17 July 2023
During an inspection looking at part of the service
Paddock Lodge is a residential care home providing personal care for up to 24 people, some of whom were living with dementia. At the time of our inspection there were 20 people using the service.
People’s experience of using this service and what we found
Most aspects of people's medicines were well managed although some shortfalls were identified and addressed promptly by the provider. Risks associated with people’s care were usually managed safely and systems were in place for learning lessons when things go wrong. Regular checks of the premises and equipment were carried out although we saw actions to address some potential risks had not been addressed promptly. Robust recruitment checks were carried out by the management team. 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 did not always support this practice. The provider adapted staffing levels to people’s changing needs. The service followed safe infection, prevention and control procedures. The service had systems in place to safeguard people from abuse.
Care was usually planned and delivered in a person-centred way. The service had an activity programme although this was limited. People told us this was an area to improve. The management team said they would review their approach to activities. Relatives told us they felt listened to and could raise concerns and complaints.
The provider had introduced a more robust system to identify and manage risks to the quality of the service. People told us the management team and staff were engaging, kind and caring. Several people commented positively about the manager who had recently commenced in post. Our observations reflected people’s feedback and we saw staff were attentive and responsive to people’s needs. Staff felt well supported and were proud to work at Paddock Lodge Care Home. The service worked effectively with other professionals.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 31 March 2022) and there were 2 breaches of regulation relating to management of risks to people and governance arrangements. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulation.
Why we inspected
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions safe, responsive and well-led which contain those requirements.
For those key questions not inspected, we used the ratings awarded at the last comprehensive inspection carried out on 26 November 2019 to calculate the overall rating. This is based on the findings at this inspection.
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.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Paddock Lodge Care Home on our website at www.cqc.org.uk.
Recommendations
We have made 2 recommendations about the management of some medicines.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.