Market Lodge

Updated 3 August 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 1 inspector and 1 Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Market Lodge 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. Market Lodge is a care home with 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, however the provider had recently appointed to the registered manager position.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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 used all this information to plan our inspection.

During the inspection

We spent time with people in the communal areas of the home and saw how staff supported people they cared for. We spoke with 3 people who lived at the home and 6 people’s relatives. We also spoke with the chief executive officer, regional operations director, operations manager, project manager, health and safety manager, manager, deputy manager, 4 carers and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We spoke with 1 professional who was visiting the home. We looked at the care records for 3 people and multiple medicines records for people living in the home. We checked the care people received matched the information in their records. We looked at records relating to the management of the service, including audits and recruitment checks.

Updated 3 August 2023

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 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.

About the service

Market Lodge is a residential rehabilitation and nursing home. It is registered to provide care and

accommodation for up to 10 younger adults who live with physical disabilities and sensory impairments. There were 10 people living at the home at the time of our inspection.

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

Right Support

People’s experience of using the service was positive, they told us they felt safe and cared for by staff who were trained to meet their needs. Staff received training in safe medicines practices. Staff had been trained in safeguarding and abuse and were aware of how to report concerns. Risks to people were assessed and there were plans in place to mitigate risks. The provider had systems and processes to recruit staff in a safe way and there were enough staff to meet people's needs.

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 were supported by staff who were caring and compassionate, promoted independence and worked in partnership with outside agencies to ensure the best outcomes for people. They were treated with dignity and respect and received a service that could be flexible to meet their changing needs.

Right Culture

The majority of relatives said they were involved in people’s care. People were supported by a staff team they knew well. Staff spoke positively about management support and their roles and were motivated to ensure the best outcomes for people they cared for. The provider had quality systems and monitoring in place to oversee service delivery. The provider understood their legal responsibilities and when to be open and honest when things go wrong and worked in partnership with other professionals.

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 20 February 2019).

Why we inspected

We received concerns in relation to safety of people and management of the home. 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 remained the same based on the findings of this inspection.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the Safe and Well-led sections of this full report.

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.

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

Follow up

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