Archived: Deanwood Lodge

Updated 11 April 2017

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.

This inspection took place on the 21 and 23 February 2017 and was unannounced. The inspection team consisted of three inspectors and a specialist advisor.

We reviewed the information we held about the service. This included notifications about important events which the service is required to send us by law. We also spoke with two healthcare professionals as well as the local authority and clinical commissioning group commissioners about the service. We also sought the feedback of a community nurse who was visiting the service on the day.

We spoke with five people who were using the service and with five people’s relatives. We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us. We also spoke with 19 members of staff which included nine care staff, two activity co-ordinators, two administrators, a maintenance worker, the home’s chef, an agency nurse, the clinical lead, registered manager and a representative working on behalf of the provider. We reviewed 14 people's care files, care staff training and recruitment records and records relating to the general management of the service.

Updated 11 April 2017

We inspected Deanwood Lodge on the 21 and 23 February 2017. Deanwood Lodge is a residential and nursing home for up to 47 older people. 42 people were living at the home at the time of our inspection. The majority of these people were living with dementia. This was an unannounced inspection.

There was a registered manager in position. 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.

We last inspected in July 2016 and found that the provider was not meeting all of the regulations. We found that people were not always supported by staff who had the training and support they required to carry out their roles. Following our inspection in July 2016, the provider issued us a plan of the actions they would make. At this inspection we found appropriate action had been taken to address our concerns.

The provider had systems to monitor and improve the quality of service people received, however these systems were not always effective and did not always identify concerns, or ensure action was taken when concerns had been identified.

People’s care and risk assessments were often reflective of their needs; however some people’s care and risk assessments did not reflect their need. The registered manager and clinical lead were taking action to address this concern.

People and their relatives were positive about the home. They felt safe and well looked after. People enjoyed the food they received in the home and had access to food and drink. People benefitted from the activities provided to them.

People benefitted from positive caring interactions with care staff. Care staff supported people to make choices and respected their wishes. Care staff took time to engage with people in a positive and meaningful way and ensured that personal care was a positive activity.

People and their relative’s views were sought and acted upon by the registered manager and provider. People’s relatives were confident their concerns would be responded to and resolved.

Staff were deployed effectively to ensure people’s basic needs were met and kept safe. All staff had received training to meet people’s healthcare needs. Staff felt supported and had access to a structured supervision (one to one meeting) and appraisal process. Staff spoke positively about the support they received.

We found one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and Care Quality Commission (Registration) Regulation 2009. You can see what actions we told the provider to take at the back of the full version of this report.