Norway Lodge Nursing Home

Updated 16 March 2022

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

We received information of concern about infection prevention and control measures at this service. This was a targeted inspection looking at the infection prevention and control measures the provider has in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on 17 February 2022 and was unannounced.

Updated 16 March 2022

About the service

Norway Lodge Nursing Home is a residential care home providing personal and nursing care to a maximum of 29 people aged 65 and over. At the time of the inspection the service was supporting 26 people. Some rooms were shared. Care was provided over three floors for people with complex healthcare needs and those living with dementia.

People’s experience of using this service and what we found

People had no concerns about their safety at the service. Risk was effectively managed. People’s records contained information about risks to their health, safety and wellbeing. Staff understood the risks posed to people and how they should support people to keep them safe. Staff were safely recruited and deployed in sufficient numbers to meet people’s needs. Staff followed a safe process for the storage and administration of medicines. People told us they received their medicines regularly. The service was noticeably clean and free from obvious odours. The service had a clear process in place to record and analyse incidents and accidents. Information was used to improve safety and quality.

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. Staff understood the principles, of the Mental capacity Act 2005 (MCA) and people were supported wherever possible to make their own decisions.

Staff were aware of the relevant standards and guidance and used this effectively to assess people’s needs and plan their care. Staff were appropriately trained and supported to provide effective care. People were given a good choice of nutritious food and drinks. Staff and managers worked effectively with healthcare professionals to ensure that people received the care they needed; such as involving GPs and other healthcare professionals in making important decisions.

People and their relatives spoke positively about the way care was provided and the attitude of staff. We saw and heard examples of staff treating people with kindness, compassion and respect. Staff knew people and their needs well and used personal information to engage and encourage people.

People’s individual needs and preferences were met by the service. Care records contained detailed information about people’s histories, likes and dislikes. Staff used this information effectively to provide individualised care and support. People were supported and encouraged to take part in a range of activities and to build relationships. Complaints were addressed in accordance with the provider’s policy and best-practice guidance. Norway Lodge provided end of life care in accordance with a recognised standard.

There a positive learning culture where people were supported to reflect on performance and improve practice. The registered manager and provider monitored the provision of care and the environment to further improve people’s experience of receiving care.

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 12 April 2017).

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.