- Care home
Umika Lodge Care Home
Report from 9 October 2024 assessment
Contents
On this page
- Overview
- Shared direction and culture
- Capable, compassionate and inclusive leaders
- Freedom to speak up
- Workforce equality, diversity and inclusion
- Governance, management and sustainability
- Partnerships and communities
- Learning, improvement and innovation
Well-led
The last rating for this service was requires improvement (published July 2022) and there were breaches of regulation. At this assessment enough improvement had been made and the provider was no longer in breach of regulations.
This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.
Staff and leaders shared common vision for the home and the same values. Staff told us what their aim was, “To provide a good quality of life and create a home from home.”
The home had a clear statement of purpose and description of the values which the staff team aimed to work in line with. The service aimed to give people consistently good care and staff worked together to try and achieve this.
Capable, compassionate and inclusive leaders
Staff told us the service was led by suitably competent and approachable managers. The feedback we received from staff about the registered manager was positive. A staff member said, “Our management are fantastic in supporting us in any needs we may have.”
At the time of our assessment there was a registered manager and a manager who was on a development pathway to become a registered manager. They had the relevant skills, knowledge, and experience to lead the service. They were aware of the responsibilities of the role.
Freedom to speak up
The provider valued and listened to the views of staff. Staff told us they were given opportunities to provide feedback about the service and their opinion was valued. Families told us they felt confident to raise concerns both with the management team and the staff.
Individual staff supervision and group team meetings were used by the provider as a platform for staff to raise any concerns and an opportunity to meet with their peers and the registered manager. The provider promoted an open and inclusive culture which sought the views of people using the service, their relatives, and staff who worked for them. They told us that they had sent out surveys and were waiting on these being completed by families.
Workforce equality, diversity and inclusion
Staff told us they were treated equally, and their diversity was respected. They said they worked well together as part of a diverse team. Staff described the work culture as fun, caring and nurturing.
The registered manager told us that they do not discriminate, they have processes in place to ensure that recruitment is fair and their pre-assessment for people is based on the providers ability to ensure they can meet the person’s needs.
Governance, management and sustainability
The registered manager and staff members told us there were several audits and quality checks carried out to monitor the service and ensure it continued to provide a good service, these included spot checks and staff competency assessments. The registered manager was able to explain their role and statutory requirements for reporting of notifiable incidents.
At the last assessment the provider was in breach of Regulation 17 of the Health and Social Care Act, [Good Governance]. At this assessment the provider had made improvement and had robust systems in place which included overseeing staff training, observing staff working practises, medicine audits and overseeing incidents and accidents including complaints. Audits were analysed and trends identified for where lessons could be learnt.
Partnerships and communities
We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.
Learning, improvement and innovation
The provider had established processes in place to record any incidents, accidents, complaints and other audits. These were analysed to identify any shortfalls and learn lessons. There was an improvement plan in place which pulled together any areas of improvement from the different audits that were completed.