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We are carrying out a review of quality at Cleaveland Lodge. We will publish a report when our review is complete. Find out more about our inspection reports.

Details of this locations CQC registration

Here you will find the list of services and areas where we, the Care Quality Commission, authorise and regulate this service to operate. If you think this service is operating services not listed here please contact us

Type of service
  • Residential homes
  • Caring for adults over 65 yrs
  • Dementia
Local authority
  • Essex

Regulated services/activities

CQC register Cleaveland Lodge to carry out the following legally regulated services here:

Accommodation for persons who require nursing or personal care

  • Mrs Asha Stimpson is responsible for these services.
  • Mrs Asha Stimpson is the registered manager for these services at this location.
Condition of this registration relating to carrying out this regulated activity

The Registered Provider must not admit any service user to Cleaveland Lodge, 151 Rowhedge Road, Colchester, Essex CO2 8EJ without the prior written agreement of the Care Quality Commission. This includes any service users accommodated on a respite basis. When a service user’s needs change following a hospital admission, the Registered Provider must ensure that service users’ needs can be met before they return to Cleveland Lodge.

Within a week of this notice being adopted the registered provider must implement an effective system to ensure that the risk and incidence of service user accidents and incidents are properly identified and managed. This must include records of actions taken. The registered provider must establish an effective system to ensure the identification and root cause analysis of any patterns or trends in accident and incidents.

Within a week of this notice being adopted the registered provider must immediately carry out a full audit of staff employed to ensure that appropriate checks have been carried out to ensure that the staff employed have the appropriate skills and are of good character. Action must be immediately taken to address any gaps in this information.

Within a week of this notice being adopted the Registered Provider must immediately carry out a full review of staff skills and competency to ensure they have the skills and knowledge required to meet the needs of service users.

The registered provider must undertake a review of care staff skills and competencies to ensure:

a) Mandatory training has taken place and is planned for in advance.

b) Where condition 4 identifies service users with additional health needs, that care staff have been trained and assessed as competent to support service users safely.

c) Where care staff do not speak English as their first language, that they are able to communicate effectively with service users with dementia. Where language is a barrier, measures are put in place to mitigate risks that arise from this.

Within two weeks of this notice being adopted the registered person must carry out a full need’s assessment of each service user and implement a dependency tool that will demonstrate how the registered provider has determined safe levels of staffing. This must also consider any additional tasks that care staff may need to undertake, the environment and layout of the building.

Within a week of this notice being adopted provider must ensure that service users with high risks, including but not limited to:

a) Pressure sores

b) Risk of falls an injury

c) Catheter care

d) Diabetes

Must have appropriate risk assessments in place and care plan interventions that:

a) Manage and mitigate the risks associated with these complex health needs

Section 28 Notice of Decision 3

b) That these interventions have been developed in accordance with best practice guidance.

c) That care staff fully understand and follow these interventions to mitigate the risks identified.

d) That there are processes in place for regular ongoing review and monitoring of service users changing needs.

The Registered Provider must ensure that the service is audited by a skilled and competent person to provide an accurate oversight of the service. The audits should include checks for:

a) Falls and serious injury monitoring

b) Pressure area care

c) Repositioning records

d) Catheter care

e) Diabetes care

f) Accident and incident monitoring.

g) Infection Prevention Control

Terms of this registration relating to carrying out this regulated activity

The registered provider must not provide nursing care under accommodation for persons who require personal or nursing care at Cleaveland Lodge.

The registered provider must only accommodate a maximum of 54 service users at Cleaveland Lodge.