Lillibet Lodge

Updated 25 January 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.

As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had 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 18 January 2022 and was unannounced.

Updated 25 January 2022

About the service:

Lillibet Lodge is a residential care home, providing care and support to older people living with a variety of health conditions. Most people were living with dementia. At the time of the inspection, 24 people were living at the service.

People’s experience of using this service:

People, relatives and staff said people’s needs were met by the service. Further improvements had been made to the provider’s quality monitoring processes since our previous inspection. This ensured people now received safe and effective care. However, improvements were required to ensure respectful language was always used to describe people’s needs. More work was necessary so that people were always supported to take part in activities that were meaningful to them.

People were protected from harm by staff who were confident in recognising and reporting concerns. People were safe because potential risks to their health and wellbeing had been managed well. There were enough staff to support people safely. People were supported well to take their medicines. Lessons were learnt from incidents to prevent recurrence. Staff followed effective processes to prevent the spread of infections.

Further training had ensured staff had the right skills and knowledge to meet people's needs effectively. Staff had the information they required to meet people’s assessed needs. People had been supported to have enough to eat and drink. People had access to healthcare services when required. This helped people to maintain their health and well-being.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice. People were involved in making decisions about their care and support. Staff supported people in a way that respected and promoted their privacy and dignity. They encouraged people to be as independent as possible.

People were happy with how staff supported them to meet their individual needs. They said this had been done in a compassionate and person-centred way. Complaints were managed well and there was learning from these to reduce the risk of recurrence. The service provided good end of life care when required. Further work was necessary to ensure people's end of life care wishes were included in their care plans.

Rating at last inspection:

The last rating for this service was Requires Improvement (published 08 June 2018).

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk.