Avondale Lodge

6-7 Nelson Terrance
Redcar
Cleveland TS10 1RX

Telephone: (01642) 494509

Care Types: Care HomeLearning disability/autism


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Overall
Inadequate

Read overall summary
Last updated 9 August 2018
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Two adult social care inspectors carried out an unannounced inspection of the service at 06:30 to enable inspectors to speak with night staff.

We had previously carried out a comprehensive inspection of this service in August 2017 in response to two alleged incidents which took place at the service. The Commission made a decision under its own Handling Serious Incident Guidance, that it was necessary for it to attend the service and make inquiry into the incidents, as well as to assess the risk and compliance to people using the services. We rated the service to be inadequate and placed the service into ‘special measures.’ We imposed conditions in relation to minimum staffing numbers and staff competencies.

We carried out a focused inspection in December 2017 because we received concerns in relation to the safety of people using the service and the overall quality of the service. The service continued to be rated inadequate and remained in ‘special measures.’

In March 2018, we found significant improvements had been made across the service. As a result we rated the service to be ‘Requires improvement’ and removed the conditions which we imposed. The service was no longer in ‘special measures.’

Before our inspection we reviewed all the information we held about the service. We examined the notifications received by the CQC. Notifications are reports about changes, events or incidents that the provider is legally obliged to send us within the required timescales. Since the last inspection we had attended serious concerns protocol meetings with Redcar and Cleveland local authority which included health and social care professionals involved with the service. We used the information from these meetings as part of our inspection planning.

During the inspection we spoke with three people. We also spoke with an external consultant, deputy manager, one carer and an agency member of staff.

We reviewed three care records in detail and all of the ‘crib’ profiles. The ‘crib’ profiles provide an outline of all the care a person needs and how this is to be delivered. We reviewed two recruitment and three induction record and six supervision and appraisal records. We reviewed the training summary records for all staff. We also reviewed records relating to the day to day running of the service.

We looked around the service and went into some people's bedrooms (with their permission) and visited the communal areas. We carried out observations of practice and a specific observational framework for inspection (SOFI) to capture the experiences of people who could not communicate with us.

Last updated 04:18:51 10th Nov 2018 - Update Now

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