Background to this inspection
Updated
24 October 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 team consisted of 1 inspector.
Service and service type
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. Franklyn Lodge – The Bungalow 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.
What we did before the 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 (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
During the inspection
We met 1 person who lived in the home. They were unable to speak with us due to their needs. We therefore observed interactions between them and staff. Following the site visit, we spoke with 1 other person who lived in the home. We spoke with 3 family members. We also spoke with 2 care workers, the deputy manager and the registered manager. We looked at a range of management records including medicines, quality audits and health and safety checks. We reviewed 4 people’s care records and 3 staff recruitment records. After the site visit, we continued to liaise with the service. The registered manager and HR manager sent us documentation we asked for and clarified any queries we had. We also obtained feedback from 1 care professional.
Updated
24 October 2023
About the service
Franklyn Lodge – The Bungalow is a care home providing residential care to 4 people with learning disabilities.
People’s experience of using this service and what we found
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance the Care Quality Commission (CQC) follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
Right Support:
People and family members told us the service was safe. Staff understood their responsibilities about safeguarding and keeping people safe from harm as much as possible. Medicines were managed safely. Risks of harm to people were assessed and reduced as much as possible. Staff were recruited safely. Systems were in place to prevent the spread of infection. 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.
Right Care:
People received kind and compassionate care. Staff respected people's privacy and dignity. They understood people's individual needs and responded to these. People were supported by a staff team who knew them well and were aware of their communication needs. Care plans reflected people's needs, likes and preferences. It was not always evident that people were supported to engage in activities that enabled them to develop their skills.
Right Culture:
The service had made improvements to their quality assurance system since the previous inspection. There was a positive culture, where people felt safe. They had good relationships with staff and each other. We found gaps in staff training so it was not always evident what training staff had completed. Staff turnover was low, which supported people to receive consistent care from staff.
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 requires improvement (published 28 October 2019).
Why we inspected
This inspection was prompted by a review of the information we held about this service. We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Enforcement and recommendations
We have made 2 recommendations in relation to training and activities.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.