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Paddock Lodge Care Home Requires improvement

The provider of this service changed - see old profile

Reports


Inspection carried out on 26 November 2019

During a routine inspection

About the service

Paddock Lodge is a care home providing personal care for up to 24 people, some of whom were living with dementia. When we visited 16 people were living in the home and a further person was in hospital.

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

The home was not well maintained in its communal features as well as people’s individual rooms. A leak in the roof had been a persistent issue throughout the year, despite attempts to rectify this. Infection control was not well managed as a bed had been made over a urine stained mattress, and soaps and other toiletries were stored on top of toilet cisterns. Areas of the home required a deep clean.

There were sufficient numbers of safely recruited staff to meet people’s needs. Overall, medication was found to be safely managed. Risk to people’s safety had been assessed and some measures had been put in place to reduce those risks. However, unwitnessed falls at night time had not been identified as a theme and we found some people did not have bedside lighting.

Staff received regular formal support through training and supervision. Feedback showed staff were capable of recognising and responding to changes in people’s 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. People’s dietary needs were being met and people enjoyed the food they received. Protected mealtimes were in use.

Staff were seen to be caring. People were satisfied with the staff who supported them. People’s equality, diversity and human rights were respected, although there had been a lack of support in meeting people’s religious needs. Steps were taken by the management team to address this during our inspection.

Care plans were in place, although they were not always being followed. For example, people’s oral healthcare needs were not consistently being met. Some activities were taking place, although these were limited. Complaints were investigated and responded to. Concerns about the laundry service was an ongoing theme from early 2019.

A wide range of audits were being completed by the registered manager. Although these found some concerns prior to our inspection, other areas had not been identified as needing action. The management team were responsive to our feedback and put steps in place to begin to remedy some of these issues. Feedback was requested from people, relatives and staff in meetings and through satisfaction surveys. We found some evidence of partnership working.

We have made recommendations about the use of protected mealtimes, researching guidance on social stimulation and engagement with the local registered manager’s network.

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 requires improvement (published 11 October 2018). Since this rating was awarded the registered provider of the service has altered its legal entity. This was the first inspection of this service.

Why we inspected

This was a planned inspection based on our inspection schedule.

Enforcement

We have identified breaches in relation to standards of cleanliness to ensure good infection control and maintenance of premises and equipment.

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

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.