18 April 2012
During a routine inspection
We saw that people were very relaxed and at ease with staff and within their home environment. We saw that staff interacted with people who used the service in a friendly, courteous and respectful manner.
Many of the people who lived at The Lodge were not able to tell us much about their experience at the home due to their condition. We found that people were treated with respect and their dignity and choices had been considered by staff, although there were occasions where some choices had been limited because there had not been enough staff available.
During this visit, we looked at care plans and pathway tracked the care for two people to see how their care was planned and managed. Pathway tracking looks at the experiences of a sample of people who use a service. This is done by following a person's route through the service to see if their needs were being met.
We found that there was not enough suitably trained and qualified staff on duty to safeguard the health and welfare of the people who used the service. Staff had not received the required training, supervision and appraisal to make sure that people who used the service received an appropriate standard of care to safeguard them from any unacceptable risk of harm.
We last visited The Lodge in December 2011 we found that the provider had not been compliant with regulations because systems to assess and monitor the quality of the services provided were not in place. This meant that people were not protected from the risk of inappropriate care and treatment.
When we last visited the home it had been difficult to get an answer to the door. The registered manager had agreed that a doorbell would be fitted to make people who lived at The Lodge and the staff more aware of visitors to the property. A door bell had not been fitted as agreed.