CQC report explained · a residential care home
What the CQC found at Anastasia Lodge Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People told inspectors they felt safe. Risk assessments, staffing, recruitment, medicines, infection control and accident reviews were all found to be managed safely.
- Effective?
- Good
- People's health, nutrition and communication needs were supported. The home had improved its approach to mental capacity and best-interest decisions since the previous inspection.
- Caring?
- Good
- People and relatives described staff as kind and caring. Inspectors saw people being treated with dignity, encouraged to be independent and involved in decisions about their care.
- Responsive?
- Good
- Care plans were detailed and personalised. The home supported people's languages, culture, interests, relationships, complaints and end-of-life wishes.
- Well-led?
- Good
- Managers used audits, reviews and feedback to monitor care and make improvements. Staff, people and relatives were encouraged to share their views.
What inspectors found, January 2020
Rated Good; inspectors found safe, kind and personalised care, with further dementia-friendly improvements suggested.
This was an unannounced inspection on 26 and 27 November 2019. The inspectors spoke with people, relatives, staff and healthcare professionals. They also reviewed care plans, medicines records, staff files and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines management, detailed care plans and respectful care. People and relatives generally gave positive feedback.
The Effective rating improved from Requires Improvement at the previous inspection. Inspectors found that earlier concerns about mental capacity, best-interest decisions and support at mealtimes had been addressed.
Safe staffing and medicines
Inspectors found enough staff to meet people's needs. Medicines were stored, given and recorded safely, with no gaps found in the administration records.
“Medicine administration records were complete and there were no identified gaps in recording.” from the report
Kind and respectful care
People and relatives spoke positively about staff. Inspectors saw kind relationships and care that respected privacy, dignity and independence.
“We saw kind and caring relationships had been developed between people and staff and staff responded to people's needs instinctively without any need for prompts.” from the report
Personalised support
Care plans explained people's needs, preferences and wishes. Life history information helped staff understand people's interests and provide more individual support.
“Care plans were detailed and person centred. Clear information and guidance was available to care staff on how people wished to be supported and what was important to them.” from the report
Language and cultural support
The home supported people's communication, religious and cultural needs. Some staff had learnt Greek, and important documents were translated.
“The service ensured relevant documents were translated into Greek and other easy read formats so that people were able to access information” from the report
Improvement since the last inspection
Inspectors found that earlier concerns about mental capacity, best-interest decisions and mealtime support had been addressed.
“At this inspection we found that the service had addressed these concerns.” from the report
More dementia-friendly features could be added
minorInspectors said the home could do more to help people living with dementia through its design and decoration. This was a suggestion for further improvement, not a reported breach.
“Further attention could be given towards additional enhancements within the home to assist people living with dementia.” from the report
- 01What dementia-friendly changes have been made since the inspection, such as memory boxes, photographs or sensory items?
- 02How will you support my relative's language, religion, culture and communication needs?
- 03How will you involve my relative and our family in monthly care plan reviews and best-interest decisions?
- 04How will you monitor my relative's food and fluid intake if they are at risk of malnutrition?
- 05What activities would be suitable for my relative's interests, abilities and cultural background?
This was an unannounced inspection covering all five quality areas, including the premises and care provided; the report also compared the findings with the previous inspection. This explanation was written from the published report of 3 January 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, June 2017
Rated Good overall; inspectors found safe, kind and responsive care, but the Effective rating Requires Improvement because bedroom locking was not properly considered under the law.
Inspectors visited without warning on 27 and 28 April 2017. They spoke with people, relatives and staff, observed care, and checked care records, medicines, risk assessments and staff files.
The home was rated Good overall. Safe, Caring, Responsive and Well-led were rated Good. Inspectors found that medicines were now managed safely, staffing had been monitored, care plans were detailed, and people and relatives could raise concerns.
Effective was rated Requires Improvement. The home had been locking some bedroom doors at night without properly considering people's capacity, consent or best interests. The provider said it would stop this and use other safe arrangements.
Inspectors also found some poor interactions during mealtimes, periods when people had little activity or staff interaction, and a need to improve the approach to dementia care. The home had improved since earlier inspections, including medicines management, staffing reviews and handling of complaints.
Personalised care plans
Care plans recorded people's likes, dislikes, life histories and wishes. People and relatives were involved in monthly reviews.
“Care plans were person centred and detailed and focused on people's needs and requirements as per their choices and wishes.” from the report
Communication in Greek
Staff had learned basic Greek words so that people could express their needs and staff could understand them.
“This allowed them to be responsive in their approach to people.” from the report
Improved complaints handling
The home had changed the way meetings were run and had provided training on difficult situations. Relatives said they could approach managers with concerns.
“People and relatives told us that they knew who to complain to if they had any concerns or issues and were confident that their concerns would be addressed appropriately.” from the report
Bedroom doors were locked
seriousSome people's bedrooms were locked at night without proper consideration of their capacity, consent or best interests. The provider said it would stop this after inspectors raised it.
“The decision to lock people's bedroom doors had not always been appropriately documented for people who had capacity and where people lacked capacity, best interest decisions had not been considered or documented.” from the report
Dementia care approach
needs fixingOne response to a person asking to visit their parents increased the person's agitation. Inspectors asked the home to review dementia care training and understanding.
“This resulted in the person becoming further agitated and were left with a poor understanding of why they could not visit their parents.” from the report
Not enough stimulation
needs fixingActivities were planned, but inspectors saw periods when people had little or no interaction. Relatives said more stimulation was needed.
“There doesn't seem to be a lot of activities” from the report
Staff availability in one area
needs fixingAt one point there were no staff in the English lounge, and a person needed immediate help after soiling their clothes. Managers were asked to consider staff deployment.
“We observed that there were no staff available in the 'English' lounge.” from the report
- 01How do you now keep people safe at night without locking bedroom doors?
- 02How do you check that staff support people patiently and safely during meals?
- 03What dementia care training have staff received since the inspection, and how is their practice checked?
- 04What activities are available for someone who does not enjoy group games, and how do you prevent long periods without interaction?
- 05How do you make sure staff are visible and available in all areas during evenings and weekends?
This was an unannounced comprehensive inspection covering all five key questions and the overall rating, with checks of care, records, medicines, staffing and management systems. This explanation was written from the published report of 22 June 2017 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Anastasia Lodge Care Home
4 rated inspections over 4 years: the service has held its Good rating throughout.
- January 2020Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2017Goodup from Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- May 2016Requires improvementdown from GoodSafe: Requires improvementResponsive: GoodWell-led: Requires improvement
- November 2015GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2014
Report published without a new overall rating.
- March 2014
Report published without a new overall rating.
- December 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- March 2012
Report published without a new overall rating.
- September 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 10 January 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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