White Lodge Rest Home

Updated 22 June 2022

The inspection

This was a targeted inspection to check on a specific concern we had about managing infection control and falls risks.

Inspection team

This inspection was carried out by two inspectors.

Service and service type

White Lodge Rest Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

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. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

We reviewed other information we held about the service and information shared from other stakeholders about the service.

We used all of this information to plan our inspection.

During the inspection

We reviewed a range of records. This included three people’s care records and policies in place. We spoke with the registered manager and made observations within the home of staff practice and the environment. We reviewed responses to incidents of falls.

Updated 22 June 2022

The inspection took place on 20 November 2018 and was unannounced. The inspection continued on 23 November 2018 and was announced.

White Lodge Care Home is a privately-owned care home and can provide accommodation for up to 28 people who are generally older and may have dementia, learning disabilities or mental health problems. At the time of our inspection there were 28 people living in the home.

White Lodge Care Home is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. People were supported in two detached houses which were joined by a corridor at the rear of the properties. Bedrooms were spread over two floors in both houses. There were two large communal lounges and a dining area on the ground floors. Access to the first floor was via stair lifts and two staircases. There were accessible outside areas to the rear of the home and an enclosed garden.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People were protected from avoidable harm as staff understood how to recognise signs of abuse and the actions needed if abuse was suspected. There were enough staff to provide safe care and recruitment checks had ensured they were suitable to work with vulnerable adults. When people were at risk of falling or skin damage staff understood the actions needed to minimise avoidable harm. The service was responsive when things went wrong and reviewed practices in a timely manner. Medicines were administered and managed safely by trained staff.

People had been involved in assessments of their care needs and had their choices and wishes respected including access to healthcare when required. Their care was provided by staff who had received an induction and on-going training that enabled them to carry out their role effectively. People had their eating and drinking needs understood and met. Opportunities to work in partnership with other organisations took place to ensure positive outcomes for people using the service. 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 and their families described the staff as caring, kind and friendly and the atmosphere of the home as homely. People were able to express their views about their care and felt in control of their day to day lives. People had their dignity, privacy and independence respected.

People had their care needs met by staff who were knowledgeable about how they were able to communicate their needs, their life histories and the people important to them. A complaints process was in place and people felt they would be listened to and actions taken if they raised concerns. People’s end of life wishes were known including their individual spiritual and cultural wishes. The home was in the process of reviewing accessible information for people with learning disabilities.

The service had an open and positive culture that encouraged involvement of people, their families, staff and other professional organisations. Leadership was visible and promoted teamwork. Staff spoke positively about the management and had a clear understanding of their roles and responsibilities. Audits and quality assurance processes were effective in driving service improvements. The service understood their legal responsibilities for reporting and sharing information with other services.

Further information is in the detailed findings below