Dawson Lodge

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

We assessed one quality statement within the well-led key question. At the last inspection we identified the provider's quality monitoring had failed to identify concerns within the service. This was a breach of Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At this inspection we found improvements had been made and the systems in place were providing oversight and delivering improvement. However, more time was needed to establish the acting leadership team and ensure systems were comprehensive and embedded into practice.

This service scored 50 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Capable, compassionate and inclusive leaders during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

An acting home manager had started in post 6 weeks prior to our visit. Staff spoke positively about the support they had received and the changes in the home. One staff member said, “The new [acting] manager I have found is trying to improve all those things. Like a breath of fresh air from when I first came. It starting to feel like it used to be other staff say. I can feel the atmosphere has changed.” Another told us, “There was a sticky patch but it is coming around now under the new [acting] management team.” The acting home manager shared a selection of audits they had completed. For example, action had been taken following a care plan audit to update or add to people’s care plans and risk assessments. They told us actions from audits were documented on the universal action plan for the service, which was reviewed at least monthly. The acting home manager told us they received support from representatives of the provider and a registered manager from another of the provider’s services. During our assessment, a deputy manager was appointed. More time was needed to establish the team and ways of working.

This assessment did not cover enough quality statements to fully assess whether the breach of Regulation 17, identified at our inspection in January 2023, has been met. Not all areas requiring improvement identified during this assessment had been picked up in the home’s audits, for example the lack of mental capacity assessments for the use of sensor equipment. Whilst the systems in place were providing oversight and delivering improvement, more time was needed to establish the acting management team and ensure systems were comprehensive and embedded into practice.

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Learning, improvement and innovation during this assessment. The score for this quality statement is based on the previous rating for Well-led.