Boughton Lodge Care Home

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm At our last inspection we rated this key question requires improvement. At this inspection the rating has changed to good. This meant people were safe and protected from avoidable harm. People received safe care and treatment. Risks to their safety and wellbeing were assessed and planned for. The provider worked with people using the service, staff and others to learn when things went wrong and to improve the service for them. The environment and equipment were safe to use and well-maintained. Staff had training to understand about safe care and using equipment. There were systems for ensuring infection prevention and control and these were operated effectively. The provider worked in partnership with external professionals to help people access other services and get the safe care they needed. There were enough staff deployed to meet people’s needs. There were robust systems for recruiting and selecting staff; as well as training them and making sure they were competent and knowledgeable. People’s medicines were managed in a safe way.

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. At our last inspection we rated this key question requires improvement. At this inspection the rating has changed to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this. People’s needs and choices had been assessed and planned for. The staff worked with other professionals to help make sure people’s healthcare needs were met, and they received good outcomes. Staff had training to understand about best practice. People’s care and outcomes were monitored, and the provider took appropriate action to make sure people stayed safe and well. People had consented to their care and treatment where they were able. When people lacked the mental capacity to make decisions, the provider had assessed this and decisions were made in their best interests involving their representatives.

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture. At our last inspection we rated this key question requires improvement. At this inspection the rating has changed to good. This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centred care. There was a positive culture at the service now, where people living there and staff felt supported and happy. There was a newly registered manager who worked closely with staff and the provider to provide care. There were suitable governance systems now in place including a range of policies and procedures which reflected best practice and legislation. There were effective systems for monitoring and improving quality as well as learning and reflecting on feedback from stakeholders.