Bury Lodge Nursing Home

People’s experience of using this service:

¿ People told us they were happy and felt safe living at Bury Lodge Nursing Home. We saw people were encouraged to be as independent as they could be. Staff understood people’s individual communication needs and worked in proactive ways to provide person-centred support.

¿ The provider supported staff in providing effective care for people through person-centred care planning and training. The provider used best practice guidance and support to meet people's individual needs.

¿ People participated in a range of activities that met their individual choices and preferences. Staff

understood the importance of this for people and provided the structured support people required. This enabled people to achieve positive outcomes and promoted a good quality of life.

¿ The provider had a consistent core staff team who understood the needs of people well. We saw staff upheld and promoted people's rights relating to equality and diversity.

¿ People, their relatives and staff told us they thought the home was well led and spoke positively about the manager. The provider and manager carried out numerous audits to ensure the service was effective. Staff supported people to integrate into their local community.

The service met the characteristics of Good in all areas.

Rating at last inspection: Good (Published, 6 October 2016)

Why we inspected: This was a planned inspection based on the previous rating.

Follow up: We will continue to monitor the service and plan to inspect it in line with our re-inspection schedule. If we receive any information of concern, we may bring out inspection forward.

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

A registered manager was in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were supported by staff who had a good understanding of how to keep them safe, identify signs of abuse and report these appropriately. Robust processes to check the suitability of staff to work with people were in place. There were sufficient staff available to meet the needs of people and they received appropriate training and support to ensure people were cared for in line with their needs and preferences.

Medicines were administered, stored and ordered in a safe and effective way. We have made a recommendation about the recording of risks associated with one medicine.

Risk assessments in place informed plans of care for people to ensure their safety and welfare, and staff had a good awareness of these. Incidents and accidents were clearly documented and investigated. Actions and learning were identified from these and shared with all staff.

People were encouraged and supported to make decisions about their care and welfare. Where people were unable to consent to their care the provider was guided by the Mental Capacity Act 2005. Where people were legally deprived of their liberty to ensure their safety, appropriate guidance had been followed.

People received a wide variety of nutritious meals in line with their needs and preferences. Those who required specific dietary requirements for a health need were supported to manage these.

People’s privacy and dignity was maintained and staff were caring and considerate as they supported people. Staff involved people and their relatives in the planning of their care.

Care plans in place for people reflected most of their identified needs and the associated risks. The registered manager told us how these were being improved to include all related health conditions and the risks associated with these.

Staff were caring and compassionate and knew people in the home very well. External health and social care professionals spoke highly of the care and support people received at he home. They were involved in the care of people and care plans reflected this.

Effective systems were in place to monitor and evaluate any concerns or complaints received and to ensure learning outcomes or improvements were identified from these. Staff encouraged people and their relatives to share their concerns and experiences with them.

The service had a good staffing structure which provided support, guidance and stability for people, staff and their relatives. Relatives spoke highly of the registered manager and all staff.

A robust system of audits in place at the home had identified improvements required with care plans and records in the home and this was being addressed.

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Relatives that we spoke with were positive about the level of care provided. One told us, "I'm very happy and impressed especially with the staff. Nothing is too much trouble". Another one said "I got the right feeling when I first walked through the front door, I knew that I would be happy I had found the right place for X".

People who use the service were protected from the risk of abuse, because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening.

At the time of inspection, one of the communal lounges were being redecorated. This meant that access to it was temporarily restricted. The manager told us that they had increased the staffing levels whilst the decoration was being facilitated to ensure that people's needs were still met and to minimise disruption.

Staff told us that they believed that the staffing levels were sufficient to meet the needs of the people who used the service. Staff spoke very positively about the home. Comments included "it is very family orientated", I love it", "it's a joy to come to work" "it's been the best year of my life".

We noted a range of methods used by the management to monitor the standard of care provided in the service. One relative told us, "My relative is very happy here. Happier than they've been for years".