You are here

We are carrying out a review of quality at Melody Lodge. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Inadequate

Updated 12 April 2019

About the service: Melody Lodge is a care home that provides accommodation with support for up to 11 people with a learning disability or autistic spectrum disorder. On the day of our visit there were seven people using the service.

The care service had not been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

People's experience of using this service: The culture of the service was poor. The registered manager and staff did not recognise or understand their practice placed restrictions on people.

The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. Consent to care and treatment was not sought in line with the principles of The Mental Capacity Act 2005 (MCA).

Whistleblowing procedures were ineffective. Staff raised concerns with the registered manager and provider but did not escalate their concerns with other authorities when they failed to act.

Incidents of a safeguarding nature were not reported to CQC.

Timely action had not been taken to address concerns regarding the environment. This placed people at risk of avoidable harm.

Staff had not been recruited safely as all of the relevant checks had not been completed and there were not enough staff employed to meet people needs.

People were not always treated with dignity and respect. Staff did not follow best practice guidelines and positive behaviour support strategies were not used. Punitive practice was embedded within the culture of the home.

The service was not well led. People had experienced restrictions to their liberty because of poor practice and ineffective governance systems and processes.

Why we inspected: This was a planned inspection based on the rating at the last inspection.

Rating at the last inspection: The service was rated as good and the report was published in June 2016.

Follow up: Following the inspection we referred our concerns to the local authority responsible for safeguarding. In addition, we requested an action plan from the provider, and evidence of improvements made in the service. This was requested to help us decide what regulatory action we should take to ensure the safety of the service improves.

The overall rating for this registered provider is 'Inadequate'. This means that it has been placed into 'Special Measures' by the Care Quality Commission (CQC). The purpose of special measures is to:

¿ Ensure that providers found to be providing inadequate care significantly improve.

¿ Provide a framework within which we use our enforcement powers in response to inadequate care and work with, or signpost to, other organisations in the system to ensure improvements are made.

¿ Provide a clear timeframe within which providers must improve the quality of care they provide or we will seek to take further action, for example cancel their registration.

If not enough improvement is made within this timeframe so that there is still a rating of inadequate for any key question or overall, we will take action in line with our enforcement procedures to begin the process of preventing the provider from operating this service. This will lead to cancelling their registration or to varying the terms of their registration within six months if they do not improve. This service will continue to be kept under review and, if needed, could be escalated to urgent enforcement action. Where necessary, another inspection will be conducted within a further six months, and if there is not enough improvement so there is still a rating of inadequate for any key question or overall, we will take action to prevent the provider from operating this service. This will lead to cancelling their regi

Inspection areas

Safe

Inadequate

Updated 12 April 2019

The service was not safe

Details are in our Safe findings below.

Effective

Requires improvement

Updated 12 April 2019

The service was not always effective

Details are in our Effective findings below.

Caring

Inadequate

Updated 12 April 2019

The service was not caring.

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 12 April 2019

The service was not always responsive

Details are in our Responsive findings below.

Well-led

Inadequate

Updated 12 April 2019

The service was not well-led

Details are in our Well-Led findings below.