St Anne's Community Services - Creykes Lodge

Updated 13 March 2020

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was carried out by one inspector.

Service and service type

St Anne’s Community Services Creykes Lodge is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager who had applied to be registered with the Care Quality Commission. This meant the provider was legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or manager would be in the office to support the inspection.

What we did before the inspection

Before the inspection we contacted people who commission care from the home and other bodies such as the local authority safeguarding team and Healthwatch to ask for any information they could share. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.

We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

We used all of this information to plan our inspection.

During the inspection

We spoke with three members of staff, the manager, deputy manager and area manager. We also spoke with two visiting relatives. Due to the complexity of their needs people who used the service were not able to tell us about their experience, however we spent time in communal areas of the home making informal observations. After the inspection we contacted a social care professional to ask them for feedback about the service.

We looked at a range of records including two people’s care records and related medicines administration records. We also looked at records relating to recruitment and the quality management of the service.

After the inspection

We asked the provider to send us some additional information to support our judgements.

Updated 13 March 2020

About the service

St Anne’s Community Services – Creykes Lodge is a residential care home providing personal and nursing care to 6 people at the time of the inspection. The service can support up to six people.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People’s experience of using this service and what we found

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

People were safe using the service. There were enough, safely recruited staff and risks were well assessed and managed. People received medicines when they needed them and there were good processes in place to make sure people reduced their medicine intake when appropriate. Lessons were learnt when things went wrong.

Staff were well trained and supported by managers to provide effective care in line with people’s assessed needs. People had a good diet and were supported to maintain a good standard of overall health. The building was well adapted to people’s needs and was not identifiable as a care home. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The service was caring and provided a homely atmosphere. People’s rights were respected their independence promoted wherever possible. People were well supported to contribute to their care planning.

People’s individual communication needs were assessed, and any required adaptations were made. People could decide how and where to spend their time, and were able to access the community whenever they wished. Staff and independent professionals supported people to express any concerns about their care.

The management and staff had a passion for the service and the people they supported. The manager had a clear vision for how the service would be run, and staff supported this. National guidelines and regulations were followed, and there were good systems in place to monitor the quality of the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 14 July 2017).

Why we inspected

This was a planned inspection based on the previous rating.