Background to this inspection
Updated
27 January 2023
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.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
This inspection was carried out by a single inspector.
Service and service type
Compton Lodge is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Compton Lodge is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the CQC to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
Inspection activity started on 7 December 2022 and concluded on 5 January 2023. We visited the home on 20 December 2022.
What we did before inspection
We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with the registered manager and had brief conversations with 2 people living at the home. We reviewed 3 specific risk assessments and complaints records, as well as confirmation of Deprivation of Liberty applications and authorisations.
We continued to seek clarification from the provider to validate evidence found.
Updated
27 January 2023
About the service
Compton Lodge is a residential home providing care for up to 32 older people. There were 27 people living at the home at the time of this inspection. Each person had their own room and shared communal facilities which provided people with ample space in different lounge and dining areas, as well as in the garden.
People’s experience of using this service and what we found
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 were kept safe from harm and if any concerns about people’s wellbeing arose the service took the necessary steps to respond. Staff we spoke with were able to describe what they did to minimise the risks that people faced and liaised appropriately with other health and social care professionals to achieve this.
The service understood people’s needs and made detailed plans of people’s care. The care provided was agreed in consultation with people using the service and, if relevant, their families.
Staff were caring. People we spoke with told us this and we observed many positive caring interactions between people using the service, their relatives and staff. People were supported to have choice in their daily 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 were treated with dignity and respect by staff working at the home.
The way in which the service operated was kept under review by the provider had improved. Lessons had been learnt since our previous focused inspection, in particular about monitoring the performance around the safe use of medicines.
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 as a result of a focused unannounced inspection (Inspection report published on 8 February 2019). At our previous unannounced focused inspection in September 2018 there had been concern about people not always receiving their medicines in a safe way as errors were being made and these had not been identified. Lessons learnt from previous incidents was not suitably evidenced as occasional mistakes had still been made in connection with medicines. At this inspection the provider was able to demonstrate that lessons had been learnt and action had been taken to minimise the potential for further medicines errors and the service had improved to Good.
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.