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OSJCT Bemerton Lodge Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 10 September 2019

About the service

OSJCT Bemerton Lodge is a care home providing accommodation and personal for up to 56 older people, some of whom may have dementia. At the time of the inspection 49 people were living in the home.

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

Some aspects of the service were not always safe and increased the risk that people may be harmed.

Risk assessments did not always contain clear information about how to manage the risks people faced. Risk management plans had not always been updated after incidents.

Thorough recruitment checks were not always completed before staff started providing care to people.

The manager had not always notified us of important incidents in the home, as they are required to.

The systems for checking how the service was operating did not always identify shortfalls. Checks had been completed but did not identify gaps in risk assessments, lack of recruitment checks or that notifications had not been submitted.

People and their relatives were complimentary about the care they received and about the quality of staff.

People were supported to make choices and have as much control and independence as possible.

People had been supported to develop care plans that were specific to them. These plans were regularly reviewed with people.

People received caring and compassionate support from kind and committed staff.

Staff respected people’s privacy and dignity.

People received support to take their medicines safely.

People’s rights to make their own decisions were respected. People were supported to choose meals they enjoyed and access the health services they needed.

The manager provided good support for staff.

For more details, please see the full report which is on the CQC website at

Rating at last inspection

The last rating for this service was good (published 10 January 2017).

Why we inspected

This was a planned inspection based on the previous rating.

We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.

You can see what action we have asked the provider to take at the end of this full report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas


Requires improvement

Updated 10 September 2019

The service was not always safe.

Details are in our safe findings below.



Updated 10 September 2019

The service was effective.

Details are in our effective findings below.



Updated 10 September 2019

The service was caring.

Details are in our caring findings below.



Updated 10 September 2019

The service was responsive.

Details are in our responsive findings below.


Requires improvement

Updated 10 September 2019

The service was not always well-led.

Details are in our well-led findings below.