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Colton Lodges Care Home Requires improvement

The provider of this service changed - see old profile

We have removed an inspection report for Colton Lodges Care Home from 22 August 2019. The removal of the report is not related to the provider or the quality of this service. We found an issue with some of the information gathered by an individual who supported our inspection. We will reinspect this service as soon as possible and publish a new inspection report.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 1 May 2020

About the service

Colton Lodge care home is a care home providing personal care to 108 people aged 65 and over at the time of the inspection.

People’s experience of using the service

The home was not always well led as quality assurance systems were not robust. Audits did not identify the issues we found on inspection and actions had not always been completed. Records were not always completed or accurate. Care plans were not always updated to reflect people’s current needs. The registered manager was open, honest and was keen to make improvements within the home. Surveys and meetings were held with people and their relatives to ask for their views and their suggestions were used to improve the service.

Medicines were not managed safely. Medication records were not accurate and did not provide clear guidance for administering medicines safely. Medication prescription information on charts had been changed without clinical evidence to support this. Risks were managed effectively to mitigate risks and staff knew their individual needs well, but this was not always recorded. We found some risk assessments lacked information to inform staff on how people should be supported. Incidents and accidents were managed effectively when reported. However, we found incidents of unexplained bruising which had not been investigated and the registered manager took immediate action to address this.

There were enough staff working each day. However, the deployment of staff meant people sometimes had to wait for support. We have made a recommendation around staffing deployment. Staff completed training and received regular supervisions which supported them in their role. Appraisals were carried out for staff develop and spot checks completed to monitor staff practice. Recruitment processes remained robust.

Staff understood their responsibilities in relation to the Mental Capacity Act 2005. People were supported to have maximum choice and control of their lives as staff asked people for their consent and supported them in the least restrictive way.

People said staff listened to them and were caring. People were well cared for by staff who treated them with respect and dignity. People and their relatives said they felt safe and we saw positive interactions between people and staff.

Care plans were completed however, these were not always up to date. We have made a recommendation around care planning.

People told us staff knew their needs and how to support them. Staff supported people in a way they wanted. End of life care was being provided and staff received training to care for people in the way the wanted. A complaints system was in place and complaints were managed effectively.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 31 August 2018) and there was a breach of regulation 18. There was an inspection on 25 and 29 July 2019. However, the report following that inspection was withdrawn as there was an issue with some of the information that we gathered.

Why we inspected

This was a planned inspection.

Enforcement

We have found evidence the provider needs to make improvements. We have identified breaches in relation to medicines and governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

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

Requires improvement

Updated 1 May 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 1 May 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 1 May 2020

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 1 May 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 1 May 2020

The service was not always well-led.

Details are in our well-led findings below.