High Lodge is a care home. People in care homes receive accommodation and 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. High Lodge is registered to accommodate 29 people in one building. At the time of our inspection 21 people were using the service. High Lodge accommodates people in one building and support is provided on two floors. There are two communal lounges, a dining area and a garden that people can access. Some of the people living here have dementia. At our last inspection on 26 January 2016 we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated 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.
There is a registered manager in place. 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.
People continued to receive safe care. People remained safe and risks to people were considered and reviewed when needed. Staff understood safeguarding and when needed referrals were made to the relevant people. Learning logs were completed by the provider so that when things went wrong lessons could be learnt. There were enough staff available and medicines were managed in a safe way. Infection control procedures were followed.
People continued to receive effective care. People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible. People enjoyed the food available and were offered a choice. Staff were supported and trained to ensure that they had the skills to support people effectively. When needed people received support from health professionals. The home was adapted and decorated to meet people needs and had decoration and signage to support people living with dementia.
People continued to be supported in a caring way. People’s privacy and dignity was maintained. People were encouraged to be independent and supported in a kind and caring way by staff they were happy with.
People continued to receive responsive care. People received their care that was responsive to their needs and their preferences were considered. Compliant procedures were in place and followed when needed. People had the opportunity to participate in activities they enjoyed. When people were in need of end of life care they received the support in line with their wishes.
The service remained well led. People, relatives and staff were asked for their feedback on the quality of the service. Quality assurance systems were in place to identify where improvements could be made and when needed these changes were made. There was a registered manager in place who notified us of significant events that occurred within the home.