We carried out a review of the data available to us about Iceni Lodge on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Iceni Lodge, you can give feedback on this service.
When last inspected, Iceni lodge was providing short stay respite care for up to two people. Iceni Lodge now provides residential care for one permanent person, who has learning disabilities.
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
The person was supported to have maximum choice and control of their life 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.
The outcomes for the person using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. The person’s support focused on them having as many opportunities as possible to gain new skills and be independent.
Iceni Lodge offered one to one and group activities through attending a day service run by the same provider. Staff showed empathy, kindness and compassion, and placed value on their caring roles and involvement in the person’s life. The care provided was flexible to meet assessed needs and preferences.
The service worked with the person and their family to complete end of life care planning to ensure provision of high standards of care and support at that stage of their life. The service had good working relationships with the local GP practice and learning disability healthcare professionals.
The service worked in partnership with the person and encouraged feedback on the care provided. We received positive feedback from the person about the service they received. Staff told us they enjoyed working at Iceni Lodge and spoke highly of the support provided by the registered manager.
The person had their care and support needs met by sufficient numbers of suitably trained staff. The care environment was clean and comfortable throughout. The service had governance arrangements in place and completed regular internal quality checks and audits. Findings from these were reviewed by the registered manager and nominated individual and used to continually drive improvement within the service.
Rating at last inspection: Iceni Lodge was previously inspected 20 October 2016, rated as Good overall with Requires Improvement for the Safe key question. The report was published 3 February 2017.#
Why we inspected: This was a scheduled, comprehensive inspection, completed in line with our inspection schedule for services rated as Good.
Follow up: We will continue to monitor this service and will reinspect in line with our schedule for services rated as Good.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Identified risks to people’s safety were recorded on an individual basis and there was guidance for staff to be able to know how to support people safely and effectively. Risk assessments explained any action that was required to remove or minimise any identified risks. However, not all identified risks were mitigated in a timely way.
Medicines were mostly managed and administered safely and people received their medicines as prescribed. However, some relevant paperwork for one person’s ‘as required’ medicines was missing at the time of this inspection.
We identified a shortfall with regard to formal audits and monitoring the quality of the service provided. However, the registered manager assured us that they would implement these systems as soon as possible. The new team leader was also in the process of improving records and monitoring practice in the home.
The service had processes in place to help ensure people using the service were safe. Staff knew how to recognise signs of possible abuse and knew the correct procedures for reporting concerns. There were enough well trained staff to support people and appropriate recruitment checks were carried out before staff began working in the service.
People were supported effectively by staff who were well trained, skilled and knowledgeable in their work. All new members of staff completed an induction and staff were supported well by the manager.
The Care Quality Commission (CQC) is required by law to monitor the operation of the Mental Capacity Act 2005, Deprivation of Liberty Safeguards (DoLS), and to report on what we find. The manager and staff understood and followed the requirements of the MCA.
People had enough to eat and drink and enjoyed their meals. Staff were caring and attentive. People were treated with respect and staff preserved people’s dignity. People were involved in planning their care and received support that was individual to their needs. People were also encouraged and supported to be as independent as possible and enjoyed activities and hobbies of their choice.
People using the service and their families were supported to raise any concerns or make a complaint if needed. Any concerns were listened to with appropriate responses and action taken where possible. Communication between the manager, staff, people using the service and their families was frequent and effective.
The service was mostly well run and people’s needs were being met appropriately. Incidents and accidents were recorded and analysed to minimise future recurrences. The registered manager was aware of their responsibilities in terms of informing CQC of any notifiable events. Necessary checks of the environment were regularly carried out and any problems were rectified within a reasonable timescale.