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Nayland Lodge Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 20 November 2019

About the service

Nayland Lodge provides rehabilitation and support for up to eight adults who have a mental health

disorder. There were seven people living at the service on both days of inspection however only one person was receiving a regulated service.

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

Environmental risks in the service had not been identified and mitigated despite known risks to people.

The provider had not raised concerns with the local authority to safeguard people.

Systems were in place to monitor the quality of the service. However, these were not effective and did not highlight concerns raised during the inspection

The environment was not always clean and required improvement. We have made a recommendation about the environment of the service.

End of life planning required further development. We have made a recommendation that the service consults a reputable source to further develop end of life planning.

Staff were recruited safely, were visible in the service and responded to people quickly.

People were given choice and supported to be independent. They were treated with dignity and respect.

Staff knew people well and had developed meaningful relationships with them.

People's health was well managed and there were positive links with other services to ensure that individual health and nutritional needs were met.

People received their medicines when they needed them.

People who received support, and their relatives, made positive comments about the care provided.

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; policies and systems in the service supported this practice.

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 requires improvement (report published 02 August 2018) At this inspection, the required improvements had not been made.

Why we inspected

This was a planned inspection based on the previous rating. You can see what action we have asked the provider to take at the end of this full report.

Follow up

We will continue to monitor information we receive about the service until we 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 20 November 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 20 November 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 20 November 2019

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 20 November 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 20 November 2019

The service was not always well led.

Details are in our well led findings below.