Background to this inspection
Updated
11 March 2022
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to care homes with outbreaks of COVID-19, we are conducting reviews to ensure that the Infection Prevention and Control (IPC) practice is safe and that services are compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on 17 February 2022 and was announced. We gave the service two hours’ notice of the inspection.
Updated
11 March 2022
About the service
Doddington Lodge is a residential care home providing personal and nursing care to 19 people aged 65 and over at the time of the inspection. Doddington Lodge can accommodate up to 23 people across two units with adapted facilities. One of which specialises in providing care to people living with dementia.
People’s experience of using this service and what we found
People were not always protected against potential risks to their safety. We found medicines were not always managed effectively, people were not always protected from cross infection and one person was not supported safely to meet their care needs. We found however, people were supported by enough staff who received training to protect them from potential harm or abuse. Accident and incidents were recorded, and lessons were learnt.
People’s assessment of needs and care plans were being updated to meet people’s preferences. People were supported by staff who were trained to meet their needs and supported them to maintain a healthy diet. People had access to healthcare services and staff worked in partnership with healthcare professionals to meet people’s needs. The home was adapted to meet people’s needs and the manager planned to introduce a dementia friendly environment.
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 were treated well and supported by staff who spent time with them. People had input into their care and were involved in decisions made. Staff respected people’s privacy and dignity and promoted their independence.
People’s communication needs were assessed and detailed in their care plan. People were supported to follow their interests and avoid social isolation. People’s end of life wishes had been considered and documented in their care plan. Concerns or complaints were captured to make improvements.
A positive culture was shared to ensure good outcomes for people. Incidents were investigated and improvements were made. Managers and staff were clear about their roles and regulatory requirements. Management encouraged people, their relatives and staff to have an input to make changes to the service. Quality assurances processes were in place to identify any improvements. Staff worked with other health and social care services to meet people’s needs.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 09/09/2019 and this is the first inspection.
Why we inspected
The inspection was prompted in part due to concerns received about people’s care plans and assessments of their needs. A decision was made for us to inspect and examine those risks. We completed an inspection of all five key questions, as this service has not been previously inspected.
We have found evidence that the provider needs to make improvement. Please see the safe section of this full report.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.
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.