The Lodge at Burcot Grange

The Lodge at Burcot Grange is a residential care home providing personal and nursing care to 53 people who may be older or younger adults and who may live with dementia, physical disability or sensory impairment at the time of the inspection. The service can support up to 54 people.

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

People and those closest to them consistently told us living at The Lodge at Burcot Grange had enriched people’s lives because of the way the home was run. The approach taken by staff placed people at the centre of the way their care was developed and refined as their needs changed. This promoted people’s health and well-being and enabled people to keep in touch with those that were important to them. In addition, people were provided with opportunities to reconnect with their past and enjoy spontaneous moments of happiness, so they led fulfilled lives.

The registered manager worked with people, relatives, other health and social care professionals and staff so people had seamless care and achieved good outcomes. This had led to people experiencing improved mental health, pain reduction, and physical health.

The provider and registered manager worked together to reflect on the care provided to people. This had led to significant improvements in people’s safety, including a major reduction in the falls people experienced.

There was a consistently high level of praise from people and their relatives about the skilled ways people were supported by the whole staff team. People were encouraged to explore what support they wanted, and staff listened to how people wanted their care to be provided.

Relatives were positive about the inclusive way their family member’s needs were met and how staff worked with them to anticipate people’s changing needs and drive through improvements in people’s well-being and comfort.

Staff had received many compliments for the care they had provided to people at the end of their lives.

People were promptly supported by staff when they wanted assistance. Staff had a clear understanding of people’s individual risks and promoted people’s rights and independence when caring for them. People were supported to have the medicines they needed to remain well, and action was taken to reduce the risk of infections.

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.

Rating at last inspection

The last rating for this service was good, (published 30 April 2019).

Why we inspected

We received concerns in relation to the management of people’s safety risks. As a result, we undertook a focused inspection to review the key questions of safe, responsive and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe, responsive and well-led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Lodge at Burcot Grange on our website at www.cqc.org.uk.

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.

The Lodge at Burcot Grange is a residential home. It provides accommodation and personal care for up to 54 people. At the time of the inspection, there were 14 people permanently living at the service and three people who were on a short period of respite stay.

People’s experience of using this service:

People were supported by staff that were caring, compassionate and treated them with dignity and respect. Staff understood the needs of the people they supported and their communication needs, meaning person centred care and support was provided based on their individual needs and preferences. We observed positive, meaningful relationships between people and staff.

Risks of abuse to people were minimised because the service had robust safeguarding systems and processes. Staff understood safeguarding reporting processes and the registered manager had a detailed oversight of current and historical safeguarding matters.

There were effective systems that ensured the service was safe. Health and safety checks, together with effective checks of the environment were carried out by dedicated staff.

People were supported by staff who had the skills and knowledge to meet their needs. Staff understood their role and were confident when performing it through a continual training package. Staff at the service worked together with a range of healthcare professionals to achieve positive outcomes for people and followed professional advice to achieve this.

People were supported in the least restrictive way possible; the policies, systems and culture in the service supported this practice. There were effective systems in place that ensured people who were deprived of their liberty were done so with the appropriate legal authority.

People's concerns and complaints were listened and responded to. Accidents, incidents and complaints were used as opportunities to learn and improve the service. There were effective systems at service and provider level to share key events and incidents to reduce the risk of recurrence.

People, their relatives and healthcare professionals gave us positive feedback about the quality of care people received. The feedback on the leadership of the service and the registered manager was positive. Quality monitoring systems included audits, observation of staff practice and regular checks of the environment to ensure people received optimal care.

Rating at last inspection: Not previously rated. Registered in November 2017.

Why we inspected: This was a planned inspection.

Follow up: We will continue to monitor the service through the information we receive. We will inspect in line with our inspection programme or sooner if required.

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