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Bowland Lodge Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 3 July 2019

About the service: Bowland Lodge provides care and accommodation for up to 36 people. There were 27 people using the service during our inspection. People who used the service had enduring mental health needs or dementia type conditions.

People’s experience of using this service: Improvements had been made since our last inspection with regards to fire safety and the premises. A new snack kitchen had been built, which when open, would be available for people and relatives to use. A hydration station had been introduced. People were able to access drinks when they wanted. A new entry gate had been fitted at the bottom of the drive. Further work was being carried out to ensure the security of the garden, so people could access the garden safely.

There were structures and systems in place to support people’s health and wellbeing, such as helping them reduce their alcohol intake. However, some people told us they would prefer to live at home without the organised supervision and therefore their answers to our questions were not as positive as others.

People received individualised care, however, further action was required to ensure that care plans reflected people’s needs and identified risks. There was an activities programme in place. People were supported to access the local community.

The management and governance of the service had been strengthened. Audits and checks were carried out on all aspects of the home. These however, had not identified the issues with the maintenance of records. In addition, the systems and changes which had been introduced, were still in the process of becoming embedded into practice.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk.

Rating at last inspection: Inadequate (previous report published 28 January 2019). We identified multiple breaches of the regulations. We took urgent enforcement action and placed conditions upon the provider's registration, including the suspension of admissions. We asked the provider to complete an action plan to show what they would do and by when to improve.

This service has been in Special Measures. During this inspection the service demonstrated to us that improvements have been made and is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is now out of Special Measures.

Why we inspected: This inspection was carried out to follow up action we told the provider to take at the last inspection.

Enforcement: We identified a breach in relation to good governance at this inspection. Please see the action we have told the provider to take at the end of this report.

Follow up: We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will also meet with the registered manager and provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 3 July 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Requires improvement

Updated 3 July 2019

The service was not always effective.

Details are in our Effective findings below.

Caring

Good

Updated 3 July 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 3 July 2019

The service was not always responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 3 July 2019

The service was not always well-led.

Details are in our Well-led findings below.