Inspection Report on

Inspection Report on

84 OLD ROAD BAGLAN PORT TALBOT

SA12 8LH

Date Inspection Completed

29/04/2021

29 April 2021

Welsh Government © Crown copyright 2021.

About Baglan Lodge Care Home

Type of care provided Care Home Service Adults With Nursing Registered Provider Bevan & Clarke LLP

Registered places 30

Language of the service English

Previous Care Inspectorate Wales inspection

25 November 2020

Does this service provide the Welsh Language active offer?

No

Summary

People living at Baglan Lodge receive a good standard of care from nurses and care workers. People are happy with the care and support they receive from staff who are respectful and caring. People have accurate and up-to-date personal plans that detail their individual care needs. People are satisfied with the meals served at the home. Visits from relatives and friends have been restricted due to the Covid-19 pandemic but staff have supported people to stay in contact with relatives and friends. Staff follow current guidance relating to Covid-19, this includes using the correct personal protective equipment to keep people safe. The service needs to increase the frequency of training and individual

Well-being

Care documentation within the service is informative and up to date. Personal plans are person centred, detailed and clear to follow. Care staff and nurses have a very good

knowledge of people and are therefore are able to notice any changes quickly and respond promptly. People remain as healthy as they can be due to timely referrals to healthcare professionals and effective administration of medication. Individual dietary needs are taken into account and meals are healthy and nutritious. Equipment such as a call bell system is available and this enables people to get the care they need at the right time.

There is a clear management structure for the service. We received positive feedback from the staff we spoke with, who told us they feel valued and supported by the manager. The RI oversees effective monitoring and auditing systems regarding standards of support and the environment. There is a statement of purpose, which is a document that sets out

information about the service provided.

People are safe and protected from harm. We identified no hazards during the visit and the entrance and exits to the home are secure. The home is clean throughout and staff practice good infection control as required. Staff are confident in their use of personal protective equipment (PPE) and the home has a sufficient supply of PPE equipment in place.

Measures include regular whole home testing and the use of lateral flow devices (LFD) for visitors to the home. Staff understand their safeguarding responsibilities and feel confident in raising concerns with the manager.

Care and Support

There are some safety systems to help limit risk to people, such as a key pad secured door and a sign in book for visitors on arrival. Some care staff do not have up to date

safeguarding training however; they understand how to raise a concern. People living at the home said they felt safe and well looked after. There are policies and procedures to help keep people safe, although some require a review to ensure they remain current. We expect the provider to take action to address this and we will follow this up at the next inspection.

Personal plans identify people’s current care needs. We examined people’s care files and saw they provide up to date clear information on the individual’s needs. Personal plans in place cover areas such as personal care, diet and nutrition, communication, cognition, behaviour and mobility. We found detailed risk assessments are completed. We saw care workers stimulating and interacting with people throughout the inspection. Meals are freshly prepared and we found that meals were well presented and served efficiently. People told us that they enjoyed the meals and could always have something different if they wished. One person said, “The food is top” and “plenty of it”.

People experience warmth and kindness. We saw care staff treat people as individuals. Care staff are very attentive and respond to people’s different needs with appropriate levels of prompting and support. People look relaxed and comfortable in the presence of staff. Staff speak in a friendly, caring and respectful way and people respond positively. Relatives told us “they are marvellous, I can’t say anything bad”, “I am 100% happy with the care” and “we are tremendously satisfied”. We spoke to people living in the home who told us “I

wouldn’t go anywhere else”, “we have a joke with them” and “It’s a very nice place”. We witnessed positive interactions during the inspection; we saw care staff supporting people in a dignified manner.

There are consistent and appropriate staffing levels in place to meet the care and support needs of people living at the service. There are good staffing levels for each shift, with most staff having worked at the service for a significant period. Care workers respond quickly to call bells and any requests of help. The staff are supportive of each other and

Environment

The service maintains good standards of hygiene and infection control. We found the home to be clean and hygienic throughout. All staff are following Public Health Wales (PHW) current guidelines, and appropriate personal protective equipment (PPE) was being used throughout the inspection. There are dedicated donning & doffing areas for staff to use. PPE and hand-sanitising stations are readily available throughout the home. A staff member checks visitor’s body temperature before allowing them further into the building. There are adequate domestic staff on duty allocated to specific duties throughout the home. The service has systems in place that ensure the home and its facilities are safe. We

looked at a wide range of documentation that relates to health and safety and the maintenance of the service. The information provides a detailed overview of a rolling programme of safety checks, servicing and maintenance of the homes equipment and facilities. Effective and efficient fire procedures, testing and training take place to protect people. Records confirmed fire alarm tests take place weekly. We saw the laundry facilities, which are suitable to meet the needs of people living in the home. We also saw window restrictors in place. Effective daily cleaning schedules are in place as all parts of the home are clean, tidy and well organised.

People told us that they liked their bedrooms and could personalise them as they chose. We saw one person’s bedroom, which has been personalised with photographs and

Leadership and Management

Governance arrangements are in place to support the operation of the service and provide a sound basis to provide quality care and support for individuals. We saw evidence that the RI has good oversight of the service. We looked at documentation that confirmed that the RI conducts quarterly visits to the home to complete quality assurance monitoring. We examined the latest report and saw data regarding refurbishments and redecoration requirements. The statement of purpose and service users guide accurately describe the current arrangements in place regarding the service’s accommodation, referral and admission process, the type of care and support available and ways in which it is working towards providing a Welsh language service provision. We found people; family and professionals give positive feedback about the care provided. There is regular

communication between the manager and responsible individual. We noted that there have been no complaints since the last inspection. Feedback from care managers included “from the families I have spoken to which is over the phone at time of review, they have been happy with the level of care provided and had no issues to raise” and “always been a caring, welcoming friendly home”.

Areas for improvement and action at, or since, the previous inspection. Achieved Regulation 56: Hygiene and infection control Regulation

56(1)(a) Regulation: 36 Supporting and developing staff Regulation

36(2)

Regulation 57: Health and Safety Regulation

57

Regulation 35: Fitness of staff - in relation to DBS Regulation 35(5)

Regulation 73 - Visits Regulation

73(1) Regulation 80: Quality of Care review Regulation

80(2)

Reg 26: Safeguarding Regulation

26

Areas for improvement and action at, or since, the previous inspection. Not Achieved None

Areas where priority action is required None

Areas where improvement is required