Terrington Lodge is registered to provide accommodation and personal and nursing care to up to 25 people, some of whom may have dementia.

This comprehensive inspection took place on 22 November 2016 and was unannounced.

At the time of this inspection care was provided to 21 people.

The provider is required to have a registered manager as one of their conditions of registration.

A registered manager was in post at the time of the inspection and had been registered with the Care Quality Commission (CQC) since 19 February 2016. A registered manager is a person who has registered with the CQC to manage the home. 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.

Care plans gave guidance to staff on how to meet people's care needs. However, some care plans did not always contain full details about the support that people needed.

People were kept safe and staff were knowledgeable about reporting any incident of harm. People were looked after by enough staff to support them with their individual needs. Pre-employment checks were completed on staff before they were assessed to be suitable to look after people who used the service. People were helped to take their medicines by staff who were trained and had been assessed to be competent to administer medicines.

People were supported to eat and drink sufficient amounts of food and drink. They were also supported to access health care services and their individual health and nutritional needs were met.

The CQC is required by law to monitor the Mental Capacity Act 2005 [MCA 2005] and the Deprivation of Liberty Safeguards [DoLS] and to report on what we find. The provider was aware of what they were required to do should any person lack mental capacity. People’s mental capacity was assessed and care was provided in their best interests. Staff were trained and knowledgeable about the application of the MCA.

People were looked after by staff who were trained and supported to do their job.

People were treated by kind, respectful staff who enabled them to make choices about how they wanted to live. People and their relatives were given opportunities to be involved on a day-to-day basis about their planned care.

There was a process in place so that people’s concerns and complaints were listened to and were acted upon.

The registered manager was supported by a team of management staff and care staff. Staff, people and their relatives were able to make suggestions and actions were taken as a result. Quality monitoring procedures were in place and action was taken where improvements were identified.