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Shore Lodge - Care Home Learning Disabilities

Overall: Requires improvement read more about inspection ratings

Bow Arrow Lane, Dartford, Kent, DA2 6PB (01322) 220965

Provided and run by:
Leonard Cheshire Disability

Latest inspection summary

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Our current view of the service

Requires improvement

Updated 13 February 2025

Date of assessment: 17 February 2025 to 04 March 2025.

Shore Lodge is a residential care home providing support for adults with a learning disability. At the time of our assessment there were 5 people living at the service. We completed this assessment to follow up enforcement action we issued after our last assessment where significant shortfalls had been found. We found the provider had taken some action to improve the service, however there were continued shortfalls.

We have assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. We found the provider had failed to meet these expectations and did not always provide support following these guidelines.

We found 5 continued breaches of regulation in relation to person-centred care, dignity and respect, safe care and treatment, staffing and good governance. We found a new breach of regulations in relation to fit and proper persons employed. People continued to be placed at risk of harm. We found some improvement in staff understanding of capacity and consent, however national guidelines had sometimes not been followed. Staff understanding of safeguarding people from harm had improved and the provider was no longer in breach of this regulation. The oversight and management of the service had started to improve; however, the provider was required to make further improvements to ensure all people received safe, appropriate care to meet their assessed needs.

In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded. This service has been in Special Measures since 08 November 2024. During this assessment the provider demonstrated that some improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

People's experience of the service

Updated 13 February 2025

We observed people’s experience of care and support during our onsite visits. People were not always safe living at the service, and some people continued to be at risk of harm, their experience of living at the service was not always good. People did not always receive support following their choices and preferences. We observed better interaction from staff with people at this assessment and people appeared to enjoy the stimulation and company. Some people did not have the same positive experiences as their sensory needs were not met. People were not consistently supported to take part in activities they enjoyed.

People did not always receive support following healthcare professionals’ guidance. The environment had been improved and decorated since our last visit. People’s rooms had been furnished or decorated following their likes or dislikes. People were accessing the community more regularly; however this was not the case for all people living at the service. A person told us they had been out to the shops and bought new things; they showed us their purchases. People were not consistently supported to take part in activities they enjoyed. People’s relatives told us the service had improved. A relative said, “I don’t have any concerns about the service, I think [person] gets the care she needs, and I think she is safe.” Another relative told us, “[Person] always has someone with him. They have painted it up, they have been quite proactive. He is always happy to go back. [Person] would let us know if he is not happy. He may not have the words, but he shows it in actions.”