and ensured only suitable staff were employed.

People received their medicines when they needed them and as

prescribed.

Risks to people's safety and welfare were managed to make sure they were protected from harm.

The service was clean and practices were in place to minimise the spread of any infection.

Effective

Good

Updated 17 November 2017

The service was effective.

Staff were aware of the requirements of the Mental Capacity Act 2005 and understood how to protect people’s rights.

Staff had regular training to ensure that they had the skills and knowledge to meet people’s needs.

People were supported to make food choices and were provided with a diet that took their health needs into consideration.

The service liaised with other healthcare professionals to maintain people’s well-being.

Caring

Good

Updated 17 November 2017

The service was caring.

Staff were kind, caring and patient in their approach and supported people in a calm and relaxed manner.

People’s privacy, dignity and independence were respected and promoted.

People were supported to maintain important relationships.

Responsive

Good

Updated 17 November 2017

The service was responsive.

People received care that was based on their needs and preferences. They were involved in all aspects of their care and were supported to lead their lives in the way they wished to.

People participated in activities of their choice.

Information about how to make a complaint was available at the service.

Well-led

Good

Updated 17 November 2017

The service was well-led.

The registered manager was approachable and had made improvements in the service which had benefitted people and staff.

People, staff and relatives were asked for their views about the service.

A system was in place to regularly assess and monitor the quality of the service people received, through a series of audits.