13 September 2022
During an inspection looking at part of the service
Syston Lodge is a residential care home without nursing providing personal care and accommodation to 22 people at the time of the inspection. The service can support up to 25 people.
People's experience of using this service and what we found
Quality monitoring and oversight was not fully effective at identifying and addressing shortfalls in areas around care planning, care records and risk assessments.
Improvements were needed to care records as these did not always provide the information and guidance staff needed to ensure people received consistent, effective support and intervention. Information in care records was not consistently recorded to fully demonstrate how people's needs were being met. Most staff had worked at the service for a long time and knew people well, which reduced the risk of immediate harm for people.
People felt safe living at Syston Lodge and staff understood their responsibilities in safeguarding people from the risk of abuse. People's medicines were managed safely and staff followed safe working practices to protect people from the risk of infections. There were sufficient numbers of skilled staff deployed to meet people's needs and keep them safe.
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, relatives and staff were able to share their views and feedback was used to make improvements to the service. Staff had a clear understanding of their roles and responsibilities and felt supported by the registered manager. The registered manager was committed to ensuring people achieved positive outcomes as a result of their care and support.
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 06 July 2018).
Why we inspected
We received concerns in relation to the management of medicines and a serious injury. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Syston Lodge Residential Home on our website at www.cqc.org.uk
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 continue to monitor information we receive about the service, which will help inform when we next inspect.