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Elm Lodge Care Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 7 September 2019

About the service

Elm Lodge care home was providing personal care and accommodation over two floors in one adapted building, for up to for 20 older people living with dementia at the time of our inspection. The service can support up to 46 people. The home lies within reach of local community transport and provides single occupancy bedrooms and is designed to enable people to move around safely and independently.

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

Our previous inspections have identified the provider needed to make improvements within the service. Good care is the minimum that people receiving services should expect and deserve to receive. On this inspection we found the provider had made sufficient improvements to be removed out of special measures; however, improvements were still required.

Management systems to monitor and improve the quality, safety and effectiveness of people’s care had now been developed. However, these systems and ongoing care improvements were not yet fully demonstrated or sustained by the provider. Aspects of people’s dementia care needs were not always fully optimised against recognised national guidance and practice standards.

The provider’s management team had begun to develop and embed formalised engagement and partnership working strategies; to help ensure informed, consistent care delivery in people’s best interests. The provider was now meeting their legal obligations and also the conditions of their registration. The nominated individual and registered manager, who were appointed since our last inspection were visible at the service. Overall, staff, people using the service and others with an interest there were now more confident in the management and running of the service. The provider now needs to demonstrate ongoing and sustained governance and service improvement.

Improvements were made for people’s safety and to monitor, act and ensure lessons learned when things went wrong at the service. Revised risk management, staffing, safeguarding and medicines systems and for environmental cleanliness and safety, were mostly sufficient to ensure people’s safety. The provider now needs to demonstrate ongoing and sustained care and service improvement. We made one recommendation in relation to the environment, to further ensure people’s safety and best practice.

Revised care systems and related staff training measures had improved the effectiveness of people’s care. Staff were now more confident in the revised arrangements for their training and support. However, the provider's assured management plan for staff training and support was not yet fully completed, embedded or demonstrated as ongoing.

Staff now understood and followed people’s care plans, which were now accurately recorded and reviewed when needed for people’s care. Improved consultation with relevant external health professionals involved in people’s care was now established and demonstrated. This helped to ensure people received consistent, informed and timely care, to enable them to maintain or improve their health when needed. The provider now needs to demonstrate and ensure this in an ongoing and sustained manner.

People were mostly supported to have maximum choice and control of their lives and staff mostly supported people in the least restrictive way possible. However, related policy and systems did not always fully ensure this or support people’s choice, control and inclusion.

Accessible information was not fully considered or ensured to meet people’s communication needs; and to optimise their choice and understanding for their care and daily living arrangements at the service.

Work was in progress to support the planning of personalised care to meet people’s, needs, preferences and interests. People were supported to engage in home life and with family and friends who were important to them. Social and recreational activities were regularly organised but the arrangements for this did no

Inspection areas

Safe

Requires improvement

Updated 7 September 2019

The service was not always safe

Details are in our safe findings below

Effective

Requires improvement

Updated 7 September 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 7 September 2019

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 7 September 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 7 September 2019

The service was not always well-led.

Details are in our well-Led findings below