You are here

Conifer Lodge Residential Home Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 27 March 2021

About the service

Conifer Lodge is a residential care home providing accommodation and personal care for up to 20 people aged 65 and over. At the time of the inspection 12 people were using the service.

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

At our last inspection we found multiple failings which put people at risk of harm. This included but was not limited to failings in infection prevention control for the management of COVID-19, safe care and treatment, the providers governance systems and processes and the competency of the two registered managers and nominated individual.

At this inspection we found significant improvements were made and lessons were learnt. These improvements were facilitated in the main by a director of the company who previously only played a small part in running the company.

The director and registered manager were open and transparent and accepted newly implemented systems and processes needed to be embedded and sustained over time.

The provider had implemented robust infection control procedures and followed government guidance to ensure people were now protected as far as possible from the risk of infectious diseases such as COVID-19.

Arrangements were in place to safely manage and monitor risks associated with people’s care. Care plans and risk assessments were reflective of people’s needs, and people's medicines were managed safely.

People were protected from harm and abuse, and relatives felt their family members were safe and well cared for. Staff were trained in safeguarding and knew how to report concerns to the relevant authorities if needed. Improvements to recruitment processes ensured staff employed were safe to care for vulnerable people.

Staffing levels were safe. Staff provided people with safe and compassionate care and gave us many examples of how the service had improved to support them in providing quality care. They felt supported by the provider and the registered manager, and made reference to one of the directors who they felt had orchestrated the improvements.

Previous concerns over the safety of the environment had been addressed. The provider had made several improvements to the décor and presentation of the service which had a positive impact on people’s quality of life. Plans to make further improvement was in place.

People supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

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

Rating at last inspection and update

The last rating for this service was Inadequate (supplementary report published 15 December 2020).

This service has been in Special Measures since 15 December 2020. During this inspection the provider demonstrated 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.

Why we inspected

We carried out an unannounced focussed inspection of this service on 9 September 2020. Breaches of legal requirements were found, and the service was placed in special measures. We imposed conditions on the providers registration. A director completed an action plan after the last inspection to show what they would do and by when to bring about the improvements needed.

We undertook this focused inspection to check the provider had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions safe and well-led which contain those requirements.

The ratings from the previous comprehensive inspection for those key questions not looked at were used to calculate the overall rating at this inspection. The overall rating for the service has changed from inadequate to requires improvement. This is based o

Inspection areas


Requires improvement

Updated 27 March 2021

The service was not always safe.

Details are in our safe findings below.


Requires improvement

Updated 27 March 2021


Requires improvement

Updated 27 March 2021


Requires improvement

Updated 27 March 2021


Requires improvement

Updated 27 March 2021

The service was not always well-led.

Details are in our well-led findings below.