- Care home
St James's Lodge
Assessment report published 3 August 2026
Contents
Ratings
Our view of the service
Date of assessment: 23 June 2026 to 6 July 2026. The inspection was undertaken to assess if the provider had complied with previous enforcement notices served on 16 December 2025 for failing to meet the regulations relating to dignity and respect, safe care and treatment, and good governance.
St James’s Lodge is a nursing home providing care for adults under and over 65 years living with dementia, sensory impairments, physical disabilities and learning disabilities. At the time of our assessment, St James’s Lodge was not providing support to people with a learning disability. The service is registered to provide accommodation to a maximum of 38 people. At the time of our assessment 26 people were living at the service.
Following our assessment in October 2025, we served 3 warning notices against the provider and registered manager for breaches in regulations relating to dignity and respect, safe care and treatment and good governance. We also identified a breach in relation to the regulation relating to Consent to care and treatment and requested an action plan from the provider.
At this assessment, the provider had met the conditions of the warning notice relating to the dignity and respect regulation, however, the provider remained in breach of the regulations relating to consent to care and treatment, safe care and treatment and good governance.
People’s care plans were not always sufficiently detailed to ensure staff had all the information they required to safely meet their needs, and some contained contradictory information. This meant people were at risk of not receiving the care they required to keep them safe. People did not consistently receive safe care and treatment, risks were not always identified, assessed or managed in a timely or effective way.Medicines were not managed safely, which placed people at risk.
People’s rights under The Mental Capacity Act 2005 were not fully upheld. The absence of effective monitoring and provider level oversight meant mental capacity assessments or best interest decisions were not in place where the provider was undertaking restrictive practices.
Staff did not feel fully supported in their roles and spoke of the service leadership being a significant factor in this. A number of staff had left employment at the service, with exit interviews indicating leadership approach, attitude and style being a factor for their resignation. Staff surveys indicated further concerns around leadership; however, the provider had not acted on this information.
Leadership and governance were not effective. Although there was a registered manager in post, there was limited provider oversight. This had not ensured the service management had performed their roles effectively to meet the requirements of the regulations. Provider level systems to monitor quality and drive improvement were not robust. Although regular provider visits took place, these were not formally recorded, and there were no clear action plans produced by the provider to monitor progress or drive improvement.
In instances where CQC has begun a process of regulatory action, we may publish this information on our website after any representations and/or appeals have been concluded, if the action has been taken forward.
People's experience of this service
We spoke with 13 people who lived at the service and 3 people’s relatives. We observed care delivery within the service to help us understand the experiences of people who were unable to talk with us due to their dementia.
While people and their relatives were generally positive about the care provided, our assessment found elements of safe care and treatment, risk management, medicines management, implementing the requirements of The Mental Capacity Act 2005 legislation and governance did not meet the expected standards. People’s day-to-day experience was not always engaging, personalised or responsive, and improvements were required to enhance quality of life.
People and their relatives spoke positively about the care provided by staff. Feedback indicated people felt staff were kind and caring towards them and treated them with respect. We made observations to support this. One person said, “It’s very good here. They are absolutely brilliant. I feel so much better in myself here than I have been for years.” Another person said, “The staff are kind, I’ve no problem with any of them.”
However, people told us care was often task-focused, particularly in the morning during busy periods of personal care. People were not routinely encouraged to come together socially, and many remained in their rooms. Activities were limited and not structured, with no clear programme in place. While some people were content with this, it meant opportunities for social engagement and meaningful activity were reduced. The provider was in the process of recruiting new staff for this.