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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 1 February 2020

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 days of our visit there were seven people living at Melody Lodge.

The home had been developed and designed before the principles and values that underpin Registering the Right Support had been published. This guidance aims to ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence.

The outcomes for people did not fully reflect the principles and values of Registering the Right Support. People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

People’s experience of using this service and what we found

The service provided was not safe. People's health and safety was at risk due to a failure to identify and address issues and poor practices.

Risks associated with people's care and support arising from needs such as epilepsy and distressed behaviour were not managed safely.

Poor management of environmental risks arising from substantial and on-going exterior building work and fire safety arrangements placed people at risk of harm.

There were not enough staff to ensure people's safety at all times.

Not all of the staff had the training or knowledge to ensure people were provided with safe care and support. Staff did not always recognise when people were at risk of experiencing abusive practice.

People were at risk of inconsistent and unsafe care as their needs were not appropriately assessed or planned for.

People's right to dignity and privacy was not always respected.

The service was not well led. Ineffective quality monitoring systems meant there was no oversight of the risks associated with people’s health safety and welfare. Opportunities to learn lessons and drive improvements when concerns were raised had been missed.

People were provided with support to take part in the local community and supported to keep in touch with family and friends.

Improvements had been made to staff recruitment systems and management of complaints. Some improvements had been made to the ways in which the principles of the Mental Capacity Act 2005 (MCA) were applied. However further work was needed to ensure people were supported to make decisions in their lives.

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

Rating at last inspection (and update)

The last rating for this service was inadequate (published 12 April 2019) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection we found some improvements had been made and the provider was no longer in breach of three regulations. However, enough improvement had not been made in other areas and the provider was still in breach of five regulations. A further breach of regulations was also found at this inspection.

Why we inspected

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

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Melody Lodge on our website at www.cqc.org.uk.

Enforcement

We have identified breaches in relation to dignity and respect, safe care and treatment, safeguarding people from abuse and improper treatment, premises and equipment, staffing and good governance.

Full information about CQC's regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been co

Inspection areas

Safe

Inadequate

Updated 1 February 2020

The service was not Safe.

Details can be found in our Safe findings below.

Effective

Inadequate

Updated 1 February 2020

The service was not Effective.

Details can be found in our Effective findings below.

Caring

Requires improvement

Updated 1 February 2020

The service was not always caring.

Details can be found in our Caring findings below.

Responsive

Requires improvement

Updated 1 February 2020

The service was not always responsive.

Details can be found in our Responsive findings below.

Well-led

Inadequate

Updated 1 February 2020

The service was not well-led.

Details can be found in our Well-led findings below.