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Inspection report

Date of Inspection: 12, 14 March 2013
Date of Publication: 18 April 2013
Inspection Report published 18 April 2013 PDF


Inspection carried out on 12, 14 March 2013

During an inspection in response to concerns

We visited Horfield Lodge over two days. During that time we spoke with relatives and staff and made observations about the care that people received. On the first day of our visit, several staff and relatives raised concerns with us, particularly about the quantity and quality of food and nutrition within the home. This was supported by observations we made at meal times. On the second day of our visit, two managers from other homes within the organisation were present and had already begun putting plans in place to make improvements. However, we continued to be concerned that people were at risk from poor nutrition and diet.

During our second visit, we found concerns in relation to recruitment. Four members of staff were found to be working without sufficient checks to ensure that they were suitable to work in the home. The managers brought in from other locations took action immediately on finding these concerns to ensure that people were not at risk.

We looked at the systems in place for administering and recording medications and found that a new system had been introduced. The new system was computerised and had safeguards in place to ensure that medication errors would be minimised. The managers brought in from other locations following our initial visit told us that they had found a number of errors within the system that was being used previously.