30 April 2019
During an inspection looking at part of the service
What life is like for people using this service:
People who live at The Lodge were placed at risk of not having their needs met in a timely way or in line with their preferences. This is because the provider was not deploying sufficient numbers of staff.
The environment was poor and in need of attention in order for it to promote people’s dignity.
People were not supported to remain engaged and did not have appropriate access to meaningful activity.
People were not offered a choice of good quality, nutritional meals. The service did not identify people’s risk of malnutrition and take action where people lost weight.
Improvements were required to end of life care planning in line with best practice guidance.
The information in care plans and risk assessments was conflicting and in some cases did not reflect people’s current needs.
Medicines were not stored, managed and administered safely.
The service was not clean and there was an intermittent hot water supply.
The provider and registered manager had failed to act on the findings of our previous inspection on 7 and 13 November 2019. The service provided to people had deteriorated further which placed people at risk of harm.
Prompt and appropriate actions were not taken between our three inspection visits to address serious concerns which placed people at risk of harm.
The service could not evidence that they consulted other healthcare professionals on some occasions where this would’ve been appropriate.
People and their representatives were not involved in the planning of their care and had not been given recent opportunities to feedback on the service they received.
See more information in Detailed Findings below.
Rating at last inspection: Requires improvement (Report published 21 December 2018).
Why we inspected: This inspection was carried out as a result of concerns we received about the safety of the service.
Follow up: Following the inspection we urgently raised our concerns with the local authority who responded swiftly to meet with the provider and discuss the concerns. People living in the service were subsequently moved to local residential homes with the support of the local authority and this service is no longer operating.