Terrington Lodge

Updated 19 October 2019

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 and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Terrington 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. We sought feedback from the local authority and professionals who work with the service. 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

During our inspection we spoke with three people who lived at Terrington Lodge and two visiting relatives. We also spoke with the registered manager, the deputy manager, two members of care staff, the cook, the provider’s regional director and a visiting healthcare professional. In addition to this we made observations of activities and mealtimes 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.

Updated 19 October 2019

About the service

Terrington Lodge is a residential care home providing accommodation and personal care to 19 people aged 65 and over in one adapted building 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

People continued to receive safe care and felt safe living at Terrington Lodge. People were protected from abuse and risks to people's health and wellbeing were assessed, managed and regularly reviewed. There were enough staff to ensure that people's needs were met safely. People received their medicines as prescribed and there were practices in place to ensure prevention and control of infection protected people. Lessons had been learnt following analysis of incidents.

People's needs and expected outcomes were assessed and regularly reviewed. People were supported by staff who had relevant training, skills and experience to care for them. People had access to food and drink throughout the day. Staff worked with other health and social care professionals to achieve good outcomes for people's health and wellbeing. 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 staff were caring, and we received positive feedback from people and their relatives. People had supportive and meaningful relationships with staff. People’s received a service which was caring and respectful. People’s rights to make their own choices, independence, dignity and privacy were promoted and respected.

People had personalised care plans that promoted independence. Staff identified people's information and communication needs by assessing them. People were encouraged to participate in meaningful activities. People and relatives knew how to make a complaint and felt confident they would be listened to. People's preferences and choices in relation to end of life care had been explored.

Information from audits, incidents and quality checks was used to drive continuous improvements to the service people received. Staff were motivated and enjoyed strong team work, they felt well supported by the registered manager. People and their relatives told us the registered manager was visible, open and approachable. The registered manager understood their duty of candour and responsibilities of registration with us.

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 31 January 2017).

Why we inspected

This was a planned inspection based on the previous rating. You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Terrington Lodge on our website at www.cqc.org.uk.