Archived: West Lodge Care Home

Updated 19 February 2019

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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

West Lodge Care Home is a nursing home registered to support up to 27 people. There were 22 people living in the home at the time of our inspection. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

This unannounced comprehensive inspection took place on 6 February 2019 and was undertaken by one inspector and an expert by experience. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Before the inspection we looked at the information we held about the service and the provider, including notifications the provider is required to send us by law about significant events at the home. We also reviewed information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

We spoke with six people who lived at West Lodge Care Home and two relatives to listen to their views. We also observed the care provided in communal areas to see how staff interacted with people. We looked at two care plans to see if the planned care reflected how people were supported.

We spoke with the deputy manager, two nurses, two carers and the activity coordinator. We looked at two staff recruitment files to oversee the employment process and records relating to the management of the home.

Updated 19 February 2019

West Lodge Care Home provides accommodation, nursing and personal care for up to 27 older people, some of whom are living with dementia. At the time of our inspection 22 people were living in the home. The home has three floors. People have a choice of two communal lounges, a dining room and a conservatory.

At our last inspection we rated the service as good overall with improvements required in the Effective domain related to implementing care recommendations made by visiting professionals. We found that improvements had been made and maintained in this respect.

At this inspection we found the evidence continued to support the rating of good with some improvements required for people’s consent. However there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

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At this inspection we found the service Good overall.

People were supported to have maximum choice and control of their lives however some restrictions on their freedom had not been considered.

Staff knew how to recognise abuse and understood the actions they should take to report concerns. There were risk assessments and management plans in place to support people safely. Medicines were managed to ensure people had the treatments which were prescribed for them. There were sufficient suitably recruited, trained and supported staff who were aware of infection control requirements to protect people from harm.

People were provided with food and drinks which met their needs and cultural preferences. People’s health and wellbeing needs were monitored and other healthcare professionals contributed to their care whenever necessary.

People were treated in a kind and caring way and were happy with the support they received from staff. They and their relatives were involved with reviewing their care. People were encouraged to be independent and make choices on how to spend their day. People’s privacy and dignity was recognised and upheld. People were supported to maintain their preferences related to their ethnicity, language, culture and religious beliefs. There were activities provided to people who enjoyed them.

There were systems in place to monitor the quality of the home and action was taken to drive improvements. People were complimentary about the management of West Lodge Care Home. People and staff and were given opportunities to share their views of the service. There were audits in place to review the care and identify shortfalls. The registered manager was fulfilling the requirements of their role

Further information is in the detailed findings below