We carried out a review of the data available to us about Lucy Lodge on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Lucy Lodge, you can give feedback on this service.
Lucy Lodge is a residential care home providing care and accommodation for up to 16 people. The home provides care for people with needs relating to their mental health. At the time of inspection there were 16 people living at the service.
People’s experience of using this service and what we found
People living at Lucy Lodge were happy and well supported. The home provided a safe place for people to live and enjoy their lives. Risks were assessed and managed appropriately to promote independence. There were suitable numbers of appropriately recruited staff.
Staff were well trained and received suitable support. 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's diverse needs were assessed and respected.
Staff were kind and caring and promoted positive relationships with people. Staff understood their roles clearly and knew what was expected of them. The service had a warm, friendly and welcoming atmosphere with people enjoying the way staff provided them with care and support. Relatives spoke positively about the service.
People told us they were able to spend time in a way they chose to. Staff understood the importance of supporting people to be socially included and prevented them from social isolation. People were encouraged to express their feelings and were supported with bereavement.
The registered manager promoted the visions and values of the service by embedding an open and honest culture. The service was focused on people's wellbeing and having a sense of purpose. Staff felt supported in their role and had formed good working relationships. Quality assurance systems in place, monitored the service effectively and drove improvements.
For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 27 March 2019) and there was a breach of regulation. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
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.
People’s experience of using this service: People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
Managers were not always clear about their regulatory requirements: The registered manager had failed to ensure they had submitted all notifications as they are legally required to do as part of their registration with the Care Quality Commission (CQC). During the inspection we checked and found the provider had submitted and received approvals for two applications in relation to depriving a person of their liberty pursuant to Mental Capacity Act 2005. Providers are required to submit these notifications so that where needed the CQC can take follow-up action.
People and their relatives told us they were happy with the service provided. Staff understood the importance of providing person-centred care and had developed positive relationships with people.
People received support where this was required, and staff encouraged their independence to live fulfilled lives free from unnecessary restriction.
Staff had received training and clear guidance was followed to keep people safe from avoidable abuse. Where people had been assessed as at risk from any activity, support plans provided guidance for staff to provide safe care and support.
Medicines were managed and administered safely. Records confirmed people had received their medicines as prescribed.
People's records were detailed, person centred and evaluated consistently. Where agreed outcomes were not achieved, amendments were made with people’s input.
Records confirmed people’s input and where they were unable to consent the provider followed appropriate legislation to make sure any decisions were in the persons best interest.
Staff received appropriate induction, training, and support and applied learning effectively in line with best practice. This led to good outcomes for people and supported a good quality of life.
The registered manager and their deputy were responsive to any concerns we raised during the inspection; implementing corrective actions immediately where this was apparent and discussing plans where further improvements were required.
Staff were friendly and polite. Staff took time to get to know people. They had a clear understanding of, and how to support, people’s individual and diverse needs.
People and their relatives told us they were confident if they had any complaints the registered manager would address them appropriately.
People knew the owner and the registered manager and told us they trusted them. Staff told us the registered manager was supportive and approachable.
The provider completed oversight of the service to ensure quality assurance remained a priority and was effective in maintaining standards and driving improvements.
Rating at last inspection: This was the first inspection of this service.
Why we inspected: This inspection was a planned inspection following registration of the new provider.
Enforcement: Action we told provider to take. Full information about CQC’s regulatory response to the more serious concerns found in inspections and appeals is added to reports after any representations and appeals have been concluded.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme.
For more details, please see the full report which is on CQC website at www.cqc.org.uk