Table of Content
People did not always have their care delivered in a way that met their individual needs. Care plans did not provide enough guidance for staff on how to meet people’s needs, including end of life care. There were no formal systems in place to enable people to review and discuss the care provided. People were provided with written information regarding the service but there was a lack of information in other formats which took in to account some of the needs of the people living in the service. Risks to themselves and environmental risks had been assessed and actions were taken to manage identified risks. Systems and processes were in place to safeguard people from the risk of abuse.
We received concerns in relation to the management of medicines and how staff supported people with their mobility. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. We looked at the records for four members of care staff and found that training in manual handling and fire safety was up to date for these individuals. However, the provider may find it useful to note that at the time of visit, some staff members were overdue for medications and safeguarding training. We found that staff received adequate supervision and appraisal. One person we spoke with told us, "Staff are bright, cheerful and very willing."
Chiswick House
Staff took steps to reduce the risk of social isolation and there were opportunities for people to access the local community. This was a planned inspection based on the previous rating. At other times we offer an answer phone service so please leave a message and we'll call you back. There's no need for the service to take further action.
These documents provided detailed instructions for staff on how to meet the person's needs and the information had been reviewed regularly to ensure it was current. One person we spoke with told us, 'I feel like I'm part of a family here. It's a place to be content." Another person we spoke with told us, "As soon as the staff appear around the door, I feel reassured. I think it's an excellent place and I'm very happy here.' We found that the provider had in place suitable systems to ensure the safety and suitability of the premises and to protect people from harm.
Laurel Lodge Care Home
People, relatives, and staff were listened to and involved in the running of the service. The Provider has not yet updated their profile and added details of the services and facilities they offer. If you are the provider and would like to do this, please click the "Do you run this home" button under the Description tab.
The environment was clean and infection control measures were in place. Risks to people, including environmental risks, were assessed and actions taken to mitigate them. Systems and processes were in place to safeguard people.
Infection prevention and control
We have identified breaches in relation to safe care and governance at this inspection. You can see what action we have asked the provider to take at the end of this full report. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. For services we haven't rated we use ticks and crosses to show whether we've asked them to take further action or taken enforcement action against them. Independence, choice and rights are respected and maintained at all times. We spoke with a total of six people who were using this service.
The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report. – there are some services which we can’t rate, while some might be under appeal from the provider. Suspended ratings are being reviewed by us and will be published soon.
Inspection ratings
This helped them to deliver in line with people's wishes and preferences. The service had a strong Christian ethos and there was a strong emphasis on meeting people’s religious and spiritual needs. People and relatives were provided with opportunities to discuss the support provided to them. The independence and dignity of people living in the service was promoted.
Systems were in place to ensure people’s safety was effectively managed. Staff were aware of the procedures for reporting concerns and of how to protect people from harm. People received their prescribed medicines appropriately and medicines were stored safely. People’s health, care and nutritional needs were effectively met. And staff were aware of people’s dietary needs and preferences.
The general environment was pleasant, and people spoke positively of it. People told us the food was of good quality and they received the support required to meet their nutritional needs. There was a wide range of activities on offer and these were informed and tailored to people’s interests. If people raised concerns about the service, these were robustly documented, investigated, and responded to. People were not always supported to stay safe because individual risks to them had not always been identified or assessed. Some people had not received their medicines because the service had not obtained them in time.
There was enough staff to meet people’s needs and staff were recruited safely. Incidents, such as falls, were monitored and actions taken to help prevent reoccurrence. The environment was clean, hygienic, and well maintained. Measures to help prevent the spread of infection were taken. Autumna is the UK's largest and most comprehensive later-life living & elderly care directory. Our website is free to use, we are proudly independent, and we never take referral fees.
Bedrooms have en-suite facilities and there are several communal spaces, including a communal lounge, garden room, activities room and dining room. Governance systems had been reviewed and strengthened. We noted continued improvements were needed to ensure the service continued to improve and develop. Some systems in the service could be strengthened to better support engagement with people living with dementia. Further work also needed to continue to develop a fully person-centred culture. The provider and the service’s management team were committed to driving improvements.
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