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The Lodge Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 21 May 2021

About the service

The Lodge is a residential care home providing personal care to older people. The service can accommodate up to 38 people. At the time of this inspection, 33 people lived at the service.

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

People were not always safe. Government guidance in relation to infection prevention and control had not always been implemented or followed. Risks to people were not always appropriately managed or recorded. Medicine records did not provide staff with sufficient detail regarding when and how to administer medicines.

There was a lack of effective systems and processes in place to monitor the quality and safety of the service.

Staff had not always been deployed effectively to ensure people received support they required in a timely manner.

Staff had been recruited safely and people told us they felt safe living at the service. Any safeguarding concerns had been appropriately reported. Staff spoke highly of the management team and described an open and honest culture.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 26 February 2019).

Why we inspected

We undertook this targeted inspection to follow up on specific concerns which we had received about the service. The inspection was prompted in part due to concerns received about infection prevention and control and COVID-19 management. A decision was made, in accordance with our inspection methodology, for us to inspect and examine those risks.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

We inspected and found there was a concern with risk management, so we widened the scope of the inspection to become a focused inspection which included the key questions of safe and well-led.

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.

The provider took immediate action to address the concerns and shortfalls found during the inspection. They submitted an action plan and provided regular updates to the CQC regarding steps they had taken to ensure the service was safe.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to infection prevention and control, assessing risk, staffing levels and governance at this inspection.

We took urgent enforcement action to ensure infection prevention and control was appropriately managed to reduce the risk to people.

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.

Inspection areas

Safe

Requires improvement

Updated 21 May 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 21 May 2021

Caring

Good

Updated 21 May 2021

Responsive

Good

Updated 21 May 2021

Well-led

Requires improvement

Updated 21 May 2021

The service was not always well-led.

Details are in our well-led findings below.