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Inspection Summary


Overall summary & rating

Good

Updated 12 July 2018

We previously inspected Portchester Lodge on 6 and 7 April 2017. We found four breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and one breach of the Health and Social Care Act 2008 (Registration) Regulations 2009. We rated the service requires improvement. At this inspection we found improvements had been made and the provider had met the requirement notices. At this inspection we rated the service as good.

Portchester Lodge provides care and support for up to ten people who are living with mental health issues, a learning disability or dementia. There were seven people living at the home at the time of the inspection.

A new registered manager had been employed since our previous 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 were safeguarded from avoidable harm. Staff adhered to safeguarding adults procedures and reported any concerns to their manager and the local authority.

Staff assessed, managed and reduced risks to people’s safety at the service and in the community. There were sufficient staff on duty to meet people’s needs.

Safe medicines management was followed and people received their medicines appropriately.

Staff protected people from the risk of infection and followed procedures to prevent and control the spread of infections.

Staff completed regular refresher training to ensure their knowledge and skills stayed in line with best practice guidance. Staff shared knowledge with their colleagues to ensure any learning was shared throughout the team.

Staff supported people to eat and drink sufficient amounts to meet their needs. Staff liaised with other health and social care professionals and ensured people received effective, coordinated care in regards to any health needs.

Staff applied the principles of the Mental Capacity Act 2005. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

An appropriate, well maintained environment was provided that met people’s needs.

Staff treated people with kindness, respect and compassion. They were aware of people’s communication methods and how they expressed themselves. Staff empowered people to make choices about their care.

Staff supported people to maintain relationships with families. People’s privacy and dignity was respected and promoted.

People received personalised care that met their needs. Assessments were undertaken to identify people’s support needs and these were regularly reviewed.

People participated in a range of activities.

A complaints process ensured any concerns raised were listened to and investigated.

The registered manager adhered to the requirements of their Care Quality Commission registration, including submitting notifications about key events that occurred.

An inclusive and open culture had been established and the provider welcomed feedback from staff, relatives and health and social care professionals in order to improve service delivery.

A programme of audits and checks were in place to monitor the quality of the service and improvements were made where required.

The provider had learnt lessons from our last inspection and had improved.

Inspection areas

Safe

Good

Updated 12 July 2018

The service was safe. People felt safe because the provider had systems in place to recognise and respond to allegations of abuse or incidents. Meetings were held regularly to monitor and assess risk related to people�s care.

People received their medicines when they needed them. Medicines were stored and managed safely.

There were sufficient numbers of staff deployed to ensure the needs of people could be met. The provider had safe recruitment practices in place.

Effective

Good

Updated 12 July 2018

The service was effective. Staff received training to ensure that they had the skills and additional specialist knowledge to meet people�s individual needs.

Staff understood their responsibilities in relation to the Mental Capacity Act 2005 and how to act in people�s best interests.

Staff received appropriate support and supervision.

Caring

Good

Updated 12 July 2018

The service remained caring. Staff knew people well and communicated with them in a kind and relaxed manner.

Good supportive relationships had been developed between the home and peoples� family members. Healthcare professionals told us the home provided compassionate care.

People were supported to maintain their dignity and privacy and to be as independent as possible.

Responsive

Good

Updated 12 July 2018

The service was responsive. People�s needs were assessed before they moved into the home to ensure their needs could be met.

People received care and supported when they needed it. Staff were knowledgeable about people�s support needs, interests and preferences. Staff were proactive in encouraging people to take part in a wide range of activities.

People were knowledgeable about the different ways they could complain if they were not happy with the care provided.

Well-led

Good

Updated 12 July 2018

The service was well-led. People and healthcare professionals felt there was an open, welcoming and approachable culture within the home.

Staff felt valued and supported by the registered manager and the provider.

The provider regularly sought the views of people living at the home, their relatives and staff to improve the service.