27 June 2022
During a routine inspection
About the service
Queens Lodge is a residential care home providing personal care to four people at the time of the inspection. The service can support up to four people.
People’s experience of using this service and what we found
Right Support
¿ Improvements began during the inspection to support people to spend more of their time doing things they enjoyed and spending time with people who were important to them.
¿ The process of regularly reviewing people's aspirations needed to be strengthened so people could work towards goals which were important to them.
¿ Some health needs were not consistently met, action was taken immediately to rectify this.
¿ Staff supported people to make decisions using their preferred communication styles and methods.
¿ Staff supported people with their medicines safely and in the way they preferred.
Right care
¿ Improvements were required to ensure people always received safe care and treatment. For example, in effective recording, monitoring and review of distressed behaviour and accidents/incidents. Staff assessed and knew the risks people might face.
¿ There were enough appropriately skilled staff to meet people’s needs and keep them safe. An action plan was in place to get all aspects of staff support up to date and maintained.
¿ People received kind and compassionate care. Staff protected and respected people’s privacy and dignity.
¿ Staff understood how to protect people from poor care and abuse. Staff had training on how to recognise and report abuse and they knew how to apply it.
Right culture
¿ Management oversight of the service had lapsed in recent months. This was identified prior to the inspection and action was underway to make improvements.
¿ Mealtime experiences were not enriching for people living in the service.
¿ Documentation to support mental capacity assessments and best interest decision making required improvement.
¿ People and those important to them were involved in planning and reviewing their care.
¿ The deputy manager and most of the care team had worked in the service for a long time, which supported people to receive consistent care from staff who knew them well.
Why we inspected
We undertook this inspection to assess that the service is applying the principles of Right Support, Right Care, Right Culture.
The inspection was prompted in part due to concerns about management turnover, and food quality, as well as issues found at a nearby sister service.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.