St Ann's Lodge 1

What inspectors found

From the Care Quality Commission's assessment published 9 December 2024 (assessment visit 22 October 2024). Quoted under the Open Government Licence.

1. Safe

   GGood Good

   Safety events were investigated and the lessons learned were used to improve the safety of the service. People’s safety was managed well as soon as they started using the service because plans were put in place to ensure people received safe and appropriate care. Staff knew how to safeguard people from abuse and what action to take to protect people. Risks to people were managed well because staff understood how to reduce risks to keep people safe from injury or harm. There were enough staff to support people and meet their individual needs. Staff undertook relevant training to meet people’s needs. Staff received regular supervision to continuously learn, develop and improve their working practices. Recruitment processes were robust and checks were undertaken on staff to make sure they were suitable to support people. People were supported to live in a clean, hygienic environment, which was regularly checked and maintained to ensure risk to people was minimised. Staff followed current practice to ensure infection risks to people were minimised. Medicines administration arrangements had been improved and the provider was no longer in breach of regulation. Staff record keeping had improved and better information was available to them about people’s medicines. People now received timely support with their medicines which were administered as prescribed.

2. Well-led

   GGood Good

   Staff provided people with safe, high quality care in line with the provider’s vision for the service. They were supported and motivated to do so by a senior staff team who were knowledgeable, experienced and who understood the needs of people and how these should be met. Senior staff understood their roles and responsibilities and demonstrated compliance with regulatory requirements. Effective systems were now in place to check and audit the quality and safety of the service. Issues identified through checks and audits were acted on and used to support staff to improve their working practices. People and staff were encouraged to raise concerns and these were listened to. Staff were provided fair and equal opportunity at work and were valued and respected. Feedback was sought from people and staff about how the service could be improved and this was used, with other learning, to make improvements to the service when this was required. Senior staff worked proactively with partners to continually improve the service for people to help them achieve positive outcomes and a good quality of life.