Adelaide Lodge Care Home

Updated 18 January 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

This inspection was carried out by two inspectors and an Expert by Experience on the first day. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. One inspector carried out the second day of the inspection.

Service and service type

Adelaide Lodge is a ‘care home’. 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.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. This included statutory notifications sent to us by the registered manager about events that had occurred at the service. A notification is information about important events which the provider is required to tell us about by law. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

During the inspection-

We spoke with 11 people who used the service and three relatives about their experience of the care provided. We spoke with 15 members of staff including the registered manager, deputy manager, nominated individual, care staff and ancillary staff. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We also spoke with two visiting health professionals.

We reviewed a range of records. This included five people’s care records and medication records. We looked at three staff files in relation to recruitment and staff supervision. Also a variety of records relating to the management of the service, including quality audits and satisfaction surveys.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

After the inspection

We continued to seek clarification from the registered manager to validate evidence found. We looked at training records.

Updated 18 January 2020

Adelaide Lodge is registered to provide accommodation for 48 people who require personal care. Some people using the service are living with dementia and other mental and physical health issues. At the time of the inspection there were 40 people living at the service. Two people were in hospital.

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

People felt safe at the service and relatives and professional expressed their confidence in the staff team. Staff knew how to safeguard people from abuse or neglect and how to minimise identified risks to people’s health and wellbeing. People’s medicines were safely managed.

Regular health and safety checks were carried out of the premises and equipment to make sure they were safe. The premises were clean and well maintained. Staff followed good practice when providing personal care and when preparing and handling food which reduced the risk of infection.

The registered manager ensured there were sufficient numbers of staff were on duty to meet people’s needs. Care and support was provided by a stable staff team, who knew people well. Safe recruitment practices were followed, and staff were suitably trained and supported to enable them to understand and meet people’s needs.

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. People and their families had been fully involved in planning and reviewing the care and support provided.

People were positive about the food provided. They received a varied and balanced diet in line with their personal choices. People benefitted from the good working relationships established with health and social care professionals.

People received personalised care which reflected their needs and preferences. Staff were kind and caring. They supported people in a discreet and dignified way which maintained people’s privacy.

Meaningful activities and events were provided for people to take part in and they were supported to maintain relationships with the people that mattered to them. Visitors said they always received a warm welcome. People felt safe to raise any concerns or complaints with the registered manager. People and their relatives had no concerns about the care and support provided by staff.

The provider and registered manager monitored the quality and safety of the service and identified areas which could be improved. Quality assurance processes were well-established within the service and the registered manager and staff team promoted a positive and open culture.

Rating at last inspection

The last rating for this service was Good (published 25 April 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

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