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Abbey Wood Lodge Care Home, Ormskirk.

Abbey Wood Lodge Care Home in Ormskirk is a Residential home specialising in the provision of services relating to accommodation for persons who require nursing or personal care, caring for adults over 65 yrs, dementia, learning disabilities, mental health conditions, physical disabilities and sensory impairments. The last inspection date here was 2nd October 2019

Abbey Wood Lodge Care Home is managed by Athena Care (Ormskirk) Limited.

Contact Details:

    Address:
      Abbey Wood Lodge Care Home
      173 County Road
      Ormskirk
      L39 3LY
      United Kingdom
    Telephone:
      01695767778

Ratings:

For a guide to the ratings, click here.

Safe: Requires Improvement
Effective: Requires Improvement
Caring: Good
Responsive: Good
Well-Led: Requires Improvement
Overall:

Further Details:

Important Dates:

    Last Inspection 2019-10-02
    Last Published 2018-09-25

Local Authority:

    Lancashire

Link to this page:

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Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

21st August 2018 - During a routine inspection pdf icon

This inspection visit took place on 21 August 2018 and was unannounced. We also attended relative’s meetings at the home on 29 August 2018 and 05 September 2018.

Abbey Wood Lodge Care Home is a purpose-built care home on the outskirts of Ormskirk, Lancashire. The service can support a maximum of 60 people with residential care needs. The home is designed over three floors. The ground floor supports people with the least support needs and the upper floors supports those with higher needs. People on the first and second floors are primarily living with varying degrees of dementia. Parking space is available for people visiting the home. At the time of our inspection visit there were 47 people who lived at the home.

Abbey Wood Lodge Care Home is a 'care home.' People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

There was a registered manager in place. 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.

When we undertook this inspection visit the registered manager was not present. We were informed they had resigned from post. The home had an interim manager in post who was being supported by the head of operations.

At the last inspection on 21, 24 and 25th July 2017 we asked the provider to take action to make improvements because we found breaches of legal requirements. This was in relation to need for consent, safe care and treatment, safeguarding service users from abuse and improper treatment, meeting nutritional and hydration needs, receiving and acting on complaints, staffing, dignity and respect, clarity on fees and good governance. Following the inspection we requested and received an action plan from the provider. The provider said they would meet the relevant legal requirements by 31 May 2018.

During our inspection visit on 21 August 2018 we found these actions had been completed.

Prior to this scheduled inspection visit on 21 August 2018, CQC was notified by the service about a safeguarding matter which had a significant impact on people who lived at the home. The service had also brought the safeguarding matter to the attention of the Police and the Local Authority. The inspection carried out by CQC was in part to assess the action taken by the provider following our last inspection. We also to carried out an assessment of ongoing regulatory risk to people who lived at the home. The service were working openly and transparently with the authorities whilst investigations were undertaken.

At the last inspection of the service we found there were not enough staff to meet the needs of people in the home. During this inspection we observed requests for support were dealt with promptly and call bells were answered in a timely manner. People living at the home told us they believed there were enough staff to provide the support required. We noted that to address the current staff situation the management team relied on a number of bank and agency staff to cover the rota. This can be a problem because they don't know their way around the home and they will be unfamiliar with people’s assessed needs. The management team were actively recruiting permanent members of staff.

We have made a recommendation that staffing levels are kept under review to ensure sufficient staff numbers are available to support people with their care.

Procedures were in place to record safeguarding concerns, accidents and incidents and take necessary action as required. Staff had received safeguarding training and the staff we spoke with during the inspecti

21st July 2017 - During a routine inspection pdf icon

We inspected this service on the 21, 24 and 25 July 2017. The first day of the inspection was unannounced which meant the provider was not expecting us on the date of the inspection.

Abbey Wood Lodge Care Home is a purpose built care home on the outskirts of Ormskirk, Lancashire. The service can support a maximum of 60 people with residential care needs. At the time of the inspection there were 52 people living in the home.

The home is designed over three floors. The ground floor supports people with the least support needs and the upper floor supports those with higher support needs. People on the first and second floors are primarily living with varying degrees of dementia.

Each floor has dining and lounge facilities and communal bathrooms, we were told each room (with one exception) had a wet room with ensuite shower and toilet. There is a large kitchen on the ground floor and there are laundry facilities on the upper floor. The first and second floor also had a satalite kitchen.

The home had a registered manager. 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.

We last inspected the service in April 2015 where eight breaches to the regulations were found. Two of the regulations were found to be breached twice at the 2015 inspection. Since that inspection there has been two managers of the service and a high turnover of staff. In the three months prior to this inspection the senior leadership has expanded and further support had been provided to the home.

We found work had begun to meet the requirements of the regulations but the majority of this was still to embed to have the desired impact on the care provision at the home. We could see work had been done to meet some of the previous breaches but we found there were five continued breaches from the last inspection and we identified five new regulations in breach including one of the registration regulations. We found the home did not have a clear statement of the terms and conditions with respect to the payable fees.

At the last inspection we found the management of medicines regulation in breach. At this inspection we saw some work had been completed in attempt to manage the concerns in medication management but records remained inconsistent. We found prescriptions were not always followed and information to support staff in the management of medicines needed review. We found the home in continued breach of the medicines regulation.

At the last inspection we found the home in breach of the regulation associated with ensuring the risks to people’s health, care and welfare were appropriately assessed. Those assessments should lead to plans of care that identify how those risks are to mitigated, reducing the risk to people living in the home. We continued to find concerns of this nature at this inspection. Where risks were identified to the people including risks of malnutrition, pressure areas and inappropriate behaviour these were not always assessed or managed in line with the regulations. We found the home in continued breach of this regulation.

At the last inspection we found the system of quality audit and assurance was not developed meaning the home had not taken appropriate action to ensure the service provided was monitored and risks were reduced. At this inspection our findings were similar. A high level system had been developed by the new management team but the systems beneath this required further thought. Some had not been completed for some time and many of the policies and procedures in the home were in need of review. We found the home in continued breach of this regulation.

At the last inspection the home were found to be in breach of the regulation associated

1st January 1970 - During a routine inspection pdf icon

Abbey Wood Lodge is situated on a main road position in a residential area of Ormskirk. It is a purpose built care home, which is a brand new facility, opened in November 2014. It is on the outskirts of well-kept parkland. Accommodation is provided for up to 60 adults, who require help with personal care needs and who are living with various degrees of dementia. Some parking spaces are available to the front of the home, but on road parking is also permitted. Public transport links are within easy reach and the local towns of Ormskirk, Skelmersdale, Wigan, Liverpool and Preston are a short drive away. A variety of amenities are close by, such as pubs, shops, a day centre and churches.

This was the first inspection of this location, conducted by the Care Quality Commission (CQC), as it was a newly registered service. This unannounced comprehensive inspection was conducted on 21st April 2015.

A senior care worker and the administrator made themselves known to the inspection team on our arrival. In addition we noted there was a full compliment of staff on duty. The registered manager was scheduled to work a later shift on the day of our inspection, but attended the home earlier to assist the inspection team. 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.

We found that recruitment practices were, in general satisfactory. Induction records for new staff were not always maintained. Although a wide range of training was provided, it was evident that staff did not have sufficient knowledge and were not aware of how to manage people who had challenging behaviour and were living with moderate to severe dementia.

We found the planning of people’s care and support could have been more detailed and person centred. Detailed assessments of need had not always been conducted and although some risk assessments were in place these did not always outline how identified risks were to be best managed. However, people were helped to maintain their independence with their privacy being respected at all times.

The staff team were confident in reporting any concerns about a person’s safety and were seen to be kind and caring towards those who lived at the home.

Accident records were appropriately recorded and these were kept in line with data protection guidelines. This helped to ensure people’s personal details were maintained in a confidential manner. A contingency plan provided staff with guidance about what they needed to do in the event of an environmental emergency, such as power failure or severe weather conditions. Systems and equipment within the home had been serviced to ensure they were fit for use.

The management of medications could have been better. Although we found the senior care worker, who was administering the medications to be knowledgeable and efficient we did note that she dispensed the medications with her fingers without washing her hands first. There were some gaps on the Medication Administration Records (MAR’s), where signatures were missing. Therefore, we could not establish if on these occasions medicines had been administered or omitted.

The environment was clean and hygienic throughout. There were no unpleasant smells and clinical waste was being disposed of appropriately.

The layout of the home was well designed and furnishings and fittings were of good quality. However, the décor was not in accordance with specific guidance around environments for people who live with dementia, so that those who lived at the home could experience a meaningful and tenacious life style.

The fire doors were not regulated to close gradually, but on activation of the fire alarm they slammed shut, which could have potentially caused serious injury to those who lived at Abbey Wood Lodge.

We found several breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 for safe care and treatment, good governance, person centred care and premises and equipment.

You can see what action we told the provider to take at the back of the full version of this report.

 

 

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