Nutley Lodge Care Home

Safe - this means we looked for evidence that people were protected from abuse and avoidable harm. At our last inspection we rated this key question requires improvement. At this assessment the rating has remained requires improvement. This meant some aspects of the service were not always safe. The provider was in breach of legal regulations in relation to safe environments, safe care and treatment, staffing, and fit and proper persons (recruitment).

Effective - this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life. At our last inspection we rated this key question requires improvement. At this assessment the rating has remained requires improvement. This meant the effectiveness of people’s care, treatment and support did not always achieve good outcomes or was inconsistent. The provider was in breach of legal regulations in relation to safe care and treatment and consent.

Caring - this means we looked for evidence the provider involved people and treated them with compassion, kindness, dignity and respect. We assessed a limited number of quality statements in the caring key question and found areas of good practice. The scores for this area have been combined with scores based on the rating from the last inspection, which was good. This meant people were supported and treated with dignity and respect.

Responsive - this means we looked for evidence the provider met people’s needs. We assessed a limited number of quality statements in the caring key question and found areas of good practice. The scores for this area have been combined with scores based on the rating from the last inspection, which was good. This meant the service actively listened to information about people who are most likely to experience inequality in experience.

Well-led - this means we looked for evidence that service leadership, management and governance assured high quality, person-centred care, supported learning and innovation and promoted an open, fair culture. At our last inspection we rated this key question requires improvement. At this assessment the rating remained requires improvement. This meant the governance of the service was inconsistent. Leaders did not create a culture which consistently promoted high quality, person centred care.