SeeAbility - Fir Tree Lodge Residential Home

This report from the Care Quality Commission (CQC) details the findings of an inspection at Fir Tree Lodge, a residential home providing care for young adults with various disabilities. The inspection assessed the service against five key questions: Safe, Effective, Caring, Responsive, and Well-led. The overall findings indicate a service that has made significant improvements since the previous inspection, with positive observations across all areas. This summary highlights the key aspects of the service's performance as observed during the visit.

In terms of safety, the home has robust processes for medication management, with staff completing necessary training and competency assessments. Risks to residents are thoroughly assessed and managed, and there are sufficient staff to ensure people's safety. Safeguarding training is up-to-date, and staff understand how to escalate concerns. The premises are well-maintained, with checks completed on fire, electrical, gas, and water safety. While pre-employment checks are generally robust, a minor issue with incomplete employment histories in some staff files was promptly addressed by the manager. Infection control measures are in place, and the service has a very good food safety rating.

Regarding effectiveness, the care provided is based on good practice guidance and legal requirements. Staff receive comprehensive training, including specific skills for supporting individuals with needs like sight loss or acquired brain injury, and feel confident in their roles. Assessments of people's needs are holistic, and care plans are tailored to individual requirements, including oral health and behaviour support. The service supports the NHS STOMP guidance to prevent over-medication. People are supported to maintain a balanced diet with appropriate assistance and choices offered at mealtimes.

In the area of caring, staff are consistently described as treating residents with kindness and compassion, showing genuine concern for their welfare. Residents' human rights are respected, with efforts made to involve them in decisions where possible. Staff promote privacy, dignity, and independence. Care plans are personalised, reflecting residents' preferences, and they are encouraged to participate in activities and maintain important relationships. Technology is used to support independence, and staff actively promote residents' involvement in their daily lives.

In terms of responsiveness, care is personalised to meet individual needs and preferences. Residents are supported to engage in a variety of activities, both within the home and in the local community, fostering a sense of belonging. Staff use technology effectively to enhance residents' independence and quality of life. The service has systems in place to monitor quality and drive improvements. Complaints are investigated and acted upon, and feedback from families and staff is actively sought. The registered manager fosters a positive culture focused on person-centred care and collaborates with external services.

Finally, regarding being well-led, the service demonstrates a commitment to continuous improvement. There are clear processes for monitoring quality and responding to feedback. The registered manager plays a key role in creating a positive and person-centred culture, and staff understand their responsibilities. The provider collaborates effectively with local health and social care services to ensure the best possible outcomes for residents. The home's design is adaptable and accessible, with ongoing redecoration to meet residents' tastes, and residents have access to private and communal gardens.