Tollington Lodge Rest Home

Updated 20 July 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 Health and Social Care Act 2008.

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

The inspection was carried out by 2 inspectors.

Service and service type

Tollington Lodge Rest Home 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. Tollington Lodge Rest Home 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 Care Quality Commission 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 not a registered manager in post. The manager had applied to be the registered manager.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We reviewed all the information we held about the service. We used all this information to plan our inspection.

During the inspection

During the inspection we spoke with 8 people living at the service and 1 relative. We spoke with 5 members of staff including the manager, care workers and the cook. We made observations of the service, including lunch time and when people received their medicines. We reviewed 6 care plans and 3 staff files. We also reviewed a range of documents to relating to the running of the service.

Updated 20 July 2023

Tollington Lodge Rest Home is a residential care home located in Weston-Super-Mare; the service can provide support for up to 25 people. Accommodation is set out over 2 floors and is accessible by lift or stairs, bedrooms are located on each floor. To the ground floor, there are 2 communal lounges, communal dining area and the manager's office. People have level access to the garden. At the time of the inspection 25 people were using the service.

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

People were at risk of harm because the service had not always assessed and mitigated the risks people faced.

Medicines were not managed safely. Records were not accurate so we could not be assured people always received their medicines as prescribed.

The service was not always clean meaning people were not always protected from the risk of the spread of infection.

Staff were not always recruited safely to ensure they were safe to work in the caring profession.

The provider’s checks of the quality of care delivery did not highlight all the issues we found and did not always drive improvement in care quality.

People told us they felt safe at the service. Comments included, “Oh yes, I’m safe” and, “Yes we’re all safe here.” Staff understood how to report concerns.

People said they enjoyed living at the service. Comments included, “It's good here”, “I don’t see the staff often, but when I do, they chat a lot with me” and, “The staff are very good, they do their jobs.”

Staff enjoyed working at the service and spoke highly of 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 supported this practice.

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 25 October 2019).

Why we inspected

We received concerns in relation to the governance of the service. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.

We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.

You can see what action we have asked the provider to take at the end of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Tollington Lodge Rest Home on our website at www.cqc.org.uk.

Enforcement

We have identified breaches in relation to safe care and treatment, recruitment, and governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.