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Pathfields Lodge Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 16 July 2019

About the service: Pathfields Lodge is a residential care home that was providing personal and nursing care to 30 people at the time of the inspection.

People’s experience of using this service.

Checks and records made during recruitment processes were insufficient and did not evidence that staff were safe to work with vulnerable people.

People were exposed to the risk of harm in a number of areas around the building.

Systems of governance and oversight were not sufficiently robust to have identified the issues we found in relation to recruitment and environmental safety.

Care plans were not well-organised and did not always contain accurate or up to date information. This made it difficult to find important details about people’s needs.

In line with the Mental Capacity Act, people were 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.

The service didn’t always (consistently) apply the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people did not fully reflect the principles and values of Registering the Right Support due to a lack of choice and control and limited inclusion in care planning.

People and relatives were happy with the service they received. We were told.”I’d be very happy to recommend Pathfields to anyone looking for a nursing home for their family,” and "I have nothing but praise for my relative's carers.”

People, relatives and staff spoke positively about the registered manager and felt able to raise concerns and were confident that these would be addressed.

Staff received varied training to enable them to carry out their roles effectively.

Staff enjoyed working at the service and felt supported by each other and the registered manager. We were told, ”It’s a good team,” and “[Manager] is very supportive.”

When there were complaints or concerns, the registered manager dealt with them appropriately and put measures in place to reduce the likelihood of recurrence.

The registered manager recognised the importance of retaining staff and was keen to improve the service and promote good practice.

Rating at last inspection. Rated good, report published 3 November 2016.

Why we inspected:. This was a scheduled inspection based on the rating at the last inspection

Enforcement. At this inspection, we found the service to be in breach of three regulations of the Health and Social Care Act 2008 (Regulated activities) Regulations 2014.

Follow up. We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

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

Inspection areas

Safe

Requires improvement

Updated 16 July 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Good

Updated 16 July 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 16 July 2019

The service was caring.

Details are in our Caring findings below

Responsive

Requires improvement

Updated 16 July 2019

The service was not always responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 16 July 2019

The service was not always well-led.

Details are in our Well-Led findings below.