Archived: Staddon Lodge

Updated 9 June 2016

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 was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

We reviewed the notifications we had been sent from the service since we carried out our last inspection. The notifications we were sent had not included any substantiated safeguarding allegations. A notification is information about important events which the service is required to send us by law.

This inspection took place on 20 and 22 April and was unannounced. One inspector carried out the inspection over both days. We met with the majority of people living at the home and spoke with five people who gave us a good account of what it was like to live at the home.

We met with both the registered providers, Mr and Mrs Richardson. The registered manager of the home, Mrs Richardson, assisted us throughout the inspection. We also met and spoke with the deputy manager, two members of staff.

We looked in depth at two people’s care and support records, people’s medication administration records as well as records relating to the management of the service. These including staffing rotas, staff recruitment and training records, premises maintenance records, a selection of the providers audits and policies and quality assurance surveys.

Updated 9 June 2016

This was an unannounced comprehensive inspection that took place on 20 and 22 April 2016. At the last inspection completed in December 2013 we found the provider was compliant with the regulations and quality standards we reviewed.

Staddon Lodge provides accommodation and personal care for up to 12 older people in a small homely environment. At the time of the inspection there were 12 people living at the home.

There was a registered manager at the home at the time of the inspection. 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.

Overall, there were high satisfaction levels about the way people were nursed and cared for.

People felt safe living at the home and there were established monitoring and auditing systems to make sure that the environment and way people were looked after were safe. Risk assessments had been completed to make sure that care and nursing was delivered safely with action taken to minimise identified hazards. The premises had also been risk assessed to make that the environment was safe for people.

Staff had been trained in safeguarding adults and were knowledgeable about the types of abuse and how take action if they had concerns.

Accidents and incidents were monitored to look for any trends where action could be taken to reduce chance of their recurrence.

Sufficient staff were employed at the home to meet the needs of people accommodated.

There were recruitment systems in place to make sure that suitable, qualified staff were employed at the home. Misunderstanding of the Regulations had led to one member of staff being recruited before all the required checks had taken place.

Improvements implemented before the completion of the inspection should ensure safer medication administration in the home to address some potential risks that were identified.

The staff team were both knowledgeable and well.

There were good communication systems in place to make sure that staff were kept up to date with any changes in people’s routines or care requirements.

Staff were well-supported through supervision sessions with a line manager, an annual performance review and also direct supervision from the manager or deputy who often worked alongside other staff in delivering people’s care.

Staff and the registered manager were aware of the requirements of the Mental Capacity Act 2005 and acted in people’s best interest where people lacked capacity to consent. The majority of people accommodated had capacity to make their own decisions for all aspects of their lives and they were all consulted with consent given with regards to their care and support.

The home was compliant with the Deprivation of Liberty Safeguards with appropriate referrals being made to the local authority.

People were provided with a good standard of food, appropriate to their needs.

People and staff were very positive about the standards of care provided at Staddon Lodge. People were treated compassionately as individuals with staff knowing people’s needs.

People’s care needs had been thoroughly assessed and care plans put in place to inform staff of how to care for people. The plans were person centred and covered all areas of people’s needs. The plans we looked at in depth were up to date and accurate.

There was good evidence of the staff and registered manger taking action when people’s needs changed or responding to newly assessed needs.

Some communal activities were arranged as well as individualised activities to keep people meaningfully occupied.

There were complaint systems in place and people were aware of how to make a complaint. None had been raised since out last inspection of the home in December 2013.

Should people need to transfer to another service, systems were in place to make sure that important information would be passed on so that people could experience continuity of care.

The home was well-led. There was a very positive, open culture in the home with staff proud of how they supported people.

There were systems in place to audit and monitor the quality of service provided to people.