15 April 2015
During a routine inspection
This unannounced inspection took place on the 15th April 2015. During our previous inspection on 21 August 2014 we found the provider met all the standards we inspected.
Moot Lodge is a care home registered to provide accommodation for 19 people requiring personal care. The home is located in the market town of Brampton and overlooks the market square. The home is close to local shops and public transport routes.
The home has 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 and associated Regulations about how the service is run.
We found that the service was safe. There were systems in place to manage risks, safeguarding matters and medication and this ensured people’s safety. Staff were aware of their responsibilities to keep the people they supported safe at all times.
We saw that the ordering, administration and disposal of medicines was well managed.
CQC is required by law to monitor the operation of the Mental Capacity Act (MCA) 2005 Deprivation of Liberty Safeguards (DoLS), and to report on what we find. DoLS are a code of practice to supplement the main Mental Capacity Act 2005. Some staff had completed training in MCA and DoLS and were hoping to pass on their knowledge to the other members of the staff team.
The manager and supervisor were aware of the processes to follow when supporting people who had limited or no capacity to make important decisions without assistance.
We saw that healthcare needs were met through the local GP surgery and the district nursing team. Other external health care professional’s advice was sought when this was required.
People were protected from the risks associated with nutrition and hydration. People spoke positively about the choice of food available. Where people were at risk of malnutrition, referrals had been made to the dietician or the speech and language therapist for specialist advice.
Staff were recruited safely and there was sufficient staff on duty to meet the needs of the people who lived in Moot Lodge.
Staff training was up to date and staff were given the opportunity to discuss their training needs during meetings with their line manager.
We saw the staff approached people they supported in a kind and caring manner. People told us the staff, “Were wonderful and very caring”. People were given time to do things at their own pace.
Each person who lived in the home had an individual, personalised plan of care. We found that the care planning and review processes were centred on the individual and detailed how they wanted their care to be provided.
There was a complaints procedure in place with detail about how to make a complaint on display.
The registered provider had a policy and process in place to evaluate and monitor the quality of the service provided.