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The Lodge Retirement Home Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 7 August 2019

About the service

The Lodge Retirement Home is a residential care home providing personal care to up to 14 people aged 65 and over. At the time of the inspection, 13 people were living in the home. The home provides accommodation over two floors and there is a stair lift available to access the first floor.

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

The provider lacked effective governance systems to identify concerns in the service and drive the necessary improvement. At times, there was a lack of detailed records regarding people's support needs and any potential risks posed to them. Records were not always in place to demonstrate effective monitoring of environmental safety systems such as fire and legionella.

The oversight of infection control procedures needed improving and medicines were not always managed safely. People told us there was enough staff to meet their needs but the provider did not use a systematic approach to ensure sufficient staff were deployed to meet people’s needs at all times. We have made a recommendation about this.

Although people told us they were able to make choices about their care, the application of the Mental Capacity Act was not always clear. We have made a recommendation about this.

The planning and provision of meaningful activities for people needed to improve and we have made a recommendation about this.

Despite this, people were happy living at The Lodge Retirement Home and people told us they felt safe. People were positive about the food and were supported to access health care professionals to maintain their health. People were supported by staff who were kind, caring and who understood their likes, dislikes and preferences. There was a dedicated and consistent staff team, most staff had worked at the service for a considerable length of time and they had got to know people well.

The provider was responsive to our concerns and began taking action to make improvements in the service.

Rating at last inspection and update

The last rating for this service was Good (report published 4 October 2016).

The overall rating for the service has changed from Good to Requires Improvement. This is based on the findings at this inspection.

We have found evidence that the provider needs to make improvement. Please see the Safe, Effective, Responsive and Well-led sections of this full report.

We have identified a breach in relation to the governance of the service. We also identified breaches in relation to the management of medicines and the management of risk.

Please see the action we have told the provider to take at the end of this report.

Why we inspected

This was a planned inspection based on the previous rating.

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 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.

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

Inspection areas


Requires improvement

Updated 7 August 2019

The service was not always safe.

Details are in our safe findings below.


Requires improvement

Updated 7 August 2019

The service was not always effective.

Details are in our effective findings below.



Updated 7 August 2019

The service was caring.

Details are in our caring findings below.


Requires improvement

Updated 7 August 2019

The service was not always responsive

Details are in our responsive findings below.


Requires improvement

Updated 7 August 2019

The service was not always well-led.

Details are in our well-Led findings below.