About the service Hope Lodge care home is a small care home. Providing accommodation and personal care for up to three people aged between 18-65 with learning disabilities and autism. At the time of inspection three people were living at the service.
Hope Lodge Care home supports people in one building, the home has a communal living area, communal kitchen, communal bathroom facilities and a shared garden. People have their own bedrooms.
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 that 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 using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
People using the service felt safe, however we found that systems were not in place to monitor and record explanations for people’s bruising and injuries. People’s medicines were not always managed in accordance with best practise guidance. Recruitment procedures were not robust, and staff did not have full employment history recorded and gaps in employment were not explored.
The management team was not always knowledgeable and did not always follow current legislation and best practise guidance to ensure the care and support people received was safe and effective. The service’s audit systems were not effective in identifying areas requiring improvement which we found during inspection.
People were supported to eat and drink enough. People were supported to help prepare their own meals where possible and were given choice into meal options.
People were supported with regular health appointments and referred for specialist support when required. Staff members received regular supervisions with management and attended staff team meetings. Staff felt supported by the registered manager and felt able to discuss any concerns they had with them. Staff had received induction training and had regular refresher training.
Staff had developed positive and caring relationships with the people they supported. They had time to spend with people and opportunities to listen and talk to them. People were treated with dignity and respect. People’s care was personalised and responsive to their needs. Staff were knowledgeable of people’s needs and understood the importance of treating them as individuals.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 18th March 2016). Since this rating was awarded the registered provider of the service has changed. We have used the previous rating to inform our planning and decisions about the rating at this inspection
Why we inspected
This was a planned inspection based on the previous rating.
We have found evidence that the provider needs to make improvement. Please see the safe and well led sections of this report.
You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Hope Lodge Care Home on our website at www.cqc.org.uk.
Enforcement
We have identified a breach in relation to Good governance. Due to the registered manager’s systems and auditing processes not being effective in identifying areas of concern and their lack of knowledge around key legislation.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.