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Balliol Lodge Nursing Home has failed to protect people’s safety and welfare says regulator

15 February 2012
Balliol Lodge Nursing Home
Mr Bharat Kumar Modhvadia and Mrs Jaya Bharat Modhvadia
  • Media,
  • Care homes with nursing

15 February 2012

Balliol Lodge Nursing Home is not meeting six of the government’s essential standards of quality and safety. It follows a visit by inspectors to Balliol Lodge Nursing Home 58–60 Balliol Road, Bootle, Liverpool on 9 December 2011.

In addition, The Care Quality Commission has issued a formal warning to the service that they must make urgent improvements to standards of care or face further action.

Providers of care services have a legal responsibility to make sure they are meeting all the essential standards of quality and safety.

The resultant CQC report, published on our website, highlights major concerns in the following areas:

Respecting and involving people who use services

People's basic human rights with respect to privacy and dignity were being seriously undermined.

Management of medicines

Medication records were unclear and incomplete and it was not always possible to see whether medicines had been given correctly. The time medicines were given was not recorded accurately. This places people at risk of being given their medicines without enough time between doses.

The service does not protect people against the risks associated with the unsafe use and management of medicines and needs to address this by making appropriate arrangements for the safe recording, handling, administration and use of medicines.

Assessing and monitoring the quality of service provision

Some of the concerns we received before our visit were not always addressed in a timely way. We looked for evidence that there were systems in place to ensure continued monitoring and further, ongoing, improvement. We have concerns that the current management of the home was not tight enough to ensure consistency.

There is a lack of effective systems in place for recording and evaluating the quality and safety of the care, treatment and support the service provides. The lack of qualityn assurance systems could put people using the service at risk.

The report also identifies three further areas where we had concerns:

Consent to care and treatment

When we looked at the care records there was no evidence of any input or agreement [consent] in respect of a service user. The manager could show us no evidence of a mental capacity assessment having taken place. The evaluations of the care plan indicated that the person behaved in a way that indicated distress and non compliance with this regime at times.

There are no clear systems in place to assess and record people's mental capacity and agreement to treatment and care.

Meeting nutritional needs

Before our visit we received concerns that the way food was being managed was inconsistent and lacked necessary standards in some areas. For example food was being served which was not hot and drinks were also being served in an 'institutional way'.

The way routine drinks are currently being served means that people are not enjoying a social occasion and they lack an opportunity to exercise some choice.

Safety and suitability of premises

Some aspects of maintenance of the home are not being carried out in reasonable time. In particular, hot water temperature to baths and showers are excessively hot and are not safely monitored so that people are being placed at risk.

The warning follows an unannounced visit by inspectors to Balliol Lodge on 9 December 2011 following concerns raised.

We reviewed the management of medicines and found series concerns that medicines were not being safely handled and as a result of this we issued a Warning Notice on 27 January 2012.

Our judgements at the end of our visit were as follows:

The service does not protect people against the risks associated with the unsafe use and management of medicines and needs to address this by making appropriate arrangements for the safe recording, handling, administration and use of medicines.

Debbie Westhead, regional lead for CQC in the North West region, said:

"The law says that these are the standards that everyone should be able to expect. Providers have a duty to ensure they are compliant

“This warning and our Review of Compliance sends a clear and public message that Balliol Lodge Nursing Home needs to address this issue as a matter of urgency or face serious consequences.

“Our inspectors will return to Balliol Lodge in the near future and if we find that the service is not making the required progress we won’t hesitate to use our legal powers to protect the people who live there."


For media enquires, please contact the CQC regional communications team; David Fryer on 07901 514220 or Kirstin Hannaford 0191 233 3629 or the CQC press office on 0207 448 9401 or out of hours on 07917 232 143.

Notes to editors

The full report is available on the CQC website.

CQC has issued a warning notice to Balliol Lodge requiring action to meet:

  • Regulation 13 Health and Social Care Act (Regulated Activities) Regulations 2010, (Outcome 9) Management of Medicines

If the required improvements are not made, CQC has a range of enforcement powers which include restricting the services that a provider can offer, or, in the most serious cases, suspending or cancelling a service. CQC can also issue financial penalty notices and cautions or prosecute the provider for failing to meet essential standards. Any regulatory decision that CQC takes is open to challenge by a registered person through a variety of internal and external appeal processes.