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Inspection Summary


Overall summary & rating

Good

Updated 16 April 2020

About the service

The Lodge provides residential care for younger adults with a learning disability and/or autism. The service is registered to support up to eight people in one adapted building, and eight people were using the service when we inspected.

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 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’s experience of using this service and what we found

People received support from trained staff to reduce any anxiety or distress and help keep them safe. Professionals and relatives praised the effective support provided and the positive outcomes achieved for people who used the service. Not all records included enough information to guide staff on when they might need to use certain medicines or physical restraint to keep people safe.

We made recommendations about reviewing the approach to supporting, recording and analysing incidents of anxiety or distress, and to look at good practice on stopping over medication of people with a learning disability and/or autism.

The registered manager was responsive to feedback and committed to developing the service and improving people’s quality of life.

People were kept safe by staff who had been safely recruited and trained to identify and respond to any safeguarding concerns. The registered manager made sure enough staff were deployed to meet people’s needs. The environment was safely maintained and clean. People were protected from the risk of healthcare related infections.

Staff completed regular training and had supervisions and appraisals to support them in their role. They worked closely with professionals to make sure they were providing effective care and people received medical attention when needed.

People were supported to eat a varied and balanced diet, and to maintain good health.

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. Applications were made when needed to deprive people of their liberty. We made a recommendation about recording in relation to the Mental Capacity Act 2005.

Staff were kind, caring and respectful. People shared positive caring relationships with the staff who supported them and clearly valued and benefited from their company.

Staff provided support in line with the principles and values of Registering the Right Support. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

People had a good quality of life and were supported to pursue their hobbies and interests. Staff encouraged and supported people to take part in a wide range of activities to learn new skills and to reduce the risk of social isolation.

There were systems in place to manage and respond to complaints. Lessons had been learned and changes made to improve the service. People consistently told us staff and management were approachable and responsive to feedback.

For more details, please see the full report which is on the Care Quality Commission’s (CQC) website at www.cqc.org.uk.

Rating at last inspection

The last rating for this service was good (report published 3 August 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 reinspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 16 April 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 16 April 2020

The service effective.

Details are in our effective findings below.

Caring

Good

Updated 16 April 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 16 April 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 16 April 2020

The service was well-led.

Details are in our well-led findings below.